If you would like to join our company, please fill in your details in this Driver Application Form below and you will be automatically be added to our system and reviewed.

In compliance with all Federal and State equal opportunity laws, qualified applicants are considered for all positions without regard to race, religion, sex, national origin, age, marital status or non-job related disability. I understand that information I provide regarding current and/or previous employers may be used and those employers will be contacted for the purpose of investigating my safety performance history as required by 49 CFR 391.23(d) and (e).
I also understand that I have the right to:
Review information provided by previous employers.
Have errors in the information corrected by previous employers and for the previous employers to resend the corrected information to the prospective employer
Have a rebuttal statement attached to the alleged erroneous information if the employer and I cannot agree on the accuracy of the information.

Applicant Information:








Driver/Qualification Information:








Traffic Violations:
List all motor traffic violations which you were involved both commercial and private vehicle for the past three years other than parking, if none select NONE





Violation 2




Violation 3




List all motor vehicle collisions in which you were involved both commercial and private vehicle for the past three years, if none select NONE






Collision 2





Collision 3





In accordance with CFR 391.21&.23 of the Federal Motor Carrier Safety Regulations (FMCSR) an applicant must list all previous work experience for the three (3) years prior to the date of this application as well as the driving experience for seven (7) years prior to those three years for a total of ten (10) years. The Federal Motor Carrier Safety Regulations apply to anyone operating a motor vehicle on a highway in interstate comerce to transport passengers or property when the vehicle: 1) weighs more than or has a GVWR of 10,001 pounds or more, 2) is designed to transport 9 or more passengers or 3) is of any size and is used to transport hazardous materials in a quantity requiring placarding. All employment gaps must be explained. If you were an owner operator, list carriers you were leased to. Please enter most recent employer first and work to the oldest employer as required above.

Work Experience:
Current or most recent employer:









Previous Job Experience:









Previous Job Experience:









Previous Job Experience:









Education:

Other


By typing my name in this form and submitting to potential employer, I authorize the carrier to make such inquiries of my personal, employment, driving, financial and/or medical history and other related matters as may be necessary in arriving at an employment decision. Inquiries into medical history will be made only if and after a conditional offer of employment has been extended. I hereby release all employers, schools, health care providers, and other persons from all liability in responding to inquiries and releasing information in connection with my application.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I agree to abide by the rules and regulations of the carrier as well as the Federal Motor Carrier Safety Regulations. I also agree and understand that is I am selected to drive for the carrier that I will be on a probationary period during which time I may be discharged without recourse.

This certifies that this application was completed by me and that all entries on it and information in it are true and complete to the best of my knowledge.


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