Driver Application For Employment

In compliance with Federal and State equal employment opportunity laws, qualifed applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status, or non-job related disability.

Name

List your addresses (starting with the most current) for the past 3 years:

Current Address:

Previous Addresses

Do you have teh legal rigth to work in the United States?

Dates:

  Employment History

All the driver applicants to drive in interstate commerce must provide the following information on all employees during the preceding 3 years. List complete mailing address, street number, city, state, and zip code.

Applicants to drive a commercial motor vehicle* in intrastate or interstate commerce shall also provide an additional 7 years’ information on those employers for whom the applicant operated such vehicle.

(NOTE: List employers in reverse order starting with the most recent. Add another sheet as necessary.)

EMPLOYER

DATE

EMPLOYER

DATE

EMPLOYER

DATE

*- Includes vehicles having a GVWR of 26,001 lbs. or more, vehicles designed to transport 15 or more passengers, or any size vehicle used to transport hazardous materials in a quantity requiring placarding.

DRIVING RECORD FOR THE PAST 3 YEARS OR MORE (ATTACH SHEET IF MORE SPACE IS NEEDED) IF NONE, WRITE NONE.

DATES

DATES

DATES

TRAFFIC CONVICTIONS AND FORFEITURES FOR THE PAST 3 YEARS (OTHER THAN PARKING VIOLATIONS) IF NONE, WRITE NONE

  (ATTACH SHEET IF MORE SPACE IS NEEDED)

EDUCATION

LAST SCHOOL ATTENDED:

(If the answer is to either A or B is yes, attach a statement giving details)

DRIVER EXPERIENCE (If none, write none)

CLASS OF EQUIPMENT

STRAIGHT TRUCK

TRACTOR AND SEMI-TRAILER

TRACTOR - TWO TRAILERS

MOTORCOACH-SCHOOL BUS

OTHER

EXPERIENCE AND QUALIFICATIONS - OTHER

TO BE READ AND SIGNED BY THE APPLICANT

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.

I authorize you to make such investigations and inquires of my personal, employment, financial, medical history and other related matters as may be necessary in arriving at an employment decision. (Generally, inquires regarding medical history will be made only if and after a conditional offer of employment has been extended.) I hereby release 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 understood, also, that I am required to abide by all rules and regulations of the Company.

PROCESS RECORD / EVALUATION

(IF REJECTED, SUMMARY REPORT OF REASONS SHOULD BE PLACED IN THE FILE)

THIS SECTION TO BE FILLED IN BY RESPONSIBLE OFFICER OR COMPANY REPRESENTATIVE

1. APPLICATION

SUPERIOR

2. INTERVIEW