Applications

Fill out and submit Driver Application Form Below

Driver Application

Driver Application

"*" indicates required fields

COMPANY ADDRESS*

TO BE READ AND SIGNED BY APPLICANT

I authorize you to make such investigations and inquiries of my personal, employment, financial or medical history and other related matters as may be necessary in arriving at an employment decision. (Generally, inquiries regarding medical history will be made only II 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 understand, also, that I am required to abide by all rules and regulations of the Company. “I understand that information I provide regarding current and/or previous employers may be used, and those employer(s) will be contacted, for the purpose of Investigating my safety performance history as required by 49 CFR 391.23(d) and (0). I understand that I have the right to:

  • Review Information provided by current/previous employers:
  • Have errors in the information corrected by previous employers and for those previous employers to re-send the corrected information to the prospective employer: and
  • Have a rebuttal statement attached to the alleged erroneous information, if the previous employer(s) and I cannot agree on the accuracy of the information."
NAME*
ADDRESS*

PAST 3 YEAR RESIDENCY

Residency
Current Residency
Residency

Employment History

(Use Additional Employment History Information form if necessary)

All applicants wishing to drive in Interstate commerce must Provide the following information on all employers during the preceding three years. You must give the same information for all employers for whom you have driven a commercial vehicle seven years prior to the initial three years (total of ten year employment record).

You are required to list the complete mailing address: street number and name, city state and zip code.

Address*
Were you subject to the Federal Motor Carrier Safety Regulations** while employed?*
Was your job designated as as safety-sensitive function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR Part 40?*
Address
Were you subject to the Federal Motor Carrier Safety Regulations** while employed?
Was your job designated as as safety-sensitive function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR Part 40?
Address
Were you subject to the Federal Motor Carrier Safety Regulations** while employed?
Was your job designated as as safety-sensitive function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR Part 40?

*Any gaps in employment and/or unemployment must be explained.

**The Federal Motor Carrier Safety Regulations apply to anyone operating a motor vehicle on a highway in interstate commerce to transport passengers or property when the vehicle: (1) weighs or has a GVWR of 10,001 pounds or more, (2) is designed or used to transport 9 or more passengers, OR (3) is of any size and is used to transport hazardous materials in a quantity requiring placarding.

Experience and Qualification

Driving Experience

If no driving experience within the last 3 years - check here

CLASS OF EQUIPMENT: Straight Track

TYPE OF EQUIPMENT (Check all the applies)

CLASS OF EQUIPMENT: Tractor & Semi-Trailer

TYPE OF EQUIPMENT (Check all the applies)

CLASS OF EQUIPMENT: Tractor -Two Trailers

TYPE OF EQUIPMENT (Check all the applies)

CLASS OF EQUIPMENT: Tractor -Three Trailers

TYPE OF EQUIPMENT (Check all the applies)

CLASS OF EQUIPMENT: Motorcoach - School Bus (> 8 passengers)

CLASS OF EQUIPMENT: Motorcoach - School Bus (> 15 passengers)

TYPE OF EQUIPMENT (Check all the applies)

Accident History (3 years)

If no accidents within the last 3 years - check here
HAZARDOUS MATERIAL SPILL
HAZARDOUS MATERIAL SPILL
HAZARDOUS MATERIAL SPILL

Traffic Convictions and Forfeitures (3 years)

If no traffic convictions and/or forfeitures within the last 3 years - check here

License Information

Section 383.21 FMCSR stales No person who operates a commercial motor vehicle shall at any time have more than one driver's license". I certify that I do not have more than one motor vehicle license, the information for which is listed below.

Have you ever been denied a license, permit, or privilege to operate a motor vehicle?
Has any license, permit, or privilege been suspended or revoked?

Applicant Certification

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