Driver’s Employment Application

What Positions Are You Applying For?

Straight TruckYesNo

Tractor TrailerYesNo

Tractor Two TrailersYesNo

Tractor Three TrailersYesNo

OtherYesNo

Have you ever been denied a license, permit, or privilege to operate a motor vehicle?YesNo

Has any license, permit, or privilege ever been suspended or revoked?YesNo

If the answer is “Yes” to either A or B above, give details in the space below

Have you tested positive, or refused to test, on any pre-employment drug or alcohol test administered by an employer to which you applied for, but did not obtain, for safety sensitive transportation work covered by DOT agency drug and alcohol testing rules during the past two (2) years?YesNo

List states operated in for the last five (5) years

List special courses/training completed (PTD/DDC, HAZMAT, etc.)

Do you have the legal right to work in the United States?YesNo

Can you perform, with or without reasonable accommodation, the essential functions of the job as described in the job description?YesNo

Have you worked for this company before?YesNo

If you were referred, who referred you?

Upload DMV Printout

How many years of Driving experience do you have?

What is the highest level of education you have completed?

Do you speak English?YesNo

Are you authorized to work in the United States?YesNo

Do you have a current TWIC Card?YesNo

Are you registered with a federal clearing house?YesNo