Drivers

Application For Employment
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    (Required for Commercial Drivers)
    (Proof of citizenship or immigration status may be required upon employment)
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  • 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 (e). I understand that I have the right to: • Review information provided by 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 employers(s) and I cannot agree on the accuracy of the information.
  • I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I understand that this application is not and is not intended to be a contract of employment. 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.
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  • (You may exclude those which indicate race, color, religion, sex or national origin)
  • Government contractors are subject to 38 USC 2012 of the Vietnam Era Veterans Readjustment Act of 1974 which requires that they take affirmative action to employ and advance in employment qualified disabled veterans and veterans of the Vietnam Era, and Section 503 of the Rehabilitation Act of 1973, as amended, which requires government contractors to take affirmative action to employ and advance in employment qualified handicapped individuals.If you are a disabled veteran, or have a physical or mental handicap, you are invited to volunteer this information. The purpose is to provide information regarding proper placement and appropriate accommodation to enable you to perform the job to the best of your ability in a proper and safe manner. This information will be treated as confidential. Failure to provide this information will not jeopardize or adversely affect your consideration for employment.
  • EMPLOYMENT HISTORY

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  • Summarize special skills and qualifications acquired from employment or other experience
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  • *Includes vehicles having a GVWR of 26,001 lbs. or more, vehicles designed to transport 16 or more passengers (including the driver), or any size vehicle used to transport hazardous materials in a quantity requiring placarding.*The Federal Motor Carrier Safety Regulations (FMCSRs) 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 more than 8 passengers (including the driver), OR (3) is of any size and is used to transport hazardous materials in a quantity requiring placarding.
  • ACCIDENT RECORD

    For past 3 years or more. Id none, write none.
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  • (Head-on, Rear-end, Upset, etc)
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  • (Head-on, Rear-end, Upset, etc)
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  • (Head-on, Rear-end, Upset, etc)
  • TRAFFIC CONVICTIONS

    And forfeitures for the past 3 years (other than parking violations). If none, write none.
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  • EXPERIENCE AND QUALIFICATIONS - DRIVER

    Driver licenses or permits held in the past 3 years
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  • DRIVING EXPERIENCE - CLASS OF EQUIPMENT

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  • EXPERIENCE AND QUALIFICATIONS - OTHER

  • 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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