Driver's Application for Employment


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

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 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 inter-view(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 (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 employer(s) and I cannot agree on the accuracy of the information.

 

 

List your addresses of residency for the past 3 years.

If you need to provide additional information, please provide it at the end of this application, in the “additional information” section. You may also upload any additional documents or files there as well.

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

Can you provide proof of age?

Have you worked for this company before?

Are you currently employed?


 

Have you ever been convicted of a felony?

If yes, please explain fully below. Conviction of a crime is not an automatic bar to employment – all circumstances will be considered.

Is there any reason you might be unable to perform the functions of the job for which you have applied (as described in the job description)?


 

EMPLOYMENT HISTORY

All driver applicants to drive in interstate commerce must provide the following information on all employers 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.)

If you need to provide additional information, please provide it at the end of this application, in the “additional information” section. You may also upload any additional documents or files there as well.

 

Previous Employer #1 (most recent)

WERE YOU SUBJECT TO THE FMCSRs✝ WHILE EMPLOYED?

WAS YOUR JOB DESIGNATED AS A SAFETY-SENSITIVE FUNCTION IN ANY DOT-REGULATED MODE SUBJECT TO THE DRUG AND ALCOHOL TESTING REQUIREMENTS OF 49 CFR PART 40?

 

Previous Employer #2

WERE YOU SUBJECT TO THE FMCSRs✝ WHILE EMPLOYED?

WAS YOUR JOB DESIGNATED AS A SAFETY-SENSITIVE FUNCTION IN ANY DOT-REGULATED MODE SUBJECT TO THE DRUG AND ALCOHOL TESTING REQUIREMENTS OF 49 CFR PART 40?

 

Previous Employer #3

WERE YOU SUBJECT TO THE FMCSRs✝ WHILE EMPLOYED?

WAS YOUR JOB DESIGNATED AS A SAFETY-SENSITIVE FUNCTION IN ANY DOT-REGULATED MODE SUBJECT TO THE DRUG AND ALCOHOL TESTING REQUIREMENTS OF 49 CFR PART 40?

 

Previous Employer #4

WERE YOU SUBJECT TO THE FMCSRs✝ WHILE EMPLOYED?

WAS YOUR JOB DESIGNATED AS A SAFETY-SENSITIVE FUNCTION IN ANY DOT-REGULATED MODE SUBJECT TO THE DRUG AND ALCOHOL TESTING REQUIREMENTS OF 49 CFR PART 40?

 

Previous Employer #5

WERE YOU SUBJECT TO THE FMCSRs✝ WHILE EMPLOYED?

WAS YOUR JOB DESIGNATED AS A SAFETY-SENSITIVE FUNCTION IN ANY DOT-REGULATED MODE SUBJECT TO THE DRUG AND ALCOHOL TESTING REQUIREMENTS OF 49 CFR PART 40?

 

Previous Employer #6 (oldest)

WERE YOU SUBJECT TO THE FMCSRs✝ WHILE EMPLOYED?

WAS YOUR JOB DESIGNATED AS A SAFETY-SENSITIVE FUNCTION IN ANY DOT-REGULATED MODE SUBJECT TO THE DRUG AND ALCOHOL TESTING REQUIREMENTS OF 49 CFR PART 40?

*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

If you need to provide additional information, please provide it at the end of this application, in the “additional information” section. You may also upload any additional documents or files there as well.


 

ACCIDENT RECORD FOR PAST 3 YEARS OR MORE
If none, simply write “NONE” in first box

 

 

 

 

TRAFFIC CONVICTIONS AND FORFEITURES FOR THE PAST 3 YEARS (OTHER THAN PARKING VIOLATIONS)
If none, simply write “NONE” in first box

 

 

 


 

EXPERIENCE AND QUALIFICATIONS – DRIVER
List all driver licenses or permits held in the past 3 years

 

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

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

 


 

Driving Experience

 

Straight Truck

  Type(s) of equipment

 

Tractor and Semi-trailer

  Type(s) of equipment

 

Tractor – Two Trailers

  Type(s) of equipment

 

Tractor – Three Trailers

  Type(s) of equipment

 

Motorcoach – School Bus (8+ passengers)

 

   

 

   


 

Experience and Qualifications – Other

     


 

Education


 

TO BE READ AND SIGNED BY APPLICANT

My signature below 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.

Leave this empty:

Force Freight https://forcefreight.com
Signature Certificate
Document name: Driver's Application for Employment
Unique Document ID: 68ffdeb150a68dcb1e1c350247aca88b33076888
Timestamp Audit
2017-01-25 11:35:13 MSTDriver's Application for Employment Uploaded by Kristen Bond Bond - [email protected] IP 68.2.81.40