Online Application Form for Qualified Drivers

Online Application Form for Qualified Drivers

Application Form Preview
Online Application Form for Qualified Commerical Drivers
  • APPLICATION FOR DRIVERS

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  • EDUCATION - TRAINING - AWARDS


  • DRIVER QUALIFICATION / DRIVER EXPERIENCE / ACCIDENT HISTORY


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  • DRIVING EXPERIENCE



  • DRIVING ACCIDENT HISTORY: (List all DOT-regulated Accidents)


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  • HISTORY OF EMPLOYMENT

    FILL OUT COMPLETLY AND ANSWER ALL QUESTIONS, DOT REGULATIONS REQUIRE THAT COMMERICAL MOTOR VEHICLE OPERATORS APPLYING FOR WORK MUST PROVIDE AT LEAST TEN (10) YEARS PRIOR WORK HISTORY. DO NOT LEAVES GAPS BETWEEN EMPLOYMENT DATES, IF UNEMPLOYED, STATE SO AND GIVE DATES. IF SELF EMPLOYED, GIVE PERSON(S) THAT CAN VERIFY.

    START WITH YOUR LAST OR CURRENT POSITION, INCLUDING MILITARY EXPIRIENCE, AND WORK BACK. 


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  • REFERENCES

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  • APPLICATION NOTIFICATION

  • In connection with and in consideration of my past, present or future employment or the continuation of my employment by Company Name I, undersigned, herby understand, acknowledge, and agree to the following:

    I understand and acknowledge this application and any and all forms of employment are not a contract between Company Name and myself.  If I receive and accept a job offer my employment will depend upon my satisfactorily passing all pre-employment job specific testing and screening, including but not limited to, drug screening and/or medical certification testing prior to a job offer. 

    I understand that in connection with the application process, Company Name may request information from my past employers and any public or private agencies that have issued me either a professional or vocation certification or license.  I also understand that such investigation may include a review of my criminal history, if any.  I understand with full knowledge that the documents and information obtained by Company Name may include positive or negative facts and opinions that I may believe are true or false.  These records are to be obtained and considered by Company Name in connection with any and all background information pertaining to my past, present, and future employment.

    I understand and agree that if I am employed for a position requiring DOT regulations (truck driver, etc.), that in the event I am excluded from insurance coverage by Company Name's vehicle insurance carrier, my exclusion no longer qualified me for continued employment if my position at the time of exclusion requires DOT regulations. 

  • CONSENT AND AUTHORIZATION TO REQUEST AND RELEASE INFORMATION

  • I understand and agree that I must have a negative substance abuse drug and or alcohol screening prior to and during my employment.  I may also be required to complete and pass a job specific physical agility test and, if applicable, medical certification testing if my current Medical Certification Card has expired, as part of a conditional job offer and employment.  Such testing may be performed by an outside testing source or a certified-trained  professional of Company Name's choice and I will be informed of all test results.  I further understand that if I refuse to take such test, I may be denied current or future employment.    

    I authorize and consent to Company Name obtaining any and all documents and information regarding my previous employment from my present and past employers, or agent these employers may designate, regarding my employment, including, but not limited to, positions held, dates of employment, last pay rate, work performance, disciplinary records, reliability, incidents of dishonesty, failed substance abuse drug or alcohol test, insubordination, violence, criminal history, and/or unsafe, harmful or threatening behavior, including information based upon any and all materials in and out of my personnel files and records.  

    I authorize and consent to Company Name to obtain documentation or information from any public agency or private entity concerning any professional or vocational license or certification that I have held in the past or currently hold, including, but not limited to, documentation or information concerning whether such license or certification is in good standing, and any disciplinary or other proceedings concerning such license or certification.  

  • ACKNOWLEDGEMENT

  • I HERBY UNDERSTAND, AGREE TO, AND ACCEPT THE TERMS AND CONDITIONS SET FORTH, I FURTHER CERTIFY THE INFORMATION GIVEN BY ME ON THE APPLICATION AND IN THE EMPLOYMENT PROCESS IS TRUE AND CORRECT.  I UNDERSTAND ANY MISREPRESENTATION OR OMISSION OF FACTS MAY RESULT IN REFUSAL TO OFFER ME EMPLOYMENT, OR IF I AM EMPLOYED, TERMINATION OF MY EMPLOYMENT.

    I CERTIFY THIS APPLICATION WAS COMPLETED BY ME, AND ALL ENTRIES ON IT AND INFORMATION IN IT ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. 

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