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Home Employment Opportunities Driver Application
(Allow 15-30 minutes to complete)
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.
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 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 (e). I understand I have the right to:
(Answer all questions)
List your addresses of residency for the past 3 years.
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. Add another sheet as necessary.)
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.
FOR PAST 3 YEARS OR MORE (ATTACH SHEET IF MORE SPACE IS NEEDED) IF NONE, WRITE NONE
AND FORFEITURES FOR THE PAST 3 YEARS (OTHER THAN PARKING VIOLATIONS) IF NONE, WRITE "NONE"
Indicate training and experience in the following
Formal Training (check)
Years of Experience
Diesel Engine Tune-up and Rebuild
Gas Engine Tune-up and Rebuild
Engine Rebuilding Equipment
Wheel & Tire Balancing machine
General Car Repair
Tire Servicing Machine
Please list three professional references not related to you with full name, address, phone number, and relationship.
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.
Pick Up Address
Drop Off Address
Date of Service
Select Arrival or Departure
Select Arrival Airport
Select Departure Airport