Job Application for Drivers


EMPLOYMENT HISTORY

All driver applicants to drive in interstate commerce must provide the following information on all employment during the preceding 3 years. Applicants to drive a commercial motor vehicle 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. Attach and upload another sheet if necessary.)



Accident Record for Past 3 Years or More (Attach sheet if more space is needed)


Traffic Convictions and Forfeitures for the Past 3 Years. (Other than Parking Violations)

Education Section

Experience and Qualifications –Driver

Driving Experience

TO BE READ AND SIGNED BY APPLICANT

By signing my name below, I certify that the answers given in this application for employment are true and correct to the best of my knowledge. I authorize such inquiry into the statements made in this application as may be necessary in reaching an employment decision, I understand that any false or misleading information given in this application or during a pre-employment interview, including a failure to disclose requested information, may result in my discharge. I understand that I may be required to pass a physical examination, including a drug test, before a final offer of employment is made. By signing my name below, I consent to these procedures.