Driver Pages

Job Application for Truck Drivers

This transportation company is an equal opportunity employer in compliance with all Federal and State equal employment opportunity laws. Consideration of qualified applicants for any position is made without regard to the applicant's sex, race, color, national origin, marital status, age, religion or non-job related disability.



Fields mark with (*) are required to process the application. All dates in (mm/dd/yyyy) format.

Today's Date 5/25/2013
Date of Birth *  (mm/dd/yyyy)  
Position Applying For *  
Division Applying For *  



How Did You Hear About This Job? *   
Name *   
Address *   
City *   
State *
Zip code *   
Telephone *  (111-111-1111)  
Email Address
SSN # *   
License # *   
State *
Class *   
Endorsement *   
Have you ever been convicted of a felony or misdemeanor? *   
Date  Exp
Moving Violations In Last 3 yrs? *   
Accidents In Last 3 yrs? *   
Are You a U.S. Citizen? *   
Can you show proof of right to live and work in U.S.?  *   
Have you ever tested positive or refused a test on any pre-employment Drug or Alcohol test administered by an employer to which you applied for, but did not obtain employment during the past two years? *   

Driving Experience
Are You Presently Employed? *   
May We Contact Your Present Employer? *   
Most Recent Employer *   
Phone
Contact Name *   
Address
City
State
Zip code
Position Held *   
Pay Rate (per mile or hourly) *   
Date * From  to  (mm/dd/yyyy)  
Reason for Leaving *   
Past Employer
Phone
Contact Name
Address
City
State
Zip code
Position Held
Pay Rate (per mile or hourly)
Date From  to  (mm/dd/yyyy)
Reason for Leaving
Past Employer
Phone
Contact Name
Address
City
State
Zip code
Position Held
Pay Rate (per mile or hourly)
Date From  to  (mm/dd/yyyy)
Reason for Leaving
I hereby certify that all information on this form is correct and complete to the best of my knowledge. I hereby authorize Dependable Highway Express to do a background investigation in accordance with state and federal Laws. I authorize release of any information, including all information related to my alcohol and controlled substance testing and training records required by the Federal Highway Administration (FHWA) 49 CFR Parts 391 or 382 by and past or current employers. I hereby release all such persons from any liability or damages. I consent to the procurement and use of any consumer reports including reports from DAC Services, Inc& National Compliance Solutions, deemed necessary by DHE or its subsidiaries in their consideration of employment or contract. I authorize Dependable Highway Express to access the FMCSA Pre-Employment Screening Program (PSP) system to seek information regarding my commercial driving safety record and information regarding my safety inspection history. I understand that I am consenting to the release of safety performance information including crash data from the previous five (5) years and inspection history from the previous three (3) years. I understand and acknowledge that this release of information may assist the Prospective Employer to make a determination regarding my suitability as an employee or contractor.

 

By submitting this application I certify that I personally completed this application and that all of the information is true and correct. I have completed this application of my own free will and hold Dependable Highway Express, Inc. harmless of all liability for providing this application for employment purposes. I hereby request and authorize Dependable Highway Express, Inc. to conduct, at any time, an investigation of my background for employment purposes, which may include, but is not limited to, any information relating to my character, general reputation, criminal history, past work experience, educational background, alcohol or drug results, or failure to submit to an alcohol or drug test, or any other information about me which may reflect upon my potential for employment gathered from any individual, organization, entity, agency, or other source which may have knowledge concerning any such items of information.

Electronic Signature: (please type your name) *