Trucking Job Application

TRUCKING JOB APPLICATION

Please complete this application in full. Providing false or misleading information is grounds for denial of employment or immediate termination. By submitting this application you authorize the company to verify all information provided, including but not limited to driving record, criminal history, prior employment, and drug/alcohol testing results as required by federal and state law.

Position and Availability

Date Available:    Shift/Routes Preferred:

Applicant Information

Date of Birth:    Phone:    Email:

Driver's License and Commercial Experience

Driver's License Number:    State:    Class:    Expiration:

Employment History (Most Recent First)

Phone:    Address:

Position Held:    From:    To:

Phone:    Address:

Position Held:    From:    To:

Phone:    Address:

Position Held:    From:    To:

Accident and Violation History

Certifications, Authorizations and Consents

Do you have a current Department of Transportation medical certificate?    Yes    No

Have you tested positive for controlled substances within the last three years?    Yes    No

I authorize the employer to obtain my driving record, criminal history, employment history, and other background information necessary to evaluate my qualifications. I further consent to any required drug and alcohol testing and acknowledge that employment will be contingent upon satisfactory results where permitted by law.

I hereby release all former employers, schools, and other persons from all liability for damages that may result from furnishing information to the employer. I understand that any false statement or omission of a material fact in this application may result in rejection of my application or, if discovered after hire, termination of employment.

Yes    No

I certify that the information provided on this application is true and complete to the best of my knowledge. I understand that, if employed, my employment is for no definite period and may be terminated at will by either party at any time, with or without cause or notice, unless otherwise provided by written agreement signed by the employer's authorized representative.

Acknowledgments

Applicant acknowledges receipt of and understands the company's policies regarding safety, hours-of-service, and substance abuse testing. Applicant agrees to comply with company policies and all applicable federal and state regulations while performing duties if hired.

By signing below, Applicant consents to the release of information requested by the employer and affirms that all statements on this application are true and complete.

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