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Driver Application for Employment
Step
1
of
5
20%
Your Personal Information
Your Name
First
Last
Your Email Address
Enter Email
Confirm Email
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Country
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Virgin Islands, U.S.
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Your Phone
Best Time To Call You
When is the best time for us to reach you via telephone?
Mornings
Early Afternoon
Late Afternoon
Early Evening
Position You're Applying For
Position You're Applying For
(A) Shift Driver - 5:10am to 1:10pm
(B) Shift Driver - 11:30am to 6:30pm
(C) Shift Driver - 9:30am to 5:30pm
Education
List the schools you attended.
School Name
Location
Years Attended
Graduate?
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Remove
Driver's License (Front)
Upload a photo of the front of your driver's license.
Max. file size: 256 MB.
Driver's License (Back)
Upload a photo of the back of your driver's license.
Max. file size: 256 MB.
Driving Experience
Tell us about your driving experience.
Type of equipment (Car, Van, Wheelchair Vehicle, Stretcher Vehicle, Tank, Flatbed, etc.)
Date Started
Date Ended
Approximate # of Miles (total)
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Driving Accidents
Please list any accidents in the last three years.
Date
Nature of accident
Fatalities
Injuries
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Driving Convictions
Traffic convictions (other than parking violations) and forfeitures for the past three years.
Location
Date
Charge
Penalty
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Have you ever been denied a license, permit or privilege to operate a motor vehicle?
Please select an option...
Yes
No
Has any license, permit or privilege ever been suspended, revoked or denied?
Please select an option...
Yes
No
Previous Employment
Your Previous Employers
You are required to give all employment information for at least three years. If you are applying for a position that requires a CDL you will need to list all employment where you operated vehicles requiring a CDL for the past ten years.
Employer
Dates
Position
Phone
Was this employer subject to Federal (or PUC) Motor Carrier Safety Regulations?
Were you subject to controlled substance & alcohol testing under 49 CFR Parts 40/382 while employed here?
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Remove
Final Steps
Upload Your Resume
Upload your resume in .pdf, .doc or .docx format
Accepted file types: pdf, doc, docx, Max. file size: 25 MB.
Terms and Conditions
(Required)
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.
I agree to the terms and conditions.
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