Owner/Operator - Application for Employment

Complete the following sections as best as possible.  You must include all employers that you have worked for for the last three years.  For the last ten years; include all commercial driving employers.  Your equipment must be 10 years old or newer.

Where did you hear about driving opportunities at Freight All Kinds?

Personal Information

Last Name:    First Name:    MI: 

Address:       

City:              State:    Zip: 

Telephone:    Alternate Phone: 

Email:        

SSN:            Date of Birth: 

Are you authorized to live and work in the United States?    YesNo                  

Professional Information

CDL#:    CDL State: 

Expiration Date (mm/dd/yyyy): 

Valid CDL Endorsements: 

Hazmat

Tanker

Passenger

        

Years of CDL Experience: 

CDL Restrictions: 

Have you ever been convicted of a DUI/DWI?       YesNo

    If yes, provide details and date:   

In the three years prior to the date of this application, have you ever tested positive for a controlled substance, tested at .04 or above on an alcohol test, or refused to submit to a required drug/alcohol test?      YesNo     

Do you have at least two years of over-the-road Class A tractor-trailer driving experience?   YesNo         

How many  moving violations have you been convicted of in the last three years? 

Were any of these moving violations for speeding 15 miles or more over the posted limit?  YesNo

How many preventable accidents have you had in the past three years? 

Provide dates, locations, and brief descriptions of any preventable accidents, if any.

Employment History

Current/Most Recent Employer: 

City, State: 

Phone:       

Started (mm/yyyy):   End (mm/yyyy): 

2nd Most Recent Employer: 

City, State: 

Phone:       

Started (mm/yyyy):   End (mm/yyyy): 

3rd Most Recent Employer: 

City, State: 

Phone:       

Started (mm/yyyy):   End (mm/yyyy): 

4th Most Recent Employer: 

City, State: 

Phone:       

Started (mm/yyyy):   End (mm/yyyy): 

5th Most Recent Employer: 

City, State: 

Phone:       

Started (mm/yyyy):   End (mm/yyyy): 

Equipment

Make and Model: 

Year:                         Weight:                 

Wheelbase:                 Number of Axles: 

Titled Owner:       

Submission and Authorization

I certify that by submitting this application electronically, I personally completed this application and all of the information is true and correct.  I hereby authorize Freight All Kinds, Inc. to conduct 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, 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 sources.

I understand that consumer reports which may contain public information may be requested by DAC Services, Tulsa, Oklahoma.  I further authorize any party or agency contacted by DAC to furnish above mentioned information.

I have the right to make a request to DAC, upon proper identification, to request the nature and substance of all information in its files on me at the time of my request, including the sources of information and the recipients of any reports on me, which DAC has previously furnished within the two-year period preceding my request.  I hereby consent to your obtaining the above information from DAC, and I agree that such information, which DAC has or obtains, and my employment history with you if I am hired, will be supplied by DAC to other companies that subscribe to DAC Services.

I hereby authorize procurement of consumer report(s).  If hired (or contracted), this authorization shall remain on file and shall serve as ongoing authorization for you to procure consumer reports at any time during my employment (or contract) period.

By clicking the Submit button below, you are agreeing to the terms (stated or implied) of the application.  The application is used for employment pre-screening.  Prior to employment by Freight All Kinds, Inc., you will be required to sign and return a completed copy of this or a similar application and return it to Freight All Kinds, Inc.