FOR YOUR PRIVACY AND SECURITY,
ALL PERSONAL INFORMATION SUBMITTED IS ENCRYPTED.

 

SAMPLE
(YOUR COMPANY LOGO GOES HERE)
 

We can add your company's wording, legal disclaimer, and web graphics to our standard online driver job inquiry.  When drivers submit an online job inquiry, all data is automatically entered into RapidHire for immediate processing by recruiting personnel.

Drivers are shown a confirmation page, which displays the data they have entered.  The confirmation page also gives further instructions to the driver to print, sign, and return any release forms, or prompting them to call your company ASAP. They can also then return to your website for further information.

STEP ONE:
 DRIVER PRE-APPLICATION

If you have applied to OUR COMPANY within the last 30 days, you may already be in our RapidHire system and it is not necessary to resubmit your information.

Please call (OUR PHONE NUMBER) to update your file and discuss current opportunities with a recruiter.

NEW APPLICANTS:  APPLY ONLINE NOW

Our Recruiting Department will use our RapidHire system to process your information quickly.  To complete this job inquiry, you will need to provide the following information:

  • Current License Information

  • Information about your driving record, including traffic violations, accidents, etc.

  • Information about your employment history, including dates, city, state, and phone number.

TO ENSURE WE RECEIVE YOUR CORRECT INFORMATION,
PLEASE FOLLOW ALL INPUT INSTRUCTIONS.

ALL FIELDS MARKED WITH * ARE REQUIRED

HOW DID YOU HEAR ABOUT OUR COMPANY?
Media Type:  *
Media State or
Sub-Type:		 *
Media or Referring Driver Name: *

PERSONAL INFORMATION
First Name: *

Your Name
MUST be entered EXACTLY as it appears on your CDL or DRIVER LICENSE

Middle Initial:
Last Name: *
Social Security Number: XXX-XX-XXXX
Social Security Number MUST include dashes
Format example:  123-45-6789

 Birth Date: 

 MM/DD/YY
Birth Date MUST be entered as MM/DD/YY with SLASHES and using only two digits each for month/day/year
Format example:  12/01/77

CONTACT PHONE NUMBERS
HOME
Phone Number: 		*

All Telephone Numbers
MUST include dashes:
AREA CODE - PREFIX - NUMBER
format example:
333-555-7777
Alternate
Phone Number:
CELL
 Phone Number: 		      
Fax Number:

CONTACT ADDRESSES
Email Address:
Street Address: *
City:
 *
State: *
 Zip Code:  *

How Long at
Current Address:

LIST ADDRESSES FOR PAST THREE YEARS
Previous Address:  

How Long at Previous Address:
Previous Address:  

How Long at Previous Address:

EDUCATION

 Highest Grade or
Years of College: 

 Last School Attended
School Name                                       Location

PERSONAL
In Case of Emergency, NOTIFY:  
Name                           Address                          Phone Number
Are you a U.S. citizen? Yes: No:
Do you have any relatives in our employ? Yes: No:

CDL OR DRIVER LICENSES

NOTE: The Commercial Vehicle Driver License Act states that a driver may only have 1 and issued by the State of Residence.  Any other license must be returned to the respective States.  Violation of this Act can result in fines and disqualification.  Tank truck and hazardous endorsements will be required for all drivers where applicable.

DRIVER LICENSES HELD IN PAST 3 YEARS MUST BE SHOWN
Current or
Most Recent
 CDL or Driver
License #:		 *

CDL MUST be entered as NUMBERS and UPPERCASE LETTERS (ALL CAPS) ONLY.
 Washington State:  Please include the * in your CDL Number
Do NOT include any dashes, slashes, or other characters. 

CDL or Driver License State: *
CDL Expiration Date: * MM/DD/YY

CDL Expiry Date MUST be entered as MM/DD/YY with SLASHES and using only two digits each for Month/Day/Year Format example:  12/01/07
Haz Mat Endorsement: Yes: No:
Previous
CDL or Driver
License #:
     

CDL MUST be entered as NUMBERS and UPPERCASE LETTERS (ALL CAPS) ONLY.
Washington State:  Please include the * in your CDL Number
Do NOT include any dashes, slashes, or other characters. 
CDL or Driver License State:
Previous
CDL or Driver
License #:

CDL MUST be entered as NUMBERS and UPPERCASE LETTERS (ALL CAPS) ONLY.
Washington State:  Please include the * in your CDL Number
Do NOT include any dashes, slashes, or other characters. 
CDL or Driver License State:

DRIVER OPPORTUNITIES

Which of our driving opportunities are you interested in?

Company Driver:  (Minimum Age: 24)
Owner/Operator:  (Minimum Age: 24)
Team Driver:  (Minimum Age: 24)

DRIVING EXPERIENCE

Please indicate your level of experience:
Total
Over the Road
Tractor Trailer Experience:		 Number of Years:       Number of Months:
States Operated in for Last 5 Years:
Special Training or Awards List any special courses, training, or awards that will help you as a driver

Please provide DETAILS of your experience in each class of truck, including TYPE OF EQUIPMENT DRIVEN & MILEAGE
Straight Truck:
Type of Truck:| Date From: Date To: Approx Mileage:
 MM/DD/YY MM/DD/YY
Tractor & Semi Trailer:
Type of Truck:  Date From: Date To: Approx Mileage:
MM/DD/YY MM/DD/YY
Twin-Trailer:
Type of Truck: Date From: Date To: Approx Mileage:
MM/DD/YY MM/DD/YY
Other
Type of Truck: Date From: Date To: Approx Mileage:
MM/DD/YY MM/DD/YY

DRIVING HISTORY

We take a great deal of pride in the many career professionals that drive for us. We place a strong emphasis on safety. Therefore your driving record is important to us. Please provide us with the information below to enable us to make a fair evaluation of your record.

Please answer yes or no to each question.  IF YOU ANSWER YES TO ANY OF THESE QUESTIONS, YOU MAY BE ASKED TO PROVIDE A DETAILED EXPLANATION TO YOUR RECRUITER.
Have you ever had a DUI/DWI conviction? Yes: No:
Have you ever been disqualified subject to SEC. 391.15 OF FMCSR? Yes: No:
Have you ever been denied a license, permit, or privileges to operate a motor vehicle? Yes: No:
Have you ever been denied a Haz/Mat Endorsement on your CDL? Yes: No:
Have you had a rollover or jackknife in the last 3 years? Yes: No:
Have you ever been disqualified under DOT Controlled Substances and Alcohol Use and Testing? Yes: No:
Has any license, permit or privilege ever been suspended or revoked? Yes: No:
Have you ever been convicted of a felony? Yes: No:
If you answered yes to any of these questions, please explain briefly:
All MVR information will be verified.
ACCIDENT REVIEW FOR THE PAST 3 YEARS
List all accidents in any vehicle (including car.)  If NONE to report, mark "NONE".

MOST RECENT ACCIDENT:
DATE: Type: Number of Fatalities: Number of Injuries: Was this accident preventable?

MM/DD/YY		 Yes No

NEXT PREVIOUS ACCIDENT:
DATE:    Type: Number of Fatalities: Number of Injuries: Was this accident preventable?

MM/DD/YY		 Yes No

NEXT PREVIOUS ACCIDENT:
DATE: Type: Number of Fatalities Number of Injuries Was this accident preventable?

MM/DD/YY		 Yes No
TRAFFIC VIOLATION REVIEW FOR THE PAST 3 YEARS
List all traffic violations in any vehicle (including car.)  Omit parking violations.  If NONE to report, mark "NONE".

MOST RECENT TRAFFIC VIOLATION:
DATE: Location: Charge & Penalty:

MM/DD/YY

NEXT PREVIOUS TRAFFIC VIOLATION:

DATE:

  Location: 

Charge & Penalty:

MM/DD/YY

NEXT PREVIOUS TRAFFIC VIOLATION:

DATE:

Location:  

 Charge & Penalty:

MM/DD/YY

 
INJURY REVIEW FOR THE PAST 3 YEARS
List all PERSONAL INJURIES.   If NONE to report, mark "NONE".

MOST RECENT INJURY:
DATE: Cause of Injury:

Was this injury preventable? 


MM/DD/YY		 Yes No
NEXT PREVIOUS  INJURY:
DATE:  Cause of Injury:   Was this injury preventable? 

MM/DD/YY		 Yes No

NEXT PREVIOUS INJURY:

 DATE:

Cause of Injury:  

Was this injury preventable? 


MM/DD/YY		 Yes No

The position of Truck Driver requires that the person is physically qualified for that position.  Therefore, the following must be answered:
Can you perform the essential functions of the job without accommodations? Yes No

EMPLOYMENT HISTORY

The U.S. Department of Transportation requires that driver applicants show all employment for the past THREE years and they must also show commercial driver employment for the SEVEN years immediately preceding this three year period.  If unemployed during any of that period write "Unemployed" and list dates (you should be prepared to provide an unemployment compensation stub, if required).  For any period of self-employment, we must have the name and address of your business and four references (two businesses or individuals sold to and two bought from).  If previous employers are out of business, we will require copies of W-2 Tax Forms, Pay Stubs or other documentation. 

During the last 10 years, have you ever been fired or subject to involuntary termination from any job? Yes: No:
Are you currently employed? Yes: No:
If no, how long since leaving last employment? 
Rate of Pay Expected:
Were all jobs in your employment history subject to FMCSR and DOT mandated Drug / Alcohol Testing Requirement? Yes: No:
List any jobs in your Employment History which were NOT subject to FMCSR and DOT mandated Drug/Alcohol Testing Requirements:

PREVIOUS EMPLOYERS
Have you ever worked for this company before? Yes: No:

If you have ever worked for this company before, please include this job in your job history below:
CURRENT or MOST RECENT EMPLOYER
Company Name:
 City:
 State:
Company Phone:
 Position Held:
 		Equipment Type:
Date Started:

Month:

Year:         		 Date Ended:

Month: 

Year:     		Reason For Leaving:
PREVIOUS EMPLOYER #1
Company Name:
 City:
 State:
Company Phone:
 Position Held:
 		Equipment Type:
Date Started:

Month:

Year: