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DEDICATED OFFICE TEAM

CDL Driver Application

Company Name | Please put the name of the company you are currently applying for a position.

Date
Date of Birth

Address (If residing at current address for less than three years, please provide previous addresses)

Address (If residing at current address for less than three years, please provide previous addresses)

Please list your addresses for the past 3 years. (IF ADDITIONAL SPACE IS NEEDED)

CDL Information

Expiration Date
Issued Date
Are you a U.S. Citizen?
Yes
No

COMPANY INFORMATION (ENTER N/A IF YOU DO NOT HAVE PREVIOUS EXPERIENCE)

Employment Dates
Can we contact this employer for a reference check?
Yes
No
Were you subjected to the FMCSA Safety Regulations?
Yes
No

COMPANY INFORMATION (ENTER N/A IF YOU DO NOT HAVE PREVIOUS EXPERIENCE)

Employment Dates
Can we contact this employer for a reference check?
Yes
No
Were you subjected to the FMCSA Safety Regulations?
Yes
No

Work History

All applicants must provide complete information regarding three years of previous employment history. Applicants to drive a commercial motor vehicle (includes vehicles having a GVWR of 26,001 lbs. or more, vehicles designed to transport 15+ passengers, or any size vehicle used to transport hazardous materials in a quantity requiring placarding) in intrastate or interstate commerce shall also provide: A total of 3 years of previous employment if you did not drive a commercial vehicle and 10 years if you were employed as a commercial driver. Or, if you have been employed for less than ten years as a driver, please provide employment information for the period of time for which you have had your CDL. If you have had your CDL for less than three years, please provide at least three years of employment history. Do not leave any gaps between places of employment. If there are gaps, please provide an explanation for the gaps below.


IF WE ARE NOT ALLOWED TO CONTACT YOUR EMPLOYER THERE IS A CHANCE YOU MAY NOT BE ABLE TO WORK FOR US

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