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When applying for a driving position, the Application For Driver form serves as your gateway to a potential career in the transportation industry. This comprehensive document gathers essential information that employers need to evaluate your qualifications for driving commercial vehicles. It prompts you to provide personal details, including your name, contact information, and legal right to work in the United States. Moreover, it requires a thorough account of your driving experience, accident history, and any previous licenses you may have held, ensuring that your driving record is transparent and complete. Employers will look closely at your work history, demanding a complete list of your previous ten years of employment, underscoring the importance of consistency and reliability in this field. This form also seeks to elicit your educational background and any additional qualifications that could set you apart from other applicants. Finally, by signing the form, you grant permission for background checks that can validate your information while acknowledging the company's right to investigate your past. Filling out this application accurately and thoroughly can significantly enhance your chances of being hired, as it reflects your commitment to safety and professionalism in the transportation sector.

Application For Driver Example

This is an example driver employment application. Carriers do not need to use this exact form, but must have a completed and signed employment application for all drivers that contains the information listed in 49 CFR 391.21.

DRIVER EMPLOYMENTAPPLICATION

[COMPANY NAME, ADDRESS, PHONE NUMBER, AND EMAIL]

An Equal Opportunity Employer

COMPLETE IN FULL OR IT WILL NOT BE CONSIDERED.

 

 

 

 

APPLICANT INFORMATION

 

 

 

 

 

 

 

 

 

 

MIDDLE

 

 

 

LAST

 

 

 

 

 

FIRST NAME

 

 

NAME

 

 

 

NAME

 

 

 

 

 

PHONE

 

 

EMAIL

 

 

 

 

 

 

 

 

 

DATE OF BIRTH

 

 

SOCIAL SECURITY #

 

 

 

 

 

 

 

 

DATE OF

 

POSITION

 

 

 

 

 

DATE AVAILABLE

 

 

 

APPLICATION

 

APPLIED FOR

 

 

 

 

 

FOR WORK

 

 

 

Do you have legal right to work in the United States?

☐ YES ☐ NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PREVIOUS THREE YEARS RESIDENCY

 

 

 

 

 

 

 

 

 

Attach additional sheet if more space is needed

 

 

 

 

 

 

 

 

 

 

 

 

 

ZIP

# OF YEARS

 

STREET

 

 

 

 

CITY

 

 

STATE

 

CODE

AT ADDRESS

CURRENT

 

 

 

 

 

 

 

 

 

 

 

 

 

MAILING

 

 

 

 

 

 

 

 

 

 

 

 

 

PREVIOUS

 

 

 

 

 

 

 

 

 

 

 

 

 

PREVIOUS

 

 

 

 

 

 

 

 

 

 

 

 

 

PREVIOUS

 

 

 

 

 

 

 

 

 

 

 

 

 

LICENSE INFORMATION

No person who operates a commercial motor vehicle shall at any time have more than one driver’s license (49 CFR 383.21). I certify that I do not have more than one motor vehicle license, the information for which is listed below. Include all licenses held for the past 3 years; attach additional sheets if needed.

STATE

LICENSE #

TYPE/CLASS

ENDORSEMENTS

EXPIRATION DATE

PREVOIUSLY HELD LICENSES

DRIVING EXPERIENCE

CLASS OF

 

TYPE OF EQUIPMENT (VAN, TANK, FLAT, ETC.)

 

DATE FROM

 

DATE TO

APPROX # OF

EQUIPMENT

 

 

 

MILES (TOTAL)

STRAIGHT

 

 

 

 

 

 

 

TRUCK

 

 

 

 

 

 

 

TRACTOR &

 

 

 

 

 

 

 

SEMI-TRAILER

 

 

 

 

 

 

 

TRACTOR &

 

 

 

 

 

 

 

2 TRAILERS

 

 

 

 

 

 

 

TRACTOR &

 

 

 

 

 

 

 

TANKER

 

 

 

 

 

 

 

OTHER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Page 1 of 4

ACCIDENT RECORD FOR THE PAST 3 YEARS

Attach additional sheet if more space is needed. Check this box if none ☐

DATES (List most recent first)

NATURE OF ACCIDENT (Head-on, rear-end, upset, etc.)

CHEMICAL SPILLS

# FATALITIES # INJURIES (Y/N)

TRAFFIC CONVICTIONS AND FORFEITURES FOR THE PAST 3 YEARS (OTHER THAN PARKING VIOLATIONS)

Attach additional sheet if more space is needed. Check this box if none ☐

DATE CONVICTED (Month/Year)

VIOLATION

STATE OF

VIOLATION PENALTY (Forfeited bond, collateral and/or points)

Have you ever been denied a license, permit, or privilege to operate a motor vehicle?

☐ YES

☐ NO

If yes, explain

 

 

Has any license, permit, or privilege ever been suspended or revoked?

☐ YES

☐ NO

If yes, explain

 

 

EMPLOYMENT HISTORYZ

The Federal Motor Carrier Safety Regulations (49 CFR 391.21) require that all applicants wishing to drive a commercial vehicle list all employment for the last three (3) years. In addition, if you have driven a commercial vehicle previously, you must provide employment history for an additional seven (7) years (for a total of ten (10) years). Any gaps in employment in excess of one (1) month must be explained.

Start with the last or current position, including any military experience, and work backwards (attach separate sheets if necessary). You are required to list the complete mailing address, including street number, city, state, zip; and complete all other information.

CURRENT (MOST RECENT) EMPLOYER

 

 

 

 

 

 

NAME

 

 

 

 

 

PHONE

 

 

 

ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

FROM

 

 

 

TO

 

POSITION HELD

 

 

MO/YR

 

 

 

MO/YR

 

REASON FOR LEAVING

 

 

 

 

 

SALARY

 

EXPLAIN ANY GAPS IN

 

 

 

 

 

 

 

EMPLOYMENT (Include

 

 

 

 

 

 

 

month/year & reason)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Page 2 of 4

While employed here, were you subject to the Federal Motor Carrier Safety Regulations?

 

 

 

 

☐ YES

☐ NO

 

Was the job designated as a safety-sensitive function in any Department of Transportation-regulated

 

 

 

 

 

 

mode subject to alcohol and controlled substances testing as required by 49 CFR, part 40?

 

 

 

 

☐ YES

☐ NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SECOND (MOST RECENT) EMPLOYER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME

 

 

 

 

 

 

 

 

PHONE

 

 

 

 

 

 

 

 

 

ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FROM

 

 

TO

 

 

 

 

 

 

POSITION HELD

 

 

 

 

MO/YR

 

 

MO/YR

 

 

 

 

 

 

REASON FOR LEAVING

 

 

 

 

 

 

 

SALARY

 

 

 

 

 

EXPLAIN ANY GAPS IN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EMPLOYMENT (Include

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

month/year & reason)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

While employed here, were you subject to the Federal Motor Carrier Safety Regulations?

 

 

 

 

☐ YES

☐ NO

Was the job designated as a safety-sensitive function in any Department of Transportation-regulated

 

 

 

 

 

 

mode subject to alcohol and controlled substances testing as required by 49 CFR, part 40?

 

 

 

 

☐ YES

☐ NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

THIRD (MOST RECENT) EMPLOYER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME

 

 

 

 

 

 

 

 

PHONE

 

 

 

 

 

 

 

 

 

ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FROM

 

 

TO

 

 

 

 

 

 

POSITION HELD

 

 

 

 

MO/YR

 

 

MO/YR

 

 

 

 

 

 

REASON FOR LEAVING

 

 

 

 

 

 

 

SALARY

 

 

 

 

 

EXPLAIN ANY GAPS IN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EMPLOYMENT (Include

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

month/year & reason)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

While employed here, were you subject to the Federal Motor Carrier Safety Regulations?

 

 

 

 

☐ YES

☐ NO

 

Was the job designated as a safety-sensitive function in any Department of Transportation-regulated

 

 

 

 

 

 

mode subject to alcohol and controlled substances testing as required by 49 CFR, part 40?

 

 

 

 

☐ YES

☐ NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EDUCATION

 

 

 

 

 

 

 

 

 

SCHOOL

 

NAME & LOCATION

 

 

COURSE OF STUDY

YEARS

GRADUATE

DETAILS

 

 

 

 

 

 

 

 

 

 

 

 

 

COMPLETED

Y

N

 

 

 

 

High School

 

 

 

 

 

 

 

 

☐

 

☐

 

 

 

 

College

 

 

 

 

 

 

 

 

☐

 

☐

 

 

 

 

Other

 

 

 

 

 

 

 

 

☐

 

☐

 

 

 

 

OTHER QUALIFICATIONS

Please list any other qualifications that you have and which you believe should be considered.

Page 3 of 4

TO BE READ AND SIGNED BY APPLICANT

I authorize you to make investigations (including contacting current and prior employers) into my personal, employment, financial, medical history, and other related matters as may be necessary in arriving at an employment decision. I hereby release employers, schools, health care providers, and other persons from all liability in responding to inquiries and releasing information in connection with my application.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I also understand that I am required to abide by all rules and regulations of the Company.

I understand that the information I provide regarding my current and/or prior employers may be used, and those employer(s) will be contacted for the purpose of investigating my safety performance history as required by 49 CFR 391.23. I understand that I have the right to:

•Review information provided by current/previous employers;

•Have errors in the information corrected by previous employers, and for those previous employers to resend the corrected information to the prospective employer; and

•Have a rebuttal statement attached to the alleged erroneous information, if the previous employer(s) and I cannot agree on the accuracy of the information.

This certifies that I completed this application, and that all entries on it and information in it are true and complete to the best of my knowledge. Note: A motor carrier may require an applicant to provide more information than that required by the Federal Motor Carrier Safety Regulations.

Applicant Signature

Applicant Name (printed)

Date

Page 4 of 4

Get Application For Driver PDF Form

Form Characteristics

Fact Name Details
Governing Regulations The application is governed by the Federal Motor Carrier Safety Regulations under 49 CFR 391.21, which mandates that all drivers possess a completed and signed employment application.
Required Information The application must include personal information such as name, date of birth, social security number, contact details, and work eligibility status, adhering to all specified categories of information in the regulations.
Employment History Applicants must list all employment for the past three years, as well as any driving experience within the last ten years. Gaps in employment exceeding one month need to be explained clearly.
Equal Opportunity Employment The application explicitly states that the company is an Equal Opportunity Employer, indicating a commitment to fair hiring practices.

Guidelines on Utilizing Application For Driver

Completing the Application for Driver form is a crucial step in your journey toward employment in the transportation industry. The information you provide will be vital for potential employers as they evaluate your qualifications. Below are step-by-step instructions to assist you in accurately filling out the form.

  1. Begin by entering the Company Name, Address, Phone Number, and Email at the top of the form.
  2. Indicate that the application is from an Equal Opportunity Employer.
  3. In the Applicant Information section, fill out your First Name, Middle Name, Last Name, and contact details, including Phone Number and Email.
  4. Provide your Date of Birth and Social Security Number.
  5. State the Date Applied For and your Date Available for Work.
  6. Answer the question regarding your legal right to work in the United States by checking either YES or NO.
  7. List your Previous Three Years of Residency by providing the Street Address, City, State, ZIP Code, and the Number of Years at each Address.
  8. In the License Information section, declare that you do not hold more than one motor vehicle license. Include details of all licenses held in the past three years, including the State, License Number, Type/Class, Endorsements, and Expiration Date.
  9. Document your Driving Experience by listing the Class of Equipment, Dates of Employment, and Approximate Miles Driven.
  10. Detail any Accident Record for the past three years, checking the box if there were none.
  11. Provide information regarding any Traffic Convictions and Forfeitures over the past three years, checking the box if there were none.
  12. Answer questions regarding any denials or suspensions of your driving privileges, if applicable.
  13. In the Employment History section, list all employers from the last three years, ensuring to include complete contact information and documents regarding gaps in your employment history.
  14. Fill out your Education details, including the School Name, Course of Study, and whether you graduated.
  15. List any other relevant Qualifications you possess that may enhance your application.
  16. Lastly, read the statement indicating that all information provided is true and complete. Sign and date the application.

Once you have completed the form, review all entries for accuracy and completeness. It's important to ensure that everything is correct, as this information will be used in the employment review process. After thorough review, submit the form according to the employer's instructions. Best of luck in your application procedure, and may you find the opportunity you're seeking.

What You Should Know About This Form

What is the purpose of the Application For Driver form?

The Application For Driver form is designed to collect essential information from individuals seeking employment as drivers. It helps employers ensure that candidates meet the qualifications and regulations outlined in the Federal Motor Carrier Safety Regulations.

What information must be included in the application?

Applicants must provide personal details such as name, date of birth, and Social Security number. It also requires a complete employment history for the past ten years, driving experience, accident records, and educational background. Additionally, details about any traffic violations or license suspensions must be disclosed.

Can I use my own version of the form?

Yes, employers can create their own version of the Application For Driver form. However, it must still collect all required information as specified in 49 CFR 391.21 and be signed by the applicant.

What happens if I don’t complete the application in full?

If the application is not filled out completely, it may not be considered for review. Thoroughness is crucial to ensure all pertinent information is submitted for evaluation.

Do I need to have a commercial driver's license (CDL) to apply?

While having a CDL is typically a requirement for driving commercial vehicles, applicants should specify their current licensing status on the form. If you do not hold a CDL, it may affect your eligibility depending on the job.

How are traffic violations handled in the application?

Applicants must list any traffic convictions for the past three years, excluding parking violations. It is important to be honest about any violations, as this information can impact hiring decisions.

What rights do I have regarding the information provided?

Applicants have the right to review information provided by previous employers, request corrections for any errors, and submit a rebuttal statement if there are disagreements about the accuracy of their safety performance history as per 49 CFR 391.23.

Common mistakes

Filling out the Application for Driver form can seem straightforward, but many applicants make common mistakes that can lead to delays or rejections. One major mistake is incomplete information. Failing to provide all requested details, such as past addresses or job history, can render the application void. It is crucial to review the form carefully and ensure every section is filled out completely.

Another frequent error involves incorrect information. Applicants sometimes miswrite their dates of employment or license numbers. Even a simple typo can create confusion and lead to further questions. It’s essential to double-check all the information provided for accuracy before submitting the form.

Many applicants forget to explain gaps in employment. If there has been a break of more than a month in employment history, it’s necessary to explain that gap. Ignoring this requirement can raise red flags for hiring managers. Being transparent about past employment helps convey reliability and honesty.

Failing to disclose previous violations or accidents is another mistake. Applicants sometimes think that omitting these details might favor them. However, honesty is always the best policy. Licensing authorities conduct background checks, and any discrepancies can result in immediate disqualification.

Many individuals also overlook the need for signature verification. The application instructs candidates to sign and date the form. Not doing so can delay processing. It's a simple yet crucial step that many people might forget while focusing on filling out the details.

Lastly, applicants often neglect to keep a copy of their completed application. Documentation is key. Without a record, it can be challenging to track what was submitted, especially if follow-up questions arise. Always save a copy for your records to ensure you have the information handy if needed for future reference.

Documents used along the form

The Application for Driver form is a crucial document for employers in the transportation industry. However, several other forms and documents often accompany it in the hiring process. Below is a list of these important documents.

  • Motor Vehicle Record (MVR): This report provides employers with a detailed history of a driver's driving record, including any violations, accidents, and license status. It helps assess the driver's suitability for operating commercial vehicles.
  • Background Check Consent Form: This document authorizes potential employers to conduct thorough background checks. Information may include criminal history, employment verification, and reference checks.
  • DOT Medical Examination Certificate: Required by the Department of Transportation, this certificate confirms that the driver meets the health standards necessary to operate a commercial vehicle. It’s typically issued by a certified medical examiner after a physical examination.
  • Drug and Alcohol Testing Consent Form: This form allows employers to conduct drug and alcohol testing as mandated by federal regulations. It ensures that the driver understands the testing processes and their significance in maintaining safety standards.
  • Employment Verification Form: This is used to confirm the driver's previous employment history. It includes authorization for the employer to contact specified former employers to verify dates of employment and position held.

Having the right documents in place can streamline the hiring process and ensure compliance with regulatory requirements. Each of these forms contributes to a comprehensive assessment of the driver’s qualifications and history.

Similar forms

The Application For Driver form shares similarities with several other important documents used in the hiring and qualification process for drivers. Here are seven documents that are comparable, each serving various aspects of driver employment and regulation:

  • Job Application Form: Like the Application For Driver, a general job application collects personal information, previous employment details, and qualifications. Both require completeness and accuracy, with the potential for verification by prospective employers.
  • Background Check Authorization Form: This document is crucial for obtaining consent to conduct background checks. Similar to the driver application, it often asks about employment history and any criminal records that may affect employment eligibility.
  • Medical Examination Report: A medical exam is often required for drivers, ensuring they meet health standards. This document complements the driver application by confirming that the applicant is physically fit to operate a commercial vehicle.
  • Vehicle Maintenance Logs: While primarily focused on the vehicle, these logs are essential alongside driver applications to ensure compliance and safety standards are maintained. They often require input from the driver regarding inspection results and repairs.
  • Driver Qualification File: This file compiles various documents related to a driver's qualifications, including the employment application, driving record, and physical examination results. It serves as a comprehensive reference for employers.
  • Incident Report Form: In the event of accidents or violations, this form records the details. It is related to the Application For Driver as accidents or infractions must be disclosed, which may influence a driver’s hiring decisions.
  • Affidavit of Truthfulness: Some carriers may request a signed affidavit where the applicant asserts that all information provided is accurate. This document enhances the integrity of the Application For Driver by holding applicants accountable for their disclosures.

Dos and Don'ts

Things to Do:

  • Complete all sections of the Application For Driver form.
  • Provide a valid phone number and email address for future contact.
  • Attach additional sheets if more space is needed for your employment history.
  • Be honest about your driving experience and previous accidents.

Things to Avoid:

  • Do not leave any sections blank, as incomplete forms will not be considered.
  • Avoid providing false information on your application.
  • Do not forget to sign and date the application before submitting.
  • Refrain from using abbreviations that could cause confusion in your address or contact information.

Misconceptions

Misconceptions about the Application For Driver form can lead to misunderstandings among applicants. Here are eight common misconceptions clarified:

  • All carriers must use the same form. In reality, while the form is a standard example, carriers can create their own versions as long as they contain the necessary information per federal regulations.
  • It's okay to skip sections if I am not applying for a driving position. Applicants should complete the entire form regardless of position because it outlines crucial information about employment history and qualifications.
  • Providing false information is just a minor issue. Signing the form includes a certification that all information is true. Misrepresentation, even if small, can lead to serious consequences such as being denied employment or termination.
  • Gaps in employment do not need to be explained if they are short. Any gaps exceeding one month must be explained. This transparency helps employers understand the applicant's history better.
  • Only past employers need to be listed if I have recent experience. Applicants must include employment history for the last three years, and if applicable, an additional seven years. This provides a comprehensive view of the applicant’s work experience.
  • My personal history, including medical issues, is none of their business. While privacy is important, applicants consent to investigations into their personal and employment history as a part of the hiring process.
  • The form is optional and can be customized freely. While carriers can adapt the form, they must adhere to the criteria set out in federal regulations, ensuring all necessary information is captured.
  • Employers can access my entire personal history without my consent. The applicant's authorization is required for employers to make inquiries about personal, financial, and medical histories during the hiring process.

Key takeaways

  • Completeness is crucial. Ensure that all sections of the Application for Driver form are filled out completely. Incomplete forms will not be considered, potentially eliminating candidates from hiring opportunities.

  • Provide accurate residence information. When detailing residency for the past three years, it’s important to include accurate addresses and the length of time spent at each. This helps the employer in background checks and verifies your history.

  • Detail driving experience thoroughly. Applicants must include specific driving experience, detailing the type of equipment operated and the mileage accumulated. This information is crucial for evaluating qualifications for the driving position applied for.

  • Understand the examination and verification process. By signing the application, applicants authorize potential employers to conduct background checks, including contacting previous employers and reviewing safety performance history. Transparency is essential.

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