Employment Application - Driver Position

Applications are considered without regard to race, color, religion, sex, national origin, age, marital or veteran status, or the presence of a non-job-related medical condition or handicap.
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List all your addresses of residency for the past 3 years, with the most current first.

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Conviction of a crime is not an automatic bar to employment, all circumstances will be considered.
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Employment History

All driver applicants to drive in interstate commerce must provide the following information on all employers during the preceding 3 years. List complete mailing address, street number, city, state and zip code. Applicants to drive a commercial motor vehicle* in intrastate or interstate commerce shall also provide an additional 7 years' information on those employers for whom the applicant operated such vehicle. (NOTE: Please list employers starting with the most recent, if you need more room please attach a separate paper)
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* Includes vehicles having a GVWR of 26,001 lbs. Or more, vehicles designed to transport 16 or more passengers (including the driver), or any size vehicle used to transport hazardous materials in a quantity requiring placarding.

** The Federal Motor Carrier Safety Regulations (FMCSRs) apply to anyone operating a motor vehicle on a highway in interstate commerce to transport passengers or property when the vehicle: (1) weighs or has a GVWR of 10,001 pounds or more, (2) is designed or used to transport more that 8 passengers (including the driver), OR (3) is of any size and is used to transport hazardous materials in a quantity requiring placarding.

Accident Record for the past 3+ years

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Traffic Convictions and Forfeitures - Past 3 years (no parking violations)

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Experience and Qualifications - Driver

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Driving Experience

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Education

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References

Please list three professional references.
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Additional Information

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Military Service

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Disclaimer and Agreement

I CERTIFY that my answers throughout this application area true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information given in my application, correspondence, discussions or interview may result in immediate termination. I understand that this application is not and is not intended to be any kind of contract or agreement. I authorize Amerigrow, to investigate any statement contained in this application.

  • Review information provided by 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.

Drug test are required for employment.

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(800) 860-8238

10320 West Atlantic Ave
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Phone: (561) 499-8148
Fax: (561) 499-5896

Office:
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