Driver Application

If the answer to either question is Yes, give details: *

Do you have experience driving a tractor and semi-trailer *

Yes

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

Yes

If yes, *

If yes, please explain fully. Conviction of a crime is not an automatic bar to employment-all circumstances will be considered. *

If yes, *

Employer: *

Do you hold any safe driving awards? *

Yes

Date of Birth: *

List special equipment or technical materials you can work with (other than those already shown) *

Phone *

Highest grade completed (college) *

Previous Addresses: *

Show any trucking, transportation or other experience that may help in your work for this company *

Have you ever been convicted of a felony? *

List any special courses or training that will help you as a driver *

Have you worked for this company before? *

Employer *

Traffic Convictions (past 3 years, other than parking violations): *

Social Security No.

Rate of pay expected:

Employer *

Do you have experience driving tractor-two trailers *

Yes

Can you provide proof of age: *

Last school attended: *

Accident Record *

Please keep in mind ineligible Drivers (MVRs) may be declined if:

Any driver is without a valid commercial driver's license
Any driver with more than (2) at fault accidents in the last (3) years, or more than (1) fault accident in the last year.
Any driver with more than (4) moving violations (including at fault accidents as stated above), in the last (3) years or with more than (2) moving violations (including at fault accidents as stated above) in the last year.

Driver Application

*All drivers must have at least 3 years current commercial driving experience in a comparable class of vehicle, be at least 23 years old and meet all other D.O.T requirements.

TO BE READ AND SIGNED BY APPLICANT

I authorize you to make such investigations and inquires of my personal, employment, financial or medical history and other related matter as may be necessary in arriving at an employment decision. (Generally, inquiries regarding medical history will be made only if and after a conditional offer of employment had been extended.) 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 understand, also, that I am required to abide by all rules and regulations of the Company.

I understand that information I provide regarding current and/or previous 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(d) and (e). I understand that I have the right to:

Review information provided by previous employers;

Have errors in the information corrected by previous employers to re-send the corrected information to the prospective employer; and

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

At the end of this application there is another place to sign your name and the date to ensure that all documents on this page have been read.

Do you have experience driving a straight truck? *

Yes

If yes, *

Are you employed now? *

List courses and training other than shown elsewhere in this application *

Date and time

If yes: *

Do you have experience driving a motor coach- school bus (more than 8 passengers) *

Yes

Is there any reason you might be unable to perform the functions of the job for which you have applied: *

If yes, *

To Be Read and Signed by Applicant

This certifies that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge

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

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

Yes

Highest grade completed (high-school) *

Begin Application Below:

Pleas answer all the questions in as much detail as possible. If not available, then N/A.

After you have read the information in this document, please sign below: *

If yes, *

If yes to any of the following, list states operated in for last five years: *

Current Address: *

Drivers Licenses (permits held in past 3 years) *

Do you have experience driving tractor- three trailers *

Yes

Highest grade completed (grade school) *

Name: *

MURPHY

Who referred you? *

TRANSPORTATION, INC.