CDL Driver Employment Application

Personal Information

Position Requirements

Please answer the following questions about your qualifications for this driving position.

Availability

Indicate your availability for each day of the week.

DayAvailable All DaySpecific HoursUnavailable

Residential History (Past 3 Years)

Per FMCSA 49 CFR §391.21, list all addresses for the past 3 years.

Current Address

Previous Address

Commercial Driver's License

Driving Experience

List your experience for each type of equipment. Write "None" if no experience with that type.

Equipment TypeFrom (Mo/Yr)To (Mo/Yr)Approx. Total Miles

Accident Record (Past 3 Years)

Per 49 CFR §391.21, list all accidents in the past 3 years regardless of fault.

Traffic Violations (Past 3 Years)

License Denial, Suspension, or Revocation

Employment History (Past 10 Years)

Per 49 CFR §391.21, list all employers for the past 10 years. Start with most recent. Include all periods of unemployment exceeding one month.

Coverage: 0 of 36 months. Per 49 CFR §391.21, 3 full years required. Enter your employment dates above.

Education

Background Clearances

The company requires the following clearances as a condition of employment. Please acknowledge each item.

Applicant Certification & Authorization

Disclosure & Consent for Background Investigation

Communication Consent

FMCSA Pre-Employment Screening (PSP) Authorization

By submitting this application, you certify that all information provided is true and accurate to the best of your knowledge.

Application Submitted

Thank you for applying. Your application has been received and our team will review it shortly.

What Happens Next