GoBiz Driver Application Form

GoBiz Logistics Inc.

A FedEx Contractor
DRIVER FULL APPLICATION FORM

GoBiz Logistics Inc. is an exclusive logistics company, operating from Leigh Valley with a supportive management team. Our fleet comprises of new automatic Volvo trucks. All routes are Terminal to Terminal with 100% Drop & Hook.

Meeting the employment requirements does not guarantee employment. Thank you for your interest in our company and for allowing us to help you in your job search.
- Date*
  
  MonthDayYear
  Date
- Date*
  
  MonthDayYear
  Date
- Date*
  
  MonthDayYear
  Date
- How did you learn about this position?*
- If you selected 'Referral' above, who referred you to the post? If you selected 'Other' please state your source.
- YesNo
- Enter your FedEx ID number
- Upload a copy of your FedEx ID
  
  Cancelof
- Enter the name and phone number of your previous Contractor.
- YesNo
- YesNo
- Available start date:*
  
  MonthDayYear
  Date
- Full Time6 Weeks Contract3 Months Contract6 Months Contract1 Year Contract
- Dedicate Team RunsUnassigned/Wild Team RunsBoth
- YesNo
- Briefly explain the nature and the date range you are expected to be off.
- Previous Employment*
- Employer No. 1*
- Employer No. 1 Address*
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Employer No. 2*
- Employer No. 2 Address*
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Employer No. 3
- Employer No. 3 Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- E-Signature*
  
  Clear
- Full Name*
  
  First NameLast Name
- Address*
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip CodeCountry
- Social Security Number*
- Date of Birth*
  
  MonthDayYear
- Phone Number*
  
  Area CodePhone Number
- E-mail*
  example@example.com
- YesNo
- YesNo
- YesNo
- License Class*
- License Number*
- State of Issue*
- License expiration date*
  
  MonthDayYear
- Upload a copy of your Commercial Drivers License
- Expiration date of DOT physical card
  
  MonthDayYear
- Upload a copy of your medical card
- NoneTankerDoubles/TriplesHazmatX EndorsementTWIC
- (if Applicable) Hazmat expiration date
  
  MonthDayYear
- (if Applicable) TWIC expiration date
  
  MonthDayYear
- YesNo
- Enter the name of the Driving School you attended and your graduation date.
- YesNo
- If yes, please list class and type of equipment, beginning and end date, and approximate No. of miles
  Please list class and type of equipment, beginning and end date, and approximate No. of miles
- YesNo
- List all states operated in for last 5 years.
- Which safe driving awards do you hold and from whom?
- YesNo
- If yes, please list City, County and State, month, year and nature of offense and any fines involved.
- Yes
- E-Signature*
  
  Clear
- YesNo
- If yes, please list City, County and State, month, year and nature of offense and any fines involved.
  Please list miles over limit for speeding
- YesNo
- If yes, please give date and length of suspension. List reason why, city, county and state
  List all details asked for
- YesNo
- If yes, please give date, explanation, city, county and state and if you received ticket/fine (amount)
- YesNo
- If yes, please list date of offense, jail time, fine and or suspension time.
  We must have complete information to satisfy isusance carrier requirements.
- YesNo
- If yes, please list date of offense, jail time, fine and or suspension time.
  We must have complete information to satisfy isusance carrier requirements.
- YesNo
- Briefly describe the situation.
- Full Name*
  
  First NameLast Name
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip CodeCountry
- Relationship to you*
- Phone Number*
  Format: (000) 000-0000.
- By signing I agree I have read the above statements
- Address:
  1 West Broad Street
  Bethlehem, Pennsylvania, 18018
  
  Email: apply.gobiz@gmail.com
  Tel: 702-601-6092
- Should be Empty:

GoBiz Logistics Inc.