Driver Application

DRIVER APPLICATION

Please give complete answers to ALL questions - Incomplete answers will only slow, or stall the application and our goal is to get you hired quickly.
You are applying for a driving position with Cargo King Express

* is a required field
Application Date*

MonthDayYear
Date
Full Name*

First NameMiddle NameLast NameSuffix
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Were you at this address 3 years or more*

YesNo
Please list previous addresses if current address is less than 3 years. Please be complete.
Social Security Number*
Date of Birth*

MonthDayYear
Phone Number*
E-mail*
Have you ever been known by any other name?*

YesNo
Please list name
Explain ie; maiden name, name change
If hired, can you furnish proof you are eligible to work in the U.S.?*

YesNo
Are you at least 23 years of age or older?*

YesNo
Have you held a VALID US license for the past 36 months?*

YesNo
License Class*
License Number*
State of Issue*
License expiration date*

MonthDayYear
Expiration date of DOT physical card

MonthDayYear
CDL Endorsements*

NoneTankerDoubles/TriplesHazmatX EndorsementTWIC
Hazmat expiration date

MonthDayYear
TWIC expiration date

MonthDayYear
Please list any licenses held in other states for the previous 5 years, include license numbers. If none, indicate with None*
Were you ever in the military?*

YesNo
Branch of service*
Please list Dates of enlistment. If not applicable enter None*
Enlist date - Discharge date
Did you receive an honorable discharge?*

YesNoOtherNot Applicable
Do you have, or can you obtain your DD214?*

YesNoI can obtain oneNot Applicable
Have you been to truck driving school?

YesNo
Truck Driving School information if Applicable

School Name

Dates of attendance

CityState / Province

GPA if availableCountry
School phone number
Did you graduate?

YesNo
EMPLOYMENT HISTORY

All Driver applicants to drive in interstate commerce must provide the following information on all employers during the preceding 3 years.
Work History: Please list current, or most recent employment first
Start date*

MonthDayYear
Ending date*

MonthDayYear
1. Employer Name*
City, State*
Employer phone*
Position Held*
Reason for leaving*
Is this your current employer?*

YesNo
May we contact this employer at this time?*

YesNo
Was this a driving position?*

YesNo
Type of truck*
Type of trailer
Trailer length
Number of states driven*
2. NEXT EMPLOYER
Start date

MonthDayYear
Ending date

MonthDayYear
Employer Name
City, State
Position Held
Reason for leaving
Employer phone

Area CodePhone Number
Was this a driving position?

YesNo
Type of truck
Type of trailer
Trailer length
Number of states driven
3. NEXT EMPLOYER
Starting date

MonthDayYear
Ending date

MonthDayYear
Employer Name
City, State
Position Held
Employer phone
Reason for leaving
Was this a driving position

YesNo
Type of truck driven
Type of trailer
Trailer length
Number of states driven
Start Date

MonthDayYear
End Date

MonthDayYear
Employer Name
City and State
Position
Employer Phone
Reason for leaving
Was this a driving position

YesNo
Type of truck driven
Type of trailer
Trailer length
Number of states driven
If you need additional space for past employment, please enter it here and include ALL information previously asked for.
Additional Information
Have you had any moving violations in the last 5 years?*

YesNo
If yes, please list City, County and State, month, year and nature of offense and any fines involved. If no enter None*
Has your license ever been suspended or revoked?*

YesNo
If yes, please give date and length of suspension or revocation. List reason why, city, county and state. If no enter None*
List all details asked for
Have you had any accidents in the last 5 years?*

YesNo
Fatalities?

YesNo
Injuries?

YesNo
If yes, please give date, explanation, city, county and state and if you received ticket/fine offense(s). If none enter None*
Have you ever had a DUI, DWI, or OVI?*

YesNo
If yes, please list date of offense, jail time, fine and or suspension time. If none enter None*
We must have complete information to satisfy isusance carrier requirements.
Have you ever been convicted of a felony?*

YesNo
If yes, please give date and nature of offense, city, county, state and any fines and time served. If none enter None*
Please list EVERYTHING asked for per isurance requirements
Have you ever been convicted of a misdemeanor?*

YesNo
If yes, please list date and nature of offense, city, county and state. also jail time, probation, or fines. If none enter N one*
Please list EVERYTHING asked for
List Two References
Name (1)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number
Number of years known
Name (2)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number
Number of years known
Emergency contact information

Emergency Contact
Full Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Relationship to you*
Phone Number*
HIGH SCHOOL
Name & City/State of High School*
Did you graduate?*

YesNo
Upload Any Suporting Documents (MVR, Certificates, Resume, Medical Card, etc.)

Browse Files

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Please sign using your mouse. *

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If you wish to print this completed application press "Print Form" before pressing "Submit Application"
Thank you for taking the time to apply with us!
Applicant will be required to sign printed version upon interview with Cargo King Express.

X_____________________________________________________

Applicant Signature

This signed Application must be filed in Driver Qualification File
Should be Empty:

EMPLOYMENT HISTORY

Additional Information

Emergency contact information