OCTRANS LOGISTICS driver application form

Thank you for your interest in OCTRANS LOGISTICS INC. To apply for a driving position, please complete our online application for employment. Incomplete information will delay the processing of your application or prevent it from being submitted.

In compliance with Federal and State equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status, veteran status, non-job related disability, or any other protected group status.
To fill out this form, you will need to know the following:
•Social Security Number
•Home address history for the past 3 years
•Current driver license number and driver license history for the past 3 years
•Employment history up to 10 years
•History of traffic accidents, violations and/or convictions from the last 3 years (including DUI or reckless driving conviction and license suspension)
•Military history (if applicable)
Required entry fields are followed by *, meaning you must provide the requested information to continue. If you encounter any errors during this process and cannot continue, please contact us at octranslogistics@gmail.com

You are applying for a driving job with OCTRANS LOGISTICS INC. Thank you for allowing us to help you with your career search!

REQUIREMENTS

To qualify with OCTRANS LOGISTICS INC, you must meet the following criteria:
•Valid class A CDL - min 2 years
•Verifiable over the road driving experience - min 2 years - (previous employers & references will be checked)
•No major violations within 5 years such as: DUI, license suspension, felonies, hit & run accidents, possession of a controlled substance, reckless driving
•Valid medical certificate
•Minimum 2 weeks on the road before home time.

Position Applying For

Other

Full Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Were you at this address 3 years or more

Please list prior 3 year addresses here and please be complete

Social Security Number

Date of Birth

MonthDayYear

Phone Number

Area CodePhone Number

E-mail

Have you ever been known by any other name?

Please list name

Explain ie; maiden name, name change

If hired, can you furnish proof you are eligible to work in the U.S.?

Are you at least 25 years of age or older?

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

License Class

License Number

State of Issue

License expiration date

MonthDayYear

Expiration date of DOT physical card

MonthDayYear

CDL Endorsements

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 you can.

Were you ever in the military?

Branch of service

Please list Dates of enlisment

Enlist date - Discharge date

Did you receive an honorable discharge?

Do you have, or can you obtain your DD214?

Have you been to truck driving school?

School information

School Name

Dates of attendance

CityState / Province

GPA if availableCountry

School phone number

Area CodePhone Number

Did you graduate?

Work History: Please list current, or most recent employment first

Start date

MonthDayYear

Ending date

MonthDayYear

Employer Name

City, State

Employer phone

Area CodePhone Number

Position Held

Reason for leaving

Is this your current employer?

May we contact this employer at this time?

Was this a driving position?

Type of truck

Type of trailer

Trailer length

Number of states driven

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?

Type of truck

Type of trailer

Trailer length

Number of states driven

NEXT EMPLOYER

Starting date

MonthDayYear

Ending date

MonthDayYear

Employer Name

City, State

Was this a driving position

Employer phone

Area CodePhone Number

Position Held

Reason for leaving

Was this a driving position

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

Area CodePhone Number

Reason for leaving

Have you ever been convicted of a misdemeanor?

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.

Have you had any moving violations in the last 5 years?

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

Has your license, permit, or privilege to drive ever been suspended or revoked for any reason? [49 CFR 391.21(b)(9)]*

If yes, please give date and length of supension. List reason why, city, county and state

List all details asked for

Have you had any accidents in the last 5 years?

If yes, please give date, explaination, city, county and state and if you received ticket/fine (amount)

In the past three (3) years, have you ever been convicted of any of the following offenses committed during on-duty time [49 C.F.R. 391.15 and 49 C.F.R. 395.2]:*Driving a commercial motor vehicle with a blood alcohol concentration ("BAC") of .04 percent or moreDriving under the influence of alcohol, as prescribed by state lawRefusal to undergo drug and alcohol testing as required by any jurisdiction for the enforcement of Federal Motor Carrier Safety Act regulationsDriving a commercial motor vehicle under the influence of any 21 C.F.R. 1308.11 Schedule I identified controlled substance, an amphetamine, a narcotic drug, a formulation of an amphetamine, or a derivative of a narcotic drugTransportation, possession, or unlawful use of a 21 C.F.R. 1308.11 Schedule I identified controlled substance, amphetamines, narcotic drugs, formulations of an amphetamine, or derivatives of narcotic drugs while you were on duty driving for a motor carrierLeaving the scene of an accident while operating a commercial motor vehicleOr any other felony involving the use of a commercial motor vehicle

If yes, please list date of offense, jail time, fine and or suspension time.

We must have complete information to satisfy isusance carrier requirements.

Have you ever been convicted of a felony?

If yes, please give date and nature of offense, city, county, state and any fines and time served

Please list EVERYTHING asked for per isurance requirements

If yes, please list date and nature of offense, city, county and state. also jail time, probation, or fines

Please list EVERYTHING asked for

Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number

Area CodePhone Number

Number of years known

Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number

Area CodePhone Number

Number of years known

Full Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Relationship to you

Phone Number

Area CodePhone Number

HIGH SCHOOL

Name & City/State of High School

Did you graduate?

By signing I agree I have read the above statements

DRIVER APPLICATION FORM

PERSONAL INFORMATION

License Information

EMPLOYMENT HISTORY

ADDITIONAL INFORMATION

ADDITIONAL INFORMATION

REFERENCES:Please list name, address, phone and years known.

Emergency contact information