Driver Application Form

Driver Application

Please have all essential employment documents nearby while you complete the form below to apply for a position with Destiny Transportation.
Full Name *

First Name Middle Name Last Name
Current Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Previous Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Email Address *
example@example.com
Phone Number *
Cell Number *
Applying for Position *
Type of Employment *
Region of Employment *
Select you preferred region for work.
Start Date *

Month Day Year
Please enter date above.

Referral Information
How did you hear about Destiny Transportation? *
If you selected a 'former employee' or 'current employee' from the referral list above, please list them below.
Have you worked for Destiny Transportation in the past? *

Yes No
If you said yes, when did you work for us?
If you said yes, what was the reason for leaving.

Employment Information
Expected Salary *
Are you currently employed? *

Yes, full time. Yes, part time. Yes, temporarily (6 months or less). No
If you replied 'Yes', the Federal Motor Carrier Safety Regulations require all applicant wishing to drive a commercial vehicle list all employment for the last 3 years. In addition, if you have driven a commercial vehicle previously you must provide employment history for an additional 7 years for a total of 10 years. Any gaps in employment must be explained.

(49CFR391.21)
Start with the current position, including any military experience, and work back. *
You are required to list the complete mailing address: street number, city, state, and zip code for each.
If no, how long since leaving last employment?

Education Information
Select your highest level of education from the list below. *
Last school attended *
Online schooling is accepted.

Military Experience
Have you ever served in the U.S. Armed Forces? *

Yes No
If yes, what branch of the U.S. Armed Forces did you serve under?
Please describe any military training received relevant to the position for which you are applying.
Are you currently serving in Military Reserves? *

Yes No
Are you currently serving in National Guard? *

Yes No

Bonding Experience
Have you ever bonded? *

Yes No
Name of bonding company:
Answer only if it is required of the position you are applying for with Destiny Transportation.

Felony Background Check
Have you ever been convicted of a felony? *

Yes No
If you have been convicted of a felony, please explain below. *
Conviction of a crime is not an automatic bar to employment – all circumstances will be considered.

Driver Experience and Qualifications
The Federal Motor Carrier Safety Regulations requires that driver applicants state their date of birth and social security number to verify their identity.

(49CFR391.21) (b) (2)
Date of Birth *

Month Day Year
Please enter date above.
Social Security Number *
The Federal Motor Carrier Regulations requires that all driver applicant pass certain physical tests before they are hired to drive a motor vehicle.

(49CF391 Subpart E)
Date of last prescribed examination by the Department of Transportation *

Month Day Year
Please enter date above.
Can you provide a copy of the examination mentioned above? *

Yes No, I no longer have it in my possession.
Have you ever been granted a waiver under section 391.49 of the Federal Moto Carrier Safety Regulations pertaining to the loss of foot, leg, hand or arm? *

Yes No

Alcohol and Controlled Substance(s)
The Federal Motor Carrier Safety Regulations requires all persons with applying for a driving position requiring a commercial drivers license to answer the following questions:

(49CFR40.25) (j)
Within the last two years, have you ever tested positive, or refused to test, on any pre-employment drug or alcohol test administered by an employer to which you applied for, but did not obtain, safety-sensitive transportation work? *

Yes No
Within the last two years, have you ever tested positive, or refused to test, on any type of drug or alcohol test administered by an employer for which you preformed safety-sensitive transportation work? *

Yes No
If you answered yes to either 1 or 2 above, can you provide and/or obtain proof that you have successfully completed the DOT return-to-duty requirements? *

Yes No

Driver's License Information
Driver's Licenses held within the past 3 years must be listed below. *
ex. State, License number, Type/Class, Expiration date
Have you ever been denied a license, permit or privilege to operate a motor vehicle? *

Yes No
Has any license, permit or privilege ever been suspended or revoked? *

Yes No
Have you ever been disqualified for violations of the Federal Motor Carrier Safety Regulations? *

Yes No
If you answered 'Yes' to any of the above questions regarding Driver's License Information, please attached a document to this application explaining details.

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Driving Experience

Class of Equipment *

	Type of Equipment	Dates (From ___ to ___)	Approximate Total Miles
Straight truck
Tractor and Semi-Trailer
Twin
Other

List states operated in during the last 5 years: *
ex. Maine (YYYY), New York (YYYY), Vermont (YYYY)
List special courses or training that will help you succeed as a driver:
List safe driving awards, if any, and who they were presented by:

Accident/Driving History
Accident Review for the past 3 years (attach a separate document if more space is needed). *
Include Date, Nature of Accident (head-on, rear-end upset, etc.), # of Fatalities, # of Injuries, # of Vehicles Towed, and if a citation was issued.
Traffic Convictions and Forfeitures for the past 3 years other than parking violations. *
Include Date, Location, Charge, and Penalty.

Final Step: Attach your resume and sign
Please attach your resume here.

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I certify that I have read and understand all of this employment application. It is agreed and understood that the employer or hisagents may investigate the applicant’s background to ascertain any and all information of concern to applicant’s record, whethersame is of record or not, and applicant releases employers and other persons named herein from all liability for any damages onaccount of his furnishing such information. I understand that, as an applicant for a position with this company, I may be asked todemonstrate that I am capable of performing tasks that are pertinent to the job.
It is also agreed and understood that under the Fair Credit Reporting Act, Public Law 91-508, I have been told that this investigation may include an investigative Consumer Report, including information regarding my character, personal reputation, personal characteristics and mode of living.
I agree to furnish such additional information and complete such examinations as may be required to complete my employment file.I also understand that misrepresentation or omission of information or facts may result in my rejection or dismissal.If hired, I agree to abide by all the rules and policies of the employer.
This certifies that I completed this application and that all entries on it and information in it are true and complete to the best ofmy knowledge.
Applicants Signature *

Clear
Date of Applicants Signature *

Month Day Year
Please enter date above.
Should be Empty:

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Driver Application

The Federal Motor Carrier Safety Regulations requires that driver applicants state their date of birth and social security number to verify their identity.

The Federal Motor Carrier Regulations requires that all driver applicant pass certain physical tests before they are hired to drive a motor vehicle.

The Federal Motor Carrier Safety Regulations requires all persons with applying for a driving position requiring a commercial drivers license to answer the following questions:

It is also agreed and understood that under the Fair Credit Reporting Act, Public Law 91-508, I have been told that this investigation may include an investigative Consumer Report, including information regarding my character, personal reputation, personal characteristics and mode of living.

This certifies that I completed this application and that all entries on it and information in it are true and complete to the best ofmy knowledge.