MTM Trucking 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 job with MTM Trucking. Come Drive With Us and see how we partner with our drivers.

Thank you Drivers - No matter WHO you drive for!

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 21 years of age or older?

Position Applying For (OTR/Regional)

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.

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?

Must include past 5 years of employment.

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

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

Number of states driven

NEXT EMPLOYER

Starting date

MonthDayYear

Ending date

MonthDayYear

Employer Name

City, State

Position Held

Employer phone

Area CodePhone Number

Reason for leaving

Was this a driving position

Type of truck driven

Number of states driven

NEXT EMPLOYER

Start Date

MonthDayYear

End Date

MonthDayYear

Employer Name

City and State

Position

Employer Phone

Area CodePhone Number

Reason for leaving

Was this a driving position

Type of truck driven

NEXT EMPLOYER

Start Date

MonthDayYear

End Date

MonthDayYear

Employer Name

City and State

Position

Employer Phone

Area CodePhone Number

Reason for leaving

Was this a driving position

Type of truck driven

Number of states driven

If you need additional space for 5 years of 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 ever been suspended?

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 3 years?

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

Have you ever had a DUI, DWI, or OVI?

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 insurance requirements.

Have you ever been convicted of a misdemeanor?

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

Please list everything asked for per insurance requirements.

EDUCATION

Name & City/State of High School

Did you graduate/equivalent?

Name & City/State of College

Did you graduate?

Official Disclosure Statement:

I certify that I personally completed this application and that all of the information is true and correct to the best of my knowledge.

Authorization to Release Records

I authorize the carrier subscribers indicated on this application to do a complete background investigation in accordance with state and federal laws. I authorize my previous employers to release any information requested by these carrier subscribers and hold them harmless of all liability from the release of said information.

I hereby request and authorize to cause to be conducted, at any time, an investigation of my background for employment purposes, which may include, but is not limited to, any information relating to my character, general reputation, personal characteristics, criminal history, past work experience, educational background, alcohol or drug test results, or failure to submit to an alcohol or drug test, or any other information about me which may reflect upon my potential for employment gathered from any individual, organization, entity, agency, or other source which may have knowledge concerning any such items of information. I have completed this application of my own free will and hold harmless of all liability all companies, agents and associated parties for the use of this application.

Choose ONE:

By signing I agree I have read the above statements

General Information

License Information

EMPLOYMENT HISTORY

Additional Information

This will not disqualify your application

Additional Information