• DRIVER'S APPLICATION FOR EMPLOYMENT

    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, or non-job related disability.
    GLWD Trucking

  • APPLICANT INFORMATION

  • Date of Application
     - -
    2 digit month, 2 digit day, 4 digit year
  • Date of Birth
     - -
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • RESIDENCY

    List your residency for the past 3 years:
  • Have you worked for this company before?

  • Position      from   Pick a Date to   Pick a Date .

  • Are you employed now?
  • Is there any reason you might be unable to perform the functions of the job which you have applied?

  • EMPLOYMENT HISTORY

    List employment for last 10 years, applicants to drive commercial vehicles in intrastate or interstate commerce must provide 10 year information on previous employers.
  • Format: (000) 000-0000.

  • Position held:    fromPick a Date   to   Pick a Date   

  • Were you subject to FMCSR* while employed?
  • Were you subject to drug/alcohol testing?
  • Format: (000) 000-0000.

  • Position held:    fromPick a Date   to   Pick a Date   

  • Were you subject to FMCSR* while employed?
  • Were you subject to drug/alcohol testing?
  • Format: (000) 000-0000.

  • Position held:    fromPick a Date   to   Pick a Date   

  • Were you subject to FMCSR* while employed?
  • Were you subject to drug/alcohol testing?
  • Format: (000) 000-0000.

  • Position held:    fromPick a Date   to   Pick a Date   

  • Were you subject to FMCSR* while employed?
  • Were you subject to drug/alcohol testing?
  • Format: (000) 000-0000.

  • Position held:    fromPick a Date   to   Pick a Date   

  • Were you subject to FMCSR* while employed?
  • Were you subject to drug/alcohol testing?
  • Format: (000) 000-0000.

  • Position held:    fromPick a Date   to   Pick a Date   

  • Were you subject to FMCSR* while employed?
  • Were you subject to drug/alcohol testing?
  • Accident Record for the past 3 Years: if non, enter None
    Rows
  • Traffic Convictions and Forfeitures for the past 3 years: (other than parking violations) If none, write None.
    Rows
  • Driver's License(s) Information
    Rows
  • Driving Experience
    Rows

  • EDUCATION

  • Highest grade completed
  • High School
  • College

  • EXPERIENCE + QUALIFICATIONS

    Please list all previous employment, beginning with the most recent.
  • A. Have you ever had any type of motor vehicle license suspended or revoked, or ever been denied a license, permit of privilege to operate a motor vehicle?
  • B. Do you have a pending charge or past conviction for driving while intoxicated?
  • C. In the two years prior to the date of the employee's signature (in section 1), for DOT-regulated testing
    Rows

  • Note: if you answered "yes" to item 5, you must provide the previous employer's report. If you answered "yes" to item 6, you must also transmit the appropiate return-to-duty documentation (e.g., SAP report(s), follow-up testing record.)

  • Application Addendum

  • Federal Motor Carrier Safety Regulations § 40.25 (j) The employer must as kthe employee whetheror he or she has tested positive, or refused to test, on any pre-employment drug or alcohol test administered by an employer to which the employee applied for, but did not obtain, safety-sensitive transportation work covered by DOT agency drug and alcohol testing rules during the past two years.

  • Have you tested positive, or refused to test, on any pre-employment drug test or have you tested .02 or greater, or refused to test, on any pre-employment alcohol test during the past two years?
  • Date
     - -
    2 digit month, 2 digit day, 4 digit year

  • TO BE READ AND SIGNED BY APPLICANT

  • I authorize the Company to make such investigations and inquiries of my personal, employment, financial or medical history and other related matters as may be necessary in arriving at an employment decision. (Generally, inquiries regarding medical history will be made only if and after a conditional offer of employment has been extended.) I hereby release employers, schools, health care providers and other persons from all liability in responding to inquiries and releasing information in connection with my application. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I undestnad, also, that I am required to abide by all rules and regulations of the Company. I understand that information I provide regarding current and/or previous employers may be used, and those employer(s) will be contacted, for the purpose of investigating my safety performance history as required by 49 CFR 391.23 (d) and (e).

    I understand that I have the right to: 

    • Review information provided by previous employers;
    • Have errors in the information corrected by previous employers and for those previous employers to re-send the corrected information to the prospective employer; and
    • Have a rebuttal statement to the alleged erroneous information, if the previous employer(s) and I cannot agree on the accuracy of the information.

    This certifies that this application was completed by me, and that all entries on it and infomration in it are true and complete to the best of my knowledge. 

  • Date
     - -
    2 digit month, 2 digit day, 4 digit year

  • PREVIOUS EMPLOYMENT VERIFICATION

    PLEASE RETURN AS SOON AS POSSIBLE TO:

  • G.L. Williams and Daughter Trucking

    Graniteville, SC

  • 803.663.3715

    lisa@glwilliamstrucking.com

  • The person listed above has applied to this company. Your firm is listed by t he applicant as a previous employer.

    Please complete the following items and return to us as soon as possible.

  • Should be Empty: