CDL Drivers

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.

Student Applying for:

CDL License

Full Name *

Last Name *

Address *

Street Address Line 2

State / Province

City *

State / Province *

Zip Code *

Address

Street Address

Street Address Line 2

State / Province

Address

Street Address Line 2

State / Province

Social Security *

Date of Birth *

Date

Phone Number *

Area Code Phone Number

E-mail *

example@example.com

Are you eligible to work in the U.S.

Yes No

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

Yes No

License Class *

License Number *

License expiration date

Date

Expiration date of DOT physical card

Date

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

Yes No

Branch of service

Please list Dates of enlisment

Did you receive an honorable discharge?

Yes No Other

Have you been to truck driving school?

Yes No

School information

School Name

Dates of attendance

Date

City

State / Province

School phone number

Area Code Phone Number

Did you graduate?

Yes No

Have you ever been denied a license, permit or privilege to operate a motor vehicle

Yes No

Have you ever been convicted of a felony

Yes No

If Yes, give details

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

Year *

Employer Name *

City, State *

Employer phone *

Phone Number *

Area Code Phone Number

Position Held *

Reason for leaving *

Year *

Employer Name *

City, State *

Employer phone *

Phone Number *

Area Code Phone Number

Position Held *

Reason for leaving *

Is this your current employer

Yes No

May we contact this employer at this time

Ye No

Was this a driving position?

Yes No

Type of truck

Type of trailer

Trailer length

Number of states driven

List any accidents in the past (3) years:

Any Accidents to repor

Yes No

Date of accident

Date

Date of accident

Date

Date of accident

Date

Nature of Accidents (Head on, Rear end, etc.)

Location

Number of Fatalities (if any)

Number of people injured (if any)

List any convictions and forfeitures in the past (3) years other than parking violations:

Any conviction and forfeitures to report

Yes No

Date

Location

Charge

Penalty

Date

Year

Location

Charge

Penalty

Full Name

Relationship to you

Address *

Phone Number *

Area Code Phone Number

Name & City/State of High School

Did you graduate?

Yes No

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

Choose ONE

I ACCEPT I DO NOT ACCEPT

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. In conjunction with my potential employment at Texas Fueling Services, Inc.(“the company”), I consent to the release of my Motor Vehicle Records (MVR) to the company. I understand the company will use these records to evaluate my suitability to fulfill driving duties that may be related to the position for which I am applying. I also consent to the review, evaluation, and other use of any MVR I may have provided to the company. This consent is given in satisfaction of Public Law 18 USC 2721 et. Seq., “Federal Drivers Privacy Protection Act”, and is intended to constitute “written consent” as required by this Act.. 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

I ACCEPT I DO NOT ACCEPT

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.

SIGN

COMMERCIAL DRIVER APPLICATION

General Information

Previous Addresses

License Information

Employment History

ACCIDENT RECORD

Traffic Convictions

Emergency Contact

HIGH SCHOOL

Document Upload

Official Disclosure Statement:

Authorization to Release Records