Goldstone’s Carrier Community Application

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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. Thank you Drivers - No matter WHO you drive for!
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You are applying for a driving job with GOLD STONE LOGISTICS, LLC (CDL/NON-CDL) Thank for allowing us to help you with your career search!
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Full Name* This field is required.
First Name
Last Name
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Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
0
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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Where you at this address 3 years or more
Yes
No
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Please list prior 3 year addresses here and please be complete
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Social Security Number
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Date of Birth* This field is required.
Month
Day
Year
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Phone Number* This field is required.
Area Code
Phone Number
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E-mail* This field is required.
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Have you ever been known by any other name?
Yes
No
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Please list name
Explain ie; maiden name, name change
13
If hired, can you furnish proof you are eligible to work in the U.S.?* This field is required.
Yes
No
14
Are you at least 21 years of age or older?* This field is required.
Yes
No
15
Have you held a VALID US license for the past 36 months?* This field is required.
Yes
No
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How many months have you held a VALID US License
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License Class* This field is required.
Please Select
Please Select
Class-A
Class-B
Class-C (auto)
FOR HIRES
CHAUFFEUR
Drivers License
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License Number* This field is required.
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State of Issue* This field is required.
Please Select
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
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License expiration date* This field is required.
Month
Day
Year
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Please list any licenses held in other states for the previous 5 years, include license numbers if you can.
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Position/Lane Applying For
OTR - CDL
LOCAL - CDL
LOCAL - Non CDL
OTR - Non CDL
NEMT - Marion
NEMT - Elkhart
NEMT - Lake County
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Expiration date of DOT physical card
Month
Day
Year
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CDL Endorsements* This field is required.
None
Tanker
Doubles/Triples
Hazmat
X Endorsement
TWIC
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Hazmat expiration date
Month
Day
Year
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TWIC expiration date
Month
Day
Year
27
Do you have, or can you obtain your DD214?
Yes
No
I can obtain one
28
Have you been to truck driving school?
Yes
No
29
School information
School Name
Dates of attendance
City
State / Province
GPA if available
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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School phone number
Area Code
Phone Number
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Did you graduate?
Yes
No
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Work History: Please list current, or most recent employment first
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Start date* This field is required.
Month
Day
Year
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Ending date* This field is required.
Month
Day
Year
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Employer Name* This field is required.
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City, State* This field is required.
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Employer phone* This field is required.
Area Code
Phone Number
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Position Held* This field is required.
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Reason for leaving* This field is required.
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Is this your current employer?* This field is required.
Yes
No
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May we contact this employer at this time?* This field is required.Employment Verification is Required
Yes
No
42
Was this a driving position?
Yes
No
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Type of Vehicle Driving Experience
Conventional sleeper
Day cab
Straight truck
Box truck
Dump truck
Mixer
Sprinter
Van
Car
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Type of trailer
Please Select
Please Select
Van
Reefer
Flatbed
Tanker
RGN lowboy
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Trailer length
Please Select
Please Select
24'-38'
38'-44'
45'-53'
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Number of states driven
47
NEXT EMPLOYER
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Start date
Month
Day
Year
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Ending date
Month
Day
Year
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Employer Name
51
City, State
52
Position Held
53
Reason for leaving
54
Employer phone
Area Code
Phone Number
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Was this a driving position?
Yes
No
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Type of truck
Please Select
Please Select
Conventional sleeper
Day cab
Straight truck
Box truck
Dump truck
Mixer
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Type of trailer
Please Select
Please Select
Van
Reefer
Flatbed
Tanker
RGN lowboy
58
Trailer length
Please Select
Please Select
24'-38'
38'-44'
45'-53'
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Number of states driven
60
NEXT EMPLOYER
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Starting date
Month
Day
Year
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Ending date
Month
Day
Year
63
Employer Name
64
City, State
65
Position Held
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Employer phone
Area Code
Phone Number
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Reason for leaving
68
Was this a driving position
Yes
No
69
Type of truck driven
Please Select
Please Select
Conventional sleeper
Day Cab
Straight truck
Box truck
Dump truck
Mixer
70
Type of trailer
Please Select
Please Select
Van
Reefer
Flatbed
Tanker
RGN lowboy
71
Trailer length
Please Select
Please Select
24'-38'
38'-44'
45'-53'
72
Number of states driven
73
Start Date
Month
Day
Year
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End Date
Month
Day
Year
75
Employer Name
76
City and State
77
Position
78
Employer Phone
Area Code
Phone Number
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Reason for leaving
80
Was this a driving position
Yes
No
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Type of truck driven
Please Select
Please Select
Conventional sleeper
Day Cab
Straight truck
Box truck
Dump truck
Mixer
82
Type of trailer
Please Select
Please Select
Van
Reefer
Flatbed
Tanker
RGN lowboy
83
Trailer length
Please Select
Please Select
24'-38'
38'-44'
45'-53'
84
Number of states driven
85
If you need additional space for past employment, please enter it here and include ALL information previously asked for.Please enter the same information for past employment here, as was asked for above
86
Have you had any moving violations in the last 5 years?* This field is required.
Yes
No
87
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
88
How many points do you currently have on your drivers record
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Has your license suspended ever been suspended?* This field is required.
Yes
No
90
If yes, please give date and length of supension. List reason why, city, county and state
List all details asked for
91
Have you had any accidents in the last 5 years?* This field is required.
Yes
No
92
If yes, please give date, explaination, city, county and state and if you received ticket/fine (amount)
93
Have you ever had a DUI, DWI, or OVI?* This field is required.
Yes
No
94
If yes, please list date of offense, jail time, fine and or suspension time.
We must have complete information to satisfy isusance carrier requirements.
95
Drug Test Consent
Any Time
Can Prepare For
96
Have you ever been convicted of a felony?* This field is required.
Yes
No
97
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
98
Have you ever been convicted of a misdemeanor?* This field is required.
Yes
No
99
If yes, please list date and nature of offense, city, county and state. also jail time, probation, or fines
Please list EVERYTHING asked for
100
Name* This field is required.
101
Phone Number* This field is required.
Area Code
Phone Number
102
Number of years known* This field is required.
103
Relationship to you* This field is required.
104
Name
105
Phone Number
Area Code
Phone Number
106
Number of years known
107
Relationship to you
108
HIGH SCHOOL
109
Name & City/State of High School
110
Did you graduate?
Yes
No
111
Type a question* This field is required.
112
By signing I agree I have read the above statements
Should be Empty: