Driver Job Application- Sunrise BGO Carriers

DRIVER'S APPLICATION FOR EMPLOYMENT
Thank you for your interest in Sunrise BGO Carriers!

This application has three pages:
1. Personal Information
2. Employment History and Driver Record
3. Attachments and Signature
Please be prepared to upload the following required documents on page three of this application:
- Medical Examiner's Card
- Motor Vehicle Record (MVR)
- Driver's License
You will also have an opportunity to upload any additional documents, if needed.

If you have any issues with completing the application, feel free to reach out to us! Our office hours are Monday - Friday 8am-4:30pm PST.

(805) 436-0126
Fleet@sunrisebgocarriers.com
Date of Application*

MonthDayYear
Date
Personal Information
Full Name*

First NameMiddle NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.
Date of Birth*

MonthDayYear
Date
Social Security Number*
Must contain 9 digits
Emergency Contact #1*
Name
Relationship*
Phone Number*
Please enter a valid phone number.
Email
example@example.com
Emergency Contact #2
Name
Relationship
Phone Number
Please enter a valid phone number.
Email
example@example.com
List your addresses of residency for the past 7 (seven) years, starting with your current address.
Current Address*

Street Address

Street Address Line 2

CityState

Zip Code
When did you live at this address?*
Previous Address

Street Address

Street Address Line 2

CityState

Zip Code
When did you live at this address?
Do you need to provide another address?

YesNo
Previous Address

Street Address

Street Address Line 2

CityState

Zip Code
When did you live at this address?
Do you need to provide another address?

YesNo
Previous Address

Street Address

Street Address Line 2

CityState

Zip Code
When did you live at this address?
Are you legally authorized to work in the United States?*
Can you provide proof of age?
Have you ever been bonded?*
Applying for Position
Who referred you?
Rate of pay expected*
Is there any reason you might be unable to perform the functions of the job for which you are applying?
Have you ever worked for Sunrise BGO Carriers?
Are you currently employed?*
If you are not currently employed, when was your last day of work?

MonthDayYear

ATTACHMENTS
ADDITIONAL INFORMATION (Please use this space to attach information that could not fit on in this form such as previous addresses, previous employers, education and training, accident and violation information, equipment experience, etc.)

Cancelof
MEC Date Issued

MonthDayYear
Date
MEC Expiration Date

MonthDayYear
Date
Date

MonthDayYear
Date
Please upload a copy of your valid Medical Examiner's Certificate.*

Cancelof
Please upload a copy of your Motor Vehicle Record (MVR).*

Cancelof
MEC Date Issued*

MonthDayYear
Date
MEC Expiration Date*

MonthDayYear
Date
MEC Reminder Date (app)

MonthDayYear
Date
Please upload a photo of the FRONT of your driver's license.*

Cancelof
Please upload a photo of the BACK of your driver's license.*

Cancelof
APPLICANT SIGNATURE
By signing below, I authorize Sunrise BGO Carriers 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 understand, 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 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-sendthe corrected information to the prospective employer; and Have a rebuttal statement attached 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 information in it are true and complete to the best of my knowledge.
Signature*

Powered by Jotform SignClear
Date*

MonthDayYear
Date
Should be Empty:

	Dates	Nature of Accident (head-on, rear-end, roll-over, etc.)	Fatalities	Injuries	Hazardous Materials Spill?
Last Accident
Previous Accident
Previous Accident
Previous Accident

	Dates	Location	Charge	Penalty
Last Violation
Previous Violation
Previous Violation
Previous Violation

	Do you have experience with this equipment?	Type of Equipment	Years of Experience	Miles
Straight Truck
Tractor or Semi-Trailer
Tractor (Two or More Trailers)
School Bus
Motorcoach

DRIVER'S APPLICATION FOR EMPLOYMENT

Personal Information

EMPLOYMENT HISTORY

DRIVER RECORD

ATTACHMENTS

APPLICANT SIGNATURE

	State	License No.	Class	Endorsements	Expiration Date
License
License
License
License