Driver Application

Driver Application

Fill the form below accurately indicating your potentials and suitability to job applying for.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Email
example@example.com
Position applying for

TemporaryPart TimeFull Time
Have you ever worked for this company before?

yesno
If you have worked for Scrap Metal Solutions llc prior please provide the dates and reason of leaving.
Who referred you ? First Name Last Name. Rate of Pay Expected? blank .
Please check the boxes that apply.

Grade School graduateHigh School graduateGEDCollege EducationTrade School
Have you ever served or are you serving in the U.S Armed Forces?

YesNo
If you served in the U.S armed forces please list the branch of service. If you are presently service please define "presently enlisted".
Have you ever been convicted of a felony?

yesno
If you have been convicted of a felony, please explain. (Conviction of a crime is not an automatic bar to employment)
Drivers Experience & Qualifications

(1)The Federal Motor Carrier Safety Regulations (49CFR391.21 (b) (2) requires that driver applicants state their date of birth and SS #. (2)The Federal Motor Carrier Safety Regulations (49CFR391 Subpart E) requires that all driver applicants pass certain physical tests before they are hired to drive a motor vehicle. (3)The Federal Motor Carrier Safety Regulations 49CFR40.25(j) requires all persons with applying for a driving position requiring a commercial drivers license to answer the following questions:
Birth Date

MonthDayYear
Social Security Number ###-##-####
Training and Certifications
Date of the last Department of Transportation prescribed examination field. Can you provide a copy fields and text.
Have you ever been granted a waiver under section 391.49 of the Federal Motor Carrier Safety Regulations pertaining to the loss of foot, leg, hand or arm?

yesno
Within the last two years, have you ever tested positive, or refused to test, on any pre-employment drug or alcohol test administered by an employer to which you applied for, but did not obtain, safety-sensitive transportation work?

yesno
Within the last two years, have you ever tested positive, or refused to test, on any type of drug or alcohol test administered by an employer for which you preformed safety-sensitive transportation work?

yesno
If you answered yes to the above, can you provide and/or obtain proof that you have successfully completed the DOT return-to-duty requirements?

yesno
Drivers License Information
Do you have a CDL?

YesNo
List the Drivers License(s) type you hold, the state, expiration date and each license number associated.
Have you ever been denied a license, permit or privilege to operate a motor vehicle?

yesno
Has any license, permit or privilege ever been suspended or revoked?

yesno
Have you ever been disqualified for violations of the Federal Motor Carrier Safety Regulations?

yesno
If you answered yes to the above please provide an explanation.
What driving experience do you have?*

Straight TruckVanTractor and Semi TrailerOtherTwin
Provide any Award,Training and or Certifications that may apply.
Accident History & MRV

Past 3 years and please attach if more space is needed.
List Nature of accident if applicable.
List Fatalities of accident if applicable.
List injuries of accident if applicable.
List vehicles towed of accident if applicable.
List citations issued towed if applicable.
List Traffic Convictions/Forfeitures excluding parking violations.
List Traffic Charges/Penalty if applicable.
Employment Record
Current Employer
Previous Employer
Previous Employer
Resume and Documents

Cancelof
Motivation letter*
I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
Signature

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Driver Application

Drivers Experience & Qualifications

Drivers License Information

Accident History & MRV

Employment Record