Truck Driver Application

North Star Dispatch Service LLC

Employment 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.
You are applying with North Star Dispatch Service. Thank for allowing us to help you with your career search!
Position Applying For:
General Information
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Were you at this address 3 years or more ?
Social Security Number
Date of Birth

MonthDayYear
Phone Number
Format: 000-000-0000.
E-mail
example@example.com
Have you ever been known by any other name?
Please list name
Explain ie; maiden name, name change
If hired, can you furnish proof you are eligible to work in the U.S.?
Are you at least 25 years of age or older?
License Information
Have you held a VALID US license for the past 36 months?
License Class
License Number
State of Issue
License expiration date

MonthDayYear
Expiration date of DOT physical card

MonthDayYear
CDL Endorsements
Hazmat expiration date

MonthDayYear
TWIC expiration date

MonthDayYear
Please list any licenses held in other states for the previous 5 years, include license numbers if you can.
EMPLOYMENT HISTORY
Work History: Please list current, or most recent employment first
EMPLOYER
Start date

MonthDayYear
Ending date

MonthDayYear
Employer Name
City, State
Position Held
Reason for leaving
Employer phone
Format: 000-000-0000.
Was this a driving position?
Type of truck
Type of trailer
Trailer length
Number of states driven
NEXT EMPLOYER
Starting date

MonthDayYear
Ending date

MonthDayYear
Employer Name
City, State
Position Held
Employer phone
Format: 000-000-0000.
Reason for leaving
Was this a driving position
Type of truck driven
Type of trailer
Trailer length
Number of states driven
If you need additional space for past employment, please enter it here and include ALL information previously asked for.
Additional Information
Have you had any moving violations in the last 5 years?
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
Has your license ever been suspended?
If yes, please give date and length of supension. List reason why, city, county and state
List all details asked for
Have you had any accidents in the last 5 years?
If yes, please give date, explaination, city, county and state and if you received ticket/fine (amount)
Have you ever had a DUI, DWI, or OVI?
If yes, please list date of offense, jail time, fine and or suspension time.
We must have complete information to satisfy isusance carrier requirements.
Have you ever been convicted of a felony? *Felony Friendly
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
Have you ever been convicted of a misdemeanor?
If yes, please list date and nature of offense, city, county and state. also jail time, probation, or fines
Please list EVERYTHING asked for
Additional Information
References: Please list name, address, phone and years known.
Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number
Format: 000-000-0000.
Number of years known
Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number
Format: 000-000-0000.
Number of years known
Emergency contact information
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Relationship to you
Phone Number
Format: (000) 000-0000.
HIGH SCHOOL
Name & City/State of High School
Did you graduate?
By signing I agree I have read the above statements
Should be Empty:

General Information

License Information

EMPLOYMENT HISTORY

Additional Information

Additional Information

References: Please list name, address, phone and years known.

Emergency contact information