Application & Consent
  • Parham Trucking Empire Application Form

    Take your time and fill out all relevant data and we will reach you back soon.
  • Date of Birth*
     - -
  • Format: (000) 000-0000.
  • QUESTIONNAIRE

  • Within last 2 years, have you ever tested positive for drug?*
  • What type of CDL do you currently hold?*
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Have you ever been denied a license, permit or privilege to operate motor vehicle?*
  • Has any license, permit or privilege ever been suspended or revoked?*
  • Have you ever been disqualified for violations of the FMCS Regulations?*
  • Do you know how to use apps on a cell phone?*
  • Have you drove a dump truck within the last five(5) years?*
  • What type of transmission?*
  • TICKETS/ ACCIDENTS/ ETC

  • EMPLOYMENT RECORD

  • Are you currently employed?*
  • Format: (000) 000-0000.
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Consent Form for MVR and Drug Test

    Consent Form for MVR and Drug Test

  • Applicant Information

  • Date of Birth:*
     - -
  • Purpose of the Consent

    As part of our pre-employment screening process, Parham Trucking Empire LLC requires all potential employees to consent to a Motor Vehicle Records (MVR) review and drug testing. This process is essential to ensure the safety and integrity of our operations.
  • Types of Screening:
    • Motor Vehicle Records (MVR)
      -Driving history
      -License validity
      -Any traffic violations or incidents
    • Drug Testing:
      -Pre-employment drug screening
      -Random drug testing during employment
      -Post-accident drug testing
      -Reasonable suspicion drug testing
     
  • Consent Agreement:

  • I,  *   *   (applicant's full name), hereby authorize Parham Trucking Empire LLC and its designated agents to obtain my Motor Vehicle Records (MVR) and perform drug testing as part of the employment screening process.

    I understand that the information obtained will be used solely for the purpose of determining my suitability for employment and will be kept confidential. I also understand that any false or misleading information provided by me during the application process may result in disqualification from employment or termination if already employed.

    I hereby release Parham Trucking Empire LLC, its officers, employees, and agents from any liability or damage that may result from the use of such information.
    I acknowledge that I have read and understand this consent form, and I voluntarily agree to the terms stated herein.

  • Date*
     - -
  • Should be Empty: