BTS-Truck Driver Application

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!
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
Please list prior 3 year addresses here and please be complete
Date of Birth

MonthDayYear
Phone Number
Format: (000)-000-0000.
E-mail
example@example.com
If hired, can you furnish proof you are eligible to work in the U.S.?
Are you at least 23 years of age or older?
License Information
Have you held a VALID US CDL license for the past 18 months?
License Class
License Number
State of Issue
CDL Endorsements
License expiration date

MonthDayYear
Please list any licenses held in other states for the previous 3 years, include license numbers if you can.

Driving Experience and Class of Equipment

Rows	YES	DATE FROM	DATE TO	APPROX # OF MILES (TOTAL)
STRAIGHT TRUCK
TRACTOR & SEMI-TRAILER
TRACTOR & 2 TRAILERS
TRACTOR & TANKER
OTHER

Expiration date of DOT physical card

MonthDayYear
Were you ever in the military?
Branch of service
Please list Dates of enlisment
Enlist date - Discharge date
Did you receive an honorable discharge?
Have you been to truck driving school?
School information

School Name

Dates of attendance

CityState / Province

GPA if availableCountry
School phone number
Format: (000)-000-0000.
Did you graduate?
EMPLOYMENT HISTORY
Work History: Please list current, or most recent employment first

The Federal Motor Carrier Safety Regulations (49 CFR 391.21) require that all applicants wishing to drive a commercial vehicle list all employment for the last three (3) years. In addition, if you have driven a commercial vehicle previously, you must provide employment history for an additional seven (7) years (for a total of ten (10) years). Any gaps in employment in excess of one (1) month must be explained.
Start with the last or current position, including any military experience, and work backwards (attach separate sheets if necessary). You are required to list the complete mailing address, including street number, city, state, zip; and complete all other information.
Employer Name
City, State
Employer phone
Format: (000)-000-0000.
Start date

MonthDayYear
Ending date

MonthDayYear
Position Held
Reason for leaving
Is this your current employer?
If No, please list date of your last day of work .
We must have complete information to satisfy isusance carrier requirements.
May we contact this employer at this time?
Was this a driving position?
Type of truck
Type of trailer
Trailer length
Number of states driven
NEXT EMPLOYER
Employer Name
City, State
Start date

MonthDayYear
Ending date

MonthDayYear
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
Employer Name
City, State
Starting date

MonthDayYear
Ending date

MonthDayYear
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
Start Date

MonthDayYear
End Date

MonthDayYear
Employer Name
City and State
Position
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 3 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
Have you ever been denied a license, permit, or privilege to operate a motor vehicle?
If yes, please give date and length of suspension. List reason why, city, county and state
List all details asked for
Has any license, permit, or privilege ever been suspended or revoked?
If yes, please give date and length of suspension. 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 had a POSITIVE Drug or Alcohol Test or Refuse?
If yes, please list date and SAP(Substance Abuse Professional) name and phone number.
We must have complete information to satisfy isusance carrier requirements.
Have you ever been convicted of a felony?
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
EDUCATION
Did you graduate?
Name & City/State of High School
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
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.
By signing I agree I have read the above statements
Date

MonthDayYear
Date
Full Name

First NameLast Name
Should be Empty:

General Information

License Information

EMPLOYMENT HISTORY

Additional Information

EDUCATION

Additional Information

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

Emergency contact information