Owner Operator Application Form
Sister Freight Services LLC
Application Date
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Month
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Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Name
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First Name
Middle Name
Last Name
Current Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Previous Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Do you have the legal right to work in the United States?
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Yes
No
Have you ever been convicted of a crime under your current or any other name, which has not been expunged from your record?
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Yes
No
Are you over the age of 18?
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Yes
No
Are you now employed or under contract with any other company?
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Yes
No
Do you have a Medical Examination Report and Certificate?
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Yes
No
Are you willing to undergo a background check and/or drug screening as part of the application process?
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Name of the person referred you
First Name
Last Name
Compensation: 70% - 80% DOE
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Are you able to perform the essential functions of the contract for which you have applied, with or without reasonable accommodations?
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Yes
No
Employment History for the Last Three Years
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Accident Record
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Traffic Convictions for the Past 3 Years
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Education
Highest Education Level Completed
School Name
City
Driver Licenses
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Have you ever been denied a license, permit, or privilege to operate a motor vehicle?
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Yes
No
Have any license, permit, or privilege ever been suspended or revoke?
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Yes
No
Please attach the statement giving details
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Equipment Information/ Please include at least one.
Year
Make
Model
Years of Experience
Approx No of Miles Driven
Last Inspection
Length/Weight
Box Truck
Tractor/ Semi-Trailer
Tractor-Two Trailers
Dry Van
PO
Reefer
Tanker
Other
List States Operated in for Last Five Years
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Show special courses or training that will help you as a driver
List safe driving awards
Experience & Qualifications
Show any trucking, transportation or other experience that may help in your contracting for us
List courses and training other than shown elsewhere in this application
List special equipment or technical materials you can work with (other than those already shown)
Remarks
I, the applicant undersigned, agree with the following statements:
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This application was completed by me, and that all entries in it and information in itare true and complete to the best of my knowledge.
I authorize you to make such investigations and inquiries of my personal, employment, financial andother related matters as may be necessary in arriving at a contracting decision. I hereby release employers, businesses, schools and other persons from all liability in responding to inquiries and releasing information in connection with my application.
In the event I am under contract, I understand that false or misleading information given in my application or interview(s) may result in termination of the contract.. I understand, also, that I am requiredto abide by all rules and regulations of the Contractor, if a contract is offered.
Date
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Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Signature
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Submit
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