Apex Logistics Services 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.

Full Name*

First & Last

E-mail*

Phone Number*

Area CodePhone Number

Address*

Street Address

Street Address Line 2

CityState

Zip Code

Were you at this address 3 years or more*

YesNo

Please list complete address(es) for the past 3 years

Social Security Number*

Date of Birth*

MonthDayYear

Position Applying For*

Company DriverLease OperatorOwner Operator

License Class*

License Number*

State of Issue*

License expiration date*

MonthDayYear

CDL Endorsements*

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.

Total Years of Commercial Driving Experience?*

Please list current, or most recent employment first.

Start date*

MonthDayYear

Are you currently employed there?*

YesNo

Ending date

MonthDayYear

Employer Name*

City, State*

Employer phone*

Area CodePhone Number

Position Held*

Reason for leaving*

May we contact this employer at this time?*

YesNo

Is/Was this a driving position?

YesNo

Type of truck

Number of states driven

Do you have additional Employment History to provide?*

YesNo

NEXT EMPLOYER

Start date

MonthDayYear

Ending date

MonthDayYear

Employer Name

City, State

Position Held

Reason for leaving

Employer phone

Area CodePhone Number

Was this a driving position?

YesNo

Type of truck

Number of states driven

Do you have additional Employment History to provide?

YesNo

NEXT EMPLOYER

Starting date

MonthDayYear

Ending date

MonthDayYear

Employer Name

City, State

Position Held

Employer phone

Area CodePhone Number

Reason for leaving

Was this a driving position

YesNo

Type of truck driven

Number of states driven

Do you have additional Employment History to provide?

YesNo

NEXT EMPLOYER

Start Date

MonthDayYear

End Date

MonthDayYear

Employer Name

City and State

Position

Employer Phone

Area CodePhone Number

Reason for leaving

Was this a driving position

YesNo

Type of truck driven

Number of states driven

Do you have additional Employment History to provide?

YesNo

NEXT EMPLOYER

Start Date

MonthDayYear

End Date

MonthDayYear

Employer Name

City and State

Position

Employer Phone

Area CodePhone Number

Reason for leaving

Was this a driving position

YesNo

Type of truck driven

Number of states driven

If you need additional space for 10 years of past employment , please enter it here and include ALL information previously asked for.

Have you had any moving violations in the last 5 years?*

YesNo

If yes, please list City, County and State, month, year and nature of offense and any fines involved

Please list MPH over limit for speeding

Has your license ever been suspended?*

YesNo

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?*

YesNo

If yes, please give date, explanation, city, county and state and if you received ticket/fine (amount)

Official Disclosure Statement:

By submitting this form, I authorize Apex Logistics Services, LLC to make investigations (including contacting current and prior employers) into my personal, employment, financial, medical history, and other related matters as may be necessary in arriving at an employment decision including, but not limited to, a check of my Motor Vehicle Record (MVR) and a pre-employment drug test. I hereby release employers, schools, health care providers, and other persons from all liability in responding to inquiries and releasing information in connection with my application.

I authorize Apex Logistics Services, LLC, its representatives, and agents to share my MVR, background check results, driving history, and any other employment-related information obtained during the hiring process with third-party vendors, including but not limited to insurance providers, risk management consultants, or other service providers necessary for underwriting, policy renewal, and other business-related purposes.

I understand this information may also be shared as required to comply with state and federal laws, such as U.S. Department of Transportation (DOT) regulations.

I acknowledge that this consent is valid throughout the duration of my employment or active status as a driver applicant, unless revoked in writing by me. I understand that refusal to provide this consent may affect my eligibility for employment or engagement with Apex Logistics Services, LLC.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I also understand that I am required to abide by all rules and regulations of the Company.

I understand that the information I provide regarding my current and/or prior employers may be used, and those employer(s) will be contacted for the purpose of investigating my safety performance history as required by 49 CFR 391.23. I understand that I have the right to:
• Review information provided by current/previous employers;
• Have errors in the information corrected by previous employers, and for those previous employers to resend the corrected information to the prospective employer; and
• Have a rebuttal statement attached to the alleged erroneous information, if the previous employer(s) and I cannot agree on the accuracy of the information.

This certifies that I completed this application, and that all entries on it and information in it are true and complete to the best of my knowledge. Note: A motor carrier may require an applicant to provide more information than that required by the Federal Motor Carrier Safety Regulations.

Choose ONE:*

I ACCEPTI DO NOT accept

By signing I agree I have read the above statements

General Information

License Information

Employment History

Additional Information

DRIVER APPLICATION - FINAL STEP

CDL

Med Card

Social Security Card