Logistics Driver Job Application
COMPLETE IN FULL OR IT WILL NOT BE CONSIDERED.
Full Name
*
First Name
Middle Name
Last Name
Phone
*
Example: 000-000-000
Email
*
example@example.com
Birth Date
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
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Day
Please select a year
2025
2024
2023
2022
2021
2020
2019
2018
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2015
2014
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2012
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Year
Date of Application
-
Month
-
Day
Year
Date
Position Applying For
Date Available for Work
-
Month
-
Day
Year
Date
State/City Applied For
*
example@example.com
Do you have legal right to work in the United States?
Yes
No
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Current Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Previous
Previous
Previous
# Of Years At Address
No person who operates a motor vehicle shall at any time have more than one driver’s license (49 CFR 383.21). I certify that I do not have more than one motor vehicle license, the information for which is listed below. Include all licenses held for the past 3 years; attach additional sheets if needed.
Type/Class Endorsements
Expiration Date
-
Month
-
Day
Year
Date
Driving Type Experience
(Car, Mini Van, SUV, Cargo Van, ETC)
Class Of
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Have you ever been denied a license, permit, or privilege to operate a motor vehicle?
Yes
No
If yes, explain:
Has any license, permit, or privilege ever been suspended or revoked?
Yes
No
If yes, explain:
Box Babes requires that all applicants wishing to drive for the company 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.
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Current (Most Recent) Employer
Position Held From MO/YR to MO/YR
Name of Employer
Reason For Leaving
Phone of Employer
Salary
Address of Employer
Explain Any Gaps in Employment
(Include MO/YR & Reason)
While employed here, were you subject to the federal motor carrier safety regulations?
Yes
No
WAS THE JOB DESIGNATED AS A SAFETY-SENSITIVE FUNCTION IN ANY DEPARTMENT OF TRANSPORTATION-REGULATED MODE SUBJECT TO ALCOHOL AND CONTROLLED SUBSTANCES TESTING AS REQUIRED BY 49 CFR, PART 40?
Yes
No
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Current (Most Recent) Employer
Position Held From MO/YR to MO/YR
Name of Employer
Reason For Leaving
Phone of Employer
Salary
Address of Employer
Explain Any Gaps in Employment
(Include MO/YR & Reason)
While employed here, were you subject to the federal motor carrier safety regulations?
Yes
No
WAS THE JOB DESIGNATED AS A SAFETY-SENSITIVE FUNCTION IN ANY DEPARTMENT OF TRANSPORTATION-REGULATED MODE SUBJECT TO ALCOHOL AND CONTROLLED SUBSTANCES TESTING AS REQUIRED BY 49 CFR, PART 40?
Yes
No
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School Name
Location Course of Study
Years Completed
Graduate Y N
Details
High School
College
Other
Please list by other qualifications that you have and which you believe should be considered:
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Vehicle information:
*
Type of vehicle
Year of vehicle
Availability :
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Select preferred shift
*
Part Time ( 3 days up to 500 miles)
Full Time ( 4/5 days OTR)
Do you currently have active insurance?
*
Yes
No
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I authorize you to make investigations (including contacting current and prior employers) I here by release employers, schools, and other persons from all liability in responding to inquiries and releasing information in connection with my application. 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.
Applicant Signature Date
Applicant Name (Printed)
Location
City
State
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