• Driver Application for Employment - Clear Vision Capacity LLC

    About 10 minutes. Have your CDL and your work history for the past 3 years ready.

  • Start here

  • Clear Vision Capacity LLC, 110 E Wayne Street, Fort Wayne, IN 46802. This application takes about 10 minutes. Have your CDL and your work history for the past 3 years handy. Fields marked * are required.
  • Position applying for*
  • Format: (000) 000-0000.
  • By checking a box above you agree to our Privacy Policy and Terms. Your mobile number and text consent are never shared with third parties.
  • Date of birth*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Are you legally authorized to work in the United States?*

  • Where you have lived

  • Have you lived at this address for 3 years or more?*

  • License and medical

  • License class*
  • License expiration date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Endorsements
  • Have you held a driver's license in any other state in the past 3 years?*
  • Do you have a current DOT medical examiner's certificate (medical card)?*
  • Medical card expiration date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Has any license, permit or privilege to operate a motor vehicle ever been denied, suspended or revoked?*

  • Driving experience

  • Equipment you have driven*
  • Have you been in any motor vehicle accident in the past 3 years, in any vehicle?*
  • In the past 3 years, have you been convicted of, or forfeited bond or collateral for, any traffic violation other than parking?*

  • Work history

  • Optional for now: list your employers from the past 3 years, starting with the most recent. If you skip this, Daniel will go over your work history with you on the phone.
  • Format: (000) 000-0000.
  • Start date
     - -
    2 digit month, 2 digit day, 4 digit year
  • Were you subject to the Federal Motor Carrier Safety Regulations in this job?
  • Was this job a safety-sensitive function subject to DOT drug and alcohol testing?
  • Do you have another employer to list?
  • Format: (000) 000-0000.
  • Second employer - Start date
     - -
    2 digit month, 2 digit day, 4 digit year
  • Second employer - Were you subject to the Federal Motor Carrier Safety Regulations in this job?
  • Second employer - Was this job a safety-sensitive function subject to DOT drug and alcohol testing?
  • Do you have a third employer to list?

  • Third employer

  • Format: (000) 000-0000.
  • Third employer - Start date
     - -
    2 digit month, 2 digit day, 4 digit year
  • Third employer - Were you subject to the Federal Motor Carrier Safety Regulations in this job?
  • Third employer - Was this job a safety-sensitive function subject to DOT drug and alcohol testing?
  • In the past 2 years, have you tested positive, or refused to test, on any pre-employment drug or alcohol test for a safety-sensitive job you applied for but did not get?*
  • Can you provide proof that you completed the DOT return-to-duty process?

  • Review and sign

  • Please read

    Equal opportunity. Clear Vision Capacity LLC is an equal opportunity employer. We do not discriminate on the basis of race, color, religion, sex, national origin, age, disability, veteran status or any other status protected by law.

    This application is not an offer or contract of employment. If you are hired, employment is at will unless a written agreement says otherwise.

  • We will contact your past employers

    Federal law (49 CFR 391.23) requires every trucking company to check a new driver's safety record with their employers from the past 3 years. That means we will call or write to your past DOT employers to ask about accidents and drug and alcohol testing. This is standard for every driving job, and no signature is needed for it. You have the right to see what they tell us, ask to fix anything that's wrong, and add your own statement if you disagree.

    Your Social Security Number is not requested on this online form. If you are selected, it will be collected securely on your final signed application, as 49 CFR 391.21 requires.

  • Authorizations

    Please read each statement and tick its box. Your one signature at the bottom of this page applies to every box you tick.

  • PSP report - FMCSA disclosure and authorization

    Please read it. Scroll inside the box to see all of it.

    IMPORTANT DISCLOSURE REGARDING BACKGROUND REPORTS FROM THE PSP Online Service

    In connection with your application for employment with Clear Vision Capacity LLC (“Prospective Employer”), Prospective Employer, its employees, agents or contractors may obtain one or more reports regarding your driving, and safety inspection history from the Federal Motor Carrier Safety Administration (FMCSA).

    When the application for employment is submitted in person, if the Prospective Employer uses any information it obtains from FMCSA in a decision to not hire you or to make any other adverse employment decision regarding you, the Prospective Employer will provide you with a copy of the report upon which its decision was based and a written summary of your rights under the Fair Credit Reporting Act before taking any final adverse action. If any final adverse action is taken against you based upon your driving history or safety report, the Prospective Employer will notify you that the action has been taken and that the action was based in part or in whole on this report.

    When the application for employment is submitted by mail, telephone, computer, or other similar means, if the Prospective Employer uses any information it obtains from FMCSA in a decision to not hire you or to make any other adverse employment decision regarding you, the Prospective Employer must provide you within three business days of taking adverse action oral, written or electronic notification: that adverse action has been taken based in whole or in part on information obtained from FMCSA; the name, address, and the toll free telephone number of FMCSA; that the FMCSA did not make the decision to take the adverse action and is unable to provide you the specific reasons why the adverse action was taken; and that you may, upon providing proper identification, request a free copy of the report and may dispute with the FMCSA the accuracy or completeness of any information or report. If you request a copy of a driver record from the Prospective Employer who procured the report, then, within 3 business days of receiving your request, together with proper identification, the Prospective Employer must send or provide to you a copy of your report and a summary of your rights under the Fair Credit Reporting Act.

    Neither the Prospective Employer nor the FMCSA contractor supplying the crash and safety information has the capability to correct any safety data that appears to be incorrect. You may challenge the accuracy of the data by submitting a request to https://dataqs.fmcsa.dot.gov. If you challenge crash or inspection information reported by a State, FMCSA cannot change or correct this data. Your request will be forwarded by the DataQs system to the appropriate State for adjudication.

    Any crash or inspection in which you were involved will display on your PSP report. Since the PSP report does not report, or assign, or imply fault, it will include all Commercial Motor Vehicle (CMV) crashes where you were a driver or co-driver and where those crashes were reported to FMCSA, regardless of fault. Similarly, all inspections, with or without violations, appear on the PSP report. State citations associated with Federal Motor Carrier Safety Regulations (FMCSR) violations that have been adjudicated by a court of law will also appear, and remain, on a PSP report.

    The Prospective Employer cannot obtain background reports from FMCSA without your authorization.

    AUTHORIZATION

    If you agree that the Prospective Employer may obtain such background reports, please read the following and sign below:

    I authorize Clear Vision Capacity LLC (“Prospective Employer”) to access the FMCSA Pre-Employment Screening Program (PSP) system to seek information regarding my commercial driving safety record and information regarding my safety inspection history. I understand that I am authorizing the release of safety performance information including crash data from the previous five (5) years and inspection history from the previous three (3) years. I understand and acknowledge that this release of information may assist the Prospective Employer to make a determination regarding my suitability as an employee.

    I further understand that neither the Prospective Employer nor the FMCSA contractor supplying the crash and safety information has the capability to correct any safety data that appears to be incorrect. I understand I may challenge the accuracy of the data by submitting a request to https://dataqs.fmcsa.dot.gov. If I challenge crash or inspection information reported by a State, FMCSA cannot change or correct this data. I understand my request will be forwarded by the DataQs system to the appropriate State for adjudication.

    I understand that any crash or inspection in which I was involved will display on my PSP report. Since the PSP report does not report, or assign, or imply fault, I acknowledge it will include all CMV crashes where I was a driver or co-driver and where those crashes were reported to FMCSA, regardless of fault. Similarly, I understand all inspections, with or without violations, will appear on my PSP report, and State citations associated with FMCSR violations that have been adjudicated by a court of law will also appear, and remain, on my PSP report.

    I have read the above Disclosure Regarding Background Reports provided to me by Prospective Employer and I understand that if I sign this Disclosure and Authorization, Prospective Employer may obtain a report of my crash and inspection history. I hereby authorize Prospective Employer and its employees, authorized agents, and/or affiliates to obtain the information authorized above.

  • Certification

    This certifies that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge.

  • Date signed*
     - -
    2 digit month, 2 digit day, 4 digit year
  • How did you hear about us?*
  • Should be Empty: