ALDIS CARGO LLC COMMERCIAL DRIVER / OWNER-OPERATOR APPLICATION (978) 894-4219 paldis@aldiscargo.com
APPLYING FOR
*
company Driver
Owner-Operator
Lease Purchase
Rental Program
Open To Any
1 APPLICANT INFORMATION
Full Legal Name
*
First Name
Last Name
Phone
*
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Previously worked for Aldis Cargo LLC?
*
Yes
No
If yes, when?
2 CDL & DRIVER INFORMATION
CDL Number
*
State
*
Expiration Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Endorsements
*
HazMat
Tanker
Doubles/Triples
None
Other
Restrictions if Any
Years of Verifiable Driving Experience
*
3 DRIVING & EQUIPMENT EXPERIENCE
Equipment Operated
Tractor-Trailer
Dry Van
Reefer
Flatbed
Tanker
Straight Truck
Other
Approx. Tractor-Trailer Miles:
Years OTR:
Years Regional:
Years Local:
4 EMPLOYMENT HISTORY
List your current or most recent employer first. Provide complete information for each employer.
CURRENT / MOST RECENT EMPLOYER
Company
*
Phone
*
Format: (000) 000-0000.
Position
*
Address
From (MM-DD-YYYY)
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
To (MM-DD-YYYY)
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Reason for Leaving
*
DOT-regulated position?
*
Yes
No
Subject to FMCSA drug/alcohol testing?
*
Yes
No
PREVIOUS EMPLOYER 1
Company
*
Phone
*
Format: (000) 000-0000.
Position
*
Address
From (MM-DD-YYYY)
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
To (MM-DD-YYYY)
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Reason for Leaving
*
DOT-regulated position?
*
Yes
No
Subject to FMCSA drug/alcohol testing?
*
Yes
No
PREVIOUS EMPLOYER 2
Company
*
Phone
*
Format: (000) 000-0000.
Position
*
Address
From (MM-DD-YYYY)
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
To (MM-DD-YYYY)
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Reason for Leaving
*
DOT-regulated position?
*
Yes
No
Subject to FMCSA drug/alcohol testing?
*
Yes
No
PREVIOUS EMPLOYER 3
Company
*
Phone
*
Format: (000) 000-0000.
Position
*
Address
From (MM-DD-YYYY)
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
To (MM-DD-YYYY)
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Reason for Leaving
*
DOT-regulated position?
*
Yes
No
Subject to FMCSA drug/alcohol testing?
*
Yes
No
Back
Next
If additional space is required, please attach a separate sheet with the requested information.
5 ACCIDENT HISTORY
5 ACCIDENT HISTORY
Rows
Date
Nature of Accident
Fatalities
Injuries
HazMat Spill
1
2
3
No applicable accidents to report
6 TRAFFIC VIOLATIONS
TRAFFIC VIOLATIONS
Rows
Date
State
Violation
Penalty / Disposition
1
2
3
No applicable violations to report
7 LICENSE SUSPENSION / REVOCATION
Has any driver's license, permit, or privilege to operate a motor vehicle ever been denied, suspended, or revoked?
*
Yes
No
If yes, explain:
8 CRIMINAL HISTORY
Have you been convicted of, pleaded guilty or no contest to, or received a deferred adjudication for a criminal offense that has not been sealed, expunged, or otherwise made confidential by law?
*
Yes
No
If yes, provide the offense, date, jurisdiction, and a brief explanation:
A criminal record will not automatically disqualify an applicant from consideration. Aldis Cargo LLC will consider relevant information in accordance with applicable federal, state, and local law.
9 ADDITIONAL DRIVER QUALIFICATIONS
Are you legally qualified to operate a commercial motor vehicle?
*
Yes
No
Can you provide a current Medical Examiner's Certificate when required?
*
Yes
No
Can you provide documentation establishing identity and authorization to work as required by law?
*
Yes
No
10 APPLICANT CERTIFICATION & AUTHORIZATION
By typing my full legal name below and submitting this application, I certify that the information I have provided is true and complete to the best of my knowledge. I understand that false or materially misleading information may affect my consideration for employment, contracting, lease-purchase, or rental opportunities with
Aldis Cargo LLC
.
I authorize Aldis Cargo LLC, where permitted by law and after any separately required disclosures or authorizations have been provided, to verify information relevant to my qualifications, including employment and driving-related information.
Full Legal Name (Typed):
*
First Name
Last Name
Date:
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
*
I have read and agree to the certification and authorization above.
This application intentionally does not request a Social Security number, date of birth, or handwritten/digital signature.
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