• Twin Stix Transport — Driver's Application for Employment

    Class A CDL Driver — 2 years experience, steel hauling experience preferred. Home almost every night · Avg. $80,000/yr · Weekly pay / direct deposit · Health insurance available · Repetitious daily lanes · Christmas & longevity bonuses · Paid holidays · Vacation after 1 year · Family-based, structured company. 225 W. Wayne St., Paulding, OH 45879 · Office 419-399-2207 · Cell 419-769-0574. Takes about 10 minutes.

  • Applicant Information

  • Date of Application*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.
  • Social Security Number: For your protection, we do NOT collect your SSN online. It will be collected in person or by phone when we follow up.

  • Addresses of Residency — Past 3 Years

  • Have you lived at your current address less than 3 years?*

  • General Questions

  • Do you have the legal right to work in the United States?*
  • Date of birth*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Can you provide proof of age?*
  • Have you worked for this company before?*
  • Dates from
     - -
    2 digit month, 2 digit day, 4 digit year
  • Dates to
     - -
    2 digit month, 2 digit day, 4 digit year
  • Are you now employed?*
  • Have you ever been bonded?
  • Can you perform, with or without reasonable accommodation, the essential functions of the job?*

  • CDL & Driving Experience

  • CDL expiration date
     - -
    2 digit month, 2 digit day, 4 digit year
  • Endorsements
  • Equipment / freight experience
  • Have you ever been denied a license, permit, or privilege to operate a motor vehicle, or had one suspended or revoked?*

  • Employment History

  • Please list every employer for the past 10 years, starting with the most recent. We will contact your employers from the past 3 years to verify your safety performance history (49 CFR 391.23). Include periods of unemployment or self-employment. Federal rules (49 CFR 391.21): all driver applicants must list all employers for the preceding 3 years, plus an additional 7 years for any employers for whom the applicant operated a commercial motor vehicle*.
  • Format: (000) 000-0000.
  • Employer 1 — From*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Employer 1 — Were you subject to the FMCSRs while employed?
  • Employer 1 — Was your job designated as a safety-sensitive function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR Part 40?
  • Additional employers (optional) — keep going until you have covered the past 10 years. Leave unused blocks blank.
  • Format: (000) 000-0000.
  • Employer 2 — From
     - -
    2 digit month, 2 digit day, 4 digit year
  • Employer 2 — Were you subject to the FMCSRs while employed?
  • Employer 2 — Was your job designated as a safety-sensitive function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR Part 40?
  • Format: (000) 000-0000.
  • Employer 3 — From
     - -
    2 digit month, 2 digit day, 4 digit year
  • Employer 3 — Were you subject to the FMCSRs while employed?
  • Employer 3 — Was your job designated as a safety-sensitive function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR Part 40?
  • Format: (000) 000-0000.
  • Employer 4 — From
     - -
    2 digit month, 2 digit day, 4 digit year
  • Employer 4 — Were you subject to the FMCSRs while employed?
  • Employer 4 — Was your job designated as a safety-sensitive function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR Part 40?
  • Format: (000) 000-0000.
  • Employer 5 — From
     - -
    2 digit month, 2 digit day, 4 digit year
  • Employer 5 — Were you subject to the FMCSRs while employed?
  • Employer 5 — Was your job designated as a safety-sensitive function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR Part 40?
  • Format: (000) 000-0000.
  • Employer 6 — From
     - -
    2 digit month, 2 digit day, 4 digit year
  • Employer 6 — Were you subject to the FMCSRs while employed?
  • Employer 6 — Was your job designated as a safety-sensitive function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR Part 40?
  • Format: (000) 000-0000.
  • Employer 7 — From
     - -
    2 digit month, 2 digit day, 4 digit year
  • Employer 7 — Were you subject to the FMCSRs while employed?
  • Employer 7 — Was your job designated as a safety-sensitive function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR Part 40?
  • Format: (000) 000-0000.
  • Employer 8 — From
     - -
    2 digit month, 2 digit day, 4 digit year
  • Employer 8 — Were you subject to the FMCSRs while employed?
  • Employer 8 — Was your job designated as a safety-sensitive function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR Part 40?
  • Format: (000) 000-0000.
  • Employer 9 — From
     - -
    2 digit month, 2 digit day, 4 digit year
  • Employer 9 — Were you subject to the FMCSRs while employed?
  • Employer 9 — Was your job designated as a safety-sensitive function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR Part 40?
  • Format: (000) 000-0000.
  • Employer 10 — From
     - -
    2 digit month, 2 digit day, 4 digit year
  • Employer 10 — Were you subject to the FMCSRs while employed?
  • Employer 10 — Was your job designated as a safety-sensitive function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR Part 40?
  • * Commercial motor vehicle (CMV) includes vehicles having a GVWR of 26,001 lbs. or more, vehicles designed to transport 16 or more passengers (including the driver), or any size vehicle used to transport hazardous materials in a quantity requiring placarding. † The Federal Motor Carrier Safety Regulations (FMCSRs) apply to anyone operating a motor vehicle on a highway in interstate commerce to transport passengers or property when the vehicle: (1) weighs or has a GVWR of 10,001 pounds or more, (2) is designed or used to transport more than 8 passengers (including the driver), OR (3) is of any size and is used to transport hazardous materials in a quantity requiring placarding.

  • To Be Read and Signed by Applicant

  • TO BE READ AND SIGNED BY APPLICANT I understand that information I provide regarding current and/or previous 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(d) and (e). I understand that I have the right to: • Review information provided by previous employers; • Have errors in the information corrected by previous employers and for those previous employers to re-send 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.
  • Signature date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • In compliance with Federal and State equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status, veteran status, non-job related disability, or any other protected group status.
  • Should be Empty: