Company 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.

Thank you for your interest in driving for Wootten Logistics, we will review your application and be in touch within the next three business days.

Full Name

First NameLast Name

Preferred Name, if different from name provided above:

For example, if you go by your middle name or a shortened version of your full name.

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Have you lived at this address for at least 3 years?

Must list all addresses and how long you lived at the address for the past 3 years:

Social Security Number

Date of Birth

MonthDayYear

Phone Number

Area CodePhone Number

E-mail

Have you ever been known by any other name?

Please list name

Explain i.e. maiden name, name change, or

If hired, can you furnish proof you are eligible to work in the U.S.?

Are you at least 23 years of age or older?

HIGH SCHOOL

Name of High School Attended

Location of High School

City, State

Dates of Attendance

Did you graduate?

COLLEGE

Name of College or University Attended

Location of College or University

City, State

Dates of Attendance

Did you graduate?

What was the highest level you completed?

Have you served in the military?

Branch of Service

Please list Dates of Service

Enlist date - Discharge date

Did you receive an honorable discharge?

Have you held a VALID U.S. license for the past 36 months?

State of Issue

License Number

License Class

License Expiration Date

MonthDayYear

Please list any licenses held in other states within the past 5 years, include state and license numbers if possible:

DOT Physical Expiration Date

MonthDayYear

CDL Endorsements

Hazmat expiration date

MonthDayYear

TWIC expiration date

MonthDayYear

Have you ever been denied a license, permit or privilege to operate a motor vehicle?

Have you ever had any license, permit or privilege suspended or revoked?

If you indicated yes on either of the above questions, please give date and length of denial, suspension and/or revokation, city/county, state and reason why:

Explain in detail.

Work History: Please list current/most recent employer first.

Is this your current employer?

Start date

MonthDayYear

End date

MonthDayYear

Employer Name

City, State

Employer phone

Area CodePhone Number

Position Held

Reason for leaving

May we contact this employer at this time?

Was this a driving position?

Type of truck

Type of trailer

Trailer length

Number of states driven

Were you subject to DOT rules while employed with this company?

While employed by this company, was your job designated as "safety-sensitive," making you subject to the DOT drug and alcohol testing requirements?

Do you have another employer to add?

NEXT EMPLOYER

Start date

MonthDayYear

Ending date

MonthDayYear

Employer Name

City, State

Employer phone

Area CodePhone Number

Position Held

Reason for leaving

Was this a driving position?

Type of truck

Type of trailer

Trailer length

Number of states driven

Were you subject to DOT rules while employed with this company?

While employed by this company, was your job designated as "safety-sensitive," making you subject to the DOT drug and alcohol testing requirements?

Do you have another employer to add?

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

Type of truck driven

Type of trailer

Trailer length

Number of states driven

Were you subject to DOT rules while employed with this company?

While employed by this company, was your job designated as "safety-sensitive," making you subject to the DOT drug and alcohol testing requirements?

Do you have another employer to add?

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

Type of truck driven

Type of trailer

Trailer length

Number of states driven

Were you subject to DOT rules while employed with this company?

While employed by this company, was your job designated as "safety-sensitive," making you subject to the DOT drug and alcohol testing requirements?

Do you have another employer to add?

If you need additional space for previous employment, please list it here and include ALL information fields same as above:

Have you attended truck driving school?

Did you graduate?

Dates of Attendance

School information

School Name

Address

CityState / Province

GPA (if available)Country

School phone number

Area CodePhone Number

Driving Experience

Indicate experience in number of years, if none, just leave blank

STRAIGHT TRUCK

Tanker

Flat Bed

Van

Reefer (Refrigerated Unit)

Straight Truck Pulling Trailer

TRACTOR TRAILER

Tanker

Flat Bed

Van

Reefer (Refrigerated Unit)

Doubles

Triples

OTHER

Please list any other experience if not listed above:

Driving History

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

If yes, please list city/county, state, month, year and nature of offense as well as any fines involved:

Please list miles/per hour over limit for speeding offenses.

Have you had any accidents in the last 5 years?

Did any of the accidents result in injuries?

Did any of the accidents result in fatalities?

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

If you indicated that any of the accidents resulted in injuries and/or fatalities, please explain in detail below:

Have you ever been convicted of a DUI, DWI, or OWI?

If yes, please indicate which one(s):

If yes, please list date of conviction, city, county, state, length of sentence if served jail time, amount of fine and/or length of license suspension:

MUST have complete information to satisfy insurance carrier requirements.

Have you ever been convicted of a misdemeanor?

If yes, please list date and nature of offense, city/county, state, length of sentence if served jail time, length of probation sentence and/or amount of any fines:

Have you ever been convicted of a felony?

If yes, please give date and nature of offense, city/county, state, amount of any fines, length of time served in jail and/or length of probation sentence:

List ALL information asked for per insurance requirements.

Official Disclosure Statement:

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

I authorize Wootten Logistics LLC to make such investigations and inquiries of my personal, employment, driving, financial, medical, Drug and Alcohol Testing history and other related matters as may be necessary in arriving at an employment decision. (Generally, inquiries regarding medical, drug testing and alcohol testing history will be made only if and after a conditional offer of employment has been extended.). I hereby release former employers, schools, health care providers and other persons from all liability in responding to inquiries and releasing information in connection with my application.

In the event of employment, I further understand that any false or misleading information given in either my application or in interview(s) may result in discharge. I understand, also, that I will be required by Wootten Logistics LLC to abide by all the rules and regulations of the company and any Federal/state agency. This includes all mandatory safety meetings/training meetings.

Choose ONE:

By signing I agree I have read the above statements.

Applicant's Printed Name

First NameLast Name

General Information

Education

Military Experience

License Information

Employment History

Driver Qualification and Experience

Additional Information