Daphne / Spanish Fort

Driver’s Application For Employment

List your addresses of residency for the past 3 years

Current Address

Previous Addresses

Employment Status

Do you have the legal right to work in the United States?
Can you provide proof of age?

Have you worked for this company before?

Reason for leaving?

Are you currently employed?

If not, how long since last employment?

Who referred you? Expected rate of pay:

Accident Record for Past 3 Years

Date Nature of Accident Fatalities Injuries

Traffic Convictions and Forfeitures for the Past 3 Years (other than parking violations)

Location Date Charge Penalty


Highest grade completed?

Highest grade for High School? Highest grade for College?

Last school attended
Name: City:

Experience and Qualifications - Driver

State License No Type Expiration Date

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

Has any license, permit or privilege ever been suspended or revoked?

If the answer to either of the above is Yes, please give details.

Driving Experience

Class of Equipment Type of Equipment From Date To Date Approx. No. of Miles

Special courses or training that will help you as a driver:

Which safe driving awards do you hold, and from whom?

Experience and Qualifications - Other

Show any trucking, transportation, or experience that may help in your work for this company:

Employment History

All driver applicants to drive in interstate commerce must provide the following information on all employees during the preceding 3 years. List complete mailing address, street number, city, state, and zip code. Applicants to drive a commercial motor vehicle in intrastate or interstate commerce shall also provide an additional 7 years information on those employers for whom the applicant operated such vehicle. (Note: List employers in reverse order starting with the most recent.)

Reason for Leaving:

Reason for Leaving:

Reason for Leaving:

Reason for Leaving:

If called for an interview, please have social security number and ID.