DRIVER’S APPLICATION FOR EMPLOYMENT

Attach copy of current DMV printout. Answer all questions – Please print

Apply
 

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, or non job related disability.


First Step

List your addresses of residency for the past 3 years

Current Address
Previous Address
Date:

Second Step

APPLICATION WILL REMAIN ACTIVE FOR 30 DAYS

EMPLOYMENT HISTORY FOR PAST 10 YEARS

Provide Complete Address and Phone Numbers

All driver applicants to drive in interstate commerce must provide the following information on all employers 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. Add additional sheets as necessary.)
Leave NO BLANKS or gaps in time for the past 10-year period. Application is incomplete without all information.

Date:
Date:
Date:
Date:
Date:

Third Step

ACCIDENT RECORD FOR PAST 3 YEARS OR MORE (ATTACH SHEET IF MORE SPACE IS NEEDED) IF NONE WRITE NONE



Dates NATURE OF ACCIDENT
(HEAD ON, REAR END, UPSET, ETC)
FATALITIES INJURIES
Last ACCIDENT
Next Previous
Next Previous

IF THE ANSWER TO EITHER A OR B IS YES, ATTACH STATEMENT GIVING DETAILS



DRIVING EXPERIENCE IF NONE, WRITE NONE

CLASS OF EQUIPMENT TYPE OF EQUIPMENT
(VAN, TANK, FLAT, ETC.)
DATE
FromTo
TYPE OF EQUIPMENT
(VAN, TANK, FLAT, ETC.)
STRAIGHT TRUCK
TRACTOR AND SEMI-TRAILER
MOTORCOACH – SCHOOL BUS
OTHER

EXPERIENCE AND QUALIFICATIONS – OTHER


Forth Step

TO BE READ AND SIGNED BY APPLICANT

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.

I authorize you to make such investigations and inquiries of my personal, employment, financial or medical history and other related matters as may be necessary in arriving at an employment decision. (Generally, inquiries regarding medical history will be made only if and after a conditional offer of employment has been extended.) I hereby release employers, school, health care providers and other persons form all liability in responding to inquiries and releasing information in connection with my application.

In the event of employment, I understand that false or misleading information given in my application or interview(s) my result in discharge. I understand, also, that I am required to abide by all rules and regulations of the Company.



Applicant's Signature


PROCESS RECORD




(IF REJECTED SUMMARY REPORT OF REASONS SHOULD BE PLACED IN FILE)


About Victory
 
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CONTACT US

Get in touch with us

 

Postal Address

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9724 E Ave. Victory Transportation, LLC

(760) 784-9774
(760) 610-0401

mail@victory-transportation.com
http://victory-transportation.com/

Feel Free to Drop Us a Line

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