Driver Employment Application. Applicant Information: First Name, Last Name, Phone, Email, Date of Birth, Date of Application, Position Applied For, Date Available For Work, legal right to work in the United States, previous three years residency (attach additional sheet if more space is needed), and ability to upload files. License Information: “No person who operates a commercial motor vehicle shall at any time have more than one driver's license (49 CFR 383.21). I certify that I do not have more than one motor vehicle license, the information for which is listed below. Include all licenses held for the past 3 years; attach additional sheet if needed.” Provide State, License #, Type/Class, Endorsements, Expiration Date; previously held licenses. Driving Experience: Class of equipment including Straight Truck; Tractor & Semi‑Trailer; Tractor & 2 Trailers; Tractor & Tanker; Other. Provide type of equipment (Van, Tank, Flat, etc.), Date From/To, and Approx # of Miles (Total). Accident Record For The Past 3 Years: dates, nature of accident, # fatalities, # injuries, chemical spills (Yes/No); upload option. Traffic Convictions and Forfeitures for the past 3 years (other than parking violations): date convicted, violation, state of violation, penalty; option to check None and upload file. Safety Questions: whether ever denied a license/permit/privilege to operate a motor vehicle; any suspensions or revocations; if yes, explain. Employment History: “The Federal Motor Carrier Safety Regulations (49 CFR 391.21) require that all applicants wishing to drive a commercial vehicle list all employment for the last three (3) years. In addition, if you have driven a commercial vehicle previously, you must provide employment history for an additional seven (7) years (for a total of ten (10) years). Any gaps in employment in excess of one (1) month must be explained.” Provide employer contact, address, position, dates, reason for leaving, salary, explanations for gaps; indicate whether subject to FMCSR and DOT alcohol/controlled substances testing (49 CFR part 40) for each employer. Education: High School, College, Other; name & location, course of study, year completed, graduate (Yes/No), details. Other Qualifications: list any additional qualifications. Applicant Authorization and Certification: consent to investigations; release of liability; acknowledgment of company rules; FMCSR 391.23 rights to review/correct/rebut safety performance history; certification that information is true. Form includes reCAPTCHA and Submit (Send Message).