Truck Driver Application Template

Position/Lane Applying For
Long Vehicle Driver
Phone Number
(516) 606-9331
Truck Driver Application Form
GENERAL INFORMATION
Full Name
Chad Patterson
Date of Birth
27/8/1981
Address
142 Horizon Circle
Seattle, WA, 98101
United States
Name & City/State of High School
Hawkins, Nevada
Did you graduate?
Yes
Are you eligible to work in the U.S.?
Yes
Have you held a VALID US license for the past 36 months?
Yes
License Class
Class-B
License Number
1111111111111
License expiration date
8/9/2022
Expiration date of DOT physical card
19/9/2025
Please list any licenses held in other states for the previous 5 years, include license numbers if you can.
Licesce1 and License2
CDL Endorsements
None
Tanker
Doubles/Triples
X Endorsement
Branch of service
Air Force
Were you ever in the military?
No
Did you receive an honorable discharge?
No
Have you been to truck driving school?
Yes
School phone number
(631) 897-8594
School information
3862 Trymore
Road Mankato, MN , 56001
Did you graduate?
Yes
WORK HISTORY
Employer Name
Smiths
Position Held
Driver
Start date
1/1/1994
City, State
California
Ending date
1/1/1998
Employer phone
(516) 854-5166
Is this your current employer?
No
May we contact this employer at this time?
Yes
Was this a driving position?
Yes
Number of states driven
5
Reason for leaving
More salary expectations
Type of truck
Dump truck
Type of trailer
Tanker
Trailer length
45'-53'
EMERGENCY CONTACT INFORMATION
Full Name
Johnson Walker
Relationship to you
Friend
Phone Number
(216) 399-6169
Address
4218 Jefferson Street
Newport News, VA , 23603
United States

Official Disclosure Statement:

I certify that I personally completed this application and that all of the information is true and correct to the best of my knowledge.

Authorization to Release Records

I authorize the carrier subscribers indicated on this application to do a complete background investigation in accordance with state and federal laws. I authorize my previous employers to release any information requested by these carrier subscribers and hold them harmless of all liability from the release of said information.

I have completed this application of my own free will and hold harmless of all liability all companies, agents and associated parties for the use of this application.

Choose ONE:
I ACCEPT
By signing I agree I have read the above statements
Item - Smooth Signature 0
About this template

It requires great responsibility to be a truck driver because of the fact that they must take the responsibility of the stuff he carries and they actually risk their whole lives on roads.

Hiring a qualified truck driver also taking risks by the reason for the safety of people on the road, and the liability and health of the company.

This fully customizable Truck Driver Application PDF template will help you to have an eye out for the answers of important form questions such as contact information, experience, background, and legal issues. Try this Truck Driver Application PDF template today and even manage the format and the form fields according to your business!

Categories
Details
2,041 Clone
Created by
Jotform
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