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CDL Driver Application

CDL Driver Application

CDL Driver ApplicationConectAdmin2024-06-21T21:40:49+00:00

Application form

"*" indicates required fields

Step 1 of 12 - start

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Please Have the Following Information Ready

  • Social Security Number
  • Home address history for the past 3 years
  • Current drivers license number and drivers license history for the past 3 years
  • Employment history up to 10 years.
  • History of traffic accidents, violations, and / or convictions from the last 5 years (including DUI or reckless driving convictions and license suspensions)
  • Military history (if applicable)

Please be aware that providing incomplete information may lead to delays in processing your application or could prevent it from being submitted altogether. As a company, we adhere to Federal and State equal employment opportunity laws. Therefore, all qualified applicants are considered for any available position without regard to race, color, religion, sex, national origin, age, marital status, veteran status, non-job related disability, or any other protected group status.

Personal Information

Current Address

Drivers License Information

Is this the only current commercial driver’s license held?*

Physical History

Do you have a current D.O.T. Physical*

Driving Experience

Chose your driving experience*
Class of Equipment*
Type of Equipment
Are you interested in being a Student Driver Mentor?*

Driving Experience

Accident Record (Skip if none)

Type of Accident
At fault?
Were you ticketed?
Add another accident?

Accident Record (Skip if none)

Type of Accident
At fault?
Were you ticketed?
Add another accident.?

Accident Record (Skip if none)

Type of Accident
Were you ticketed?
At fault?

Traffic convictions (Skip if none)

Add another conviction?

Traffic convictions (Skip if none)

Add another conviction.?

Traffic convictions (Skip if none)

Driving Experience

Have you ever been denied a license, permit or privilege to operate a motor vehicle?*
Has any license, permit or privilege ever been suspended or revoked?*
Have you ever been convicted of a felony?*
Have you ever tested positive or refused a DOT drug or alchohol pre-employment Yes No test within the past two years from an employer who did not hire you?*
Have you ever been known by any other name?*

Education

Work History (Skip if none)

Add another employer?

Work History 2 (Skip if none)

Add another employer?.

Work History 3 (Skip if none)

Criminal Record

All Applicants: Do not disclose information regarding arrests, charges, and/or convictions that have been sealed, expunged, annulled, erased, statutorily eradicated, or judicially dismissed. Answering yes to any of the questions below will not automatically disqualify you from employment and instead will be considered, on an individualized basis, only as it relates to the job in question.
Have you ever been convicted of a criminal offense?*
Be sure to include specifics about whether it was a felony or misdemeanor, the nature of the crime, the state of the conviction, the date of conviction, the fine or sentence imposed, and whether the sentence has been completed, and if so when.
Do you currently have any criminal actions pending in which you are a defendent?*
Be sure to include specifics about whether it was a felony or misdemeanor, the nature of the alleged crime, the state the action is pending in, and if applicable, any scheduled trial date or other date which the matter will be resolved.

Final Step

How did you hear about us*
Consent*
It is agreed and understood that any misrepresentation given on this application for qualification shall be considered an act of dishonesty.
I give the motor carrier and its agents or representatives the right to investigate all references and to secure additional information about my employment background. I herby release from all liability
for damages the motor carrier and its agents or representatives for seeking such information an all other persons, corporations or organizations for furnishing such information.
I agree to furnish such additional information and complete such examinations as may be required to complete my employment file. It is agreed and understood that this application f or qualification
in no way obligates the motor carrier to employ me. It is agreed and understood that if qualified to operate motor carrier equipment, I may be on a
probationary period, during which I may be disqualified without recourse. 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.
This field is for validation purposes and should be left unchanged.
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(844) 474-8963(844) 474-8963
contact@connectexpress.comcontact@connectexpress.com
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