Driver Application for Employment
Name:
SSN (Last 4 digits)  
Drivers License Number
Birth Date
Address
City    State    Zip
Phone:.
E-Mail:
Date Available:
Are you an owner operator?
Total years of CDL-A driving experience?
Years of van/reefer experience?
How many chargeable accidents in last 3 yrs?
How many moving violations in last 3 yrs?
License ever suspended?
Reckless driving in last 7 yrs?
Felony Convictions?
DUI Charges?
Hazmat Certified?
Months CDL-A driving in last three yrs?
Number of jobs in last 3 yrs?

Current/Most Recent Employer:
Phone:
Are you presently Employed?
May we call your current employer?
Address:
Position Held:
From Date:
To Date:
Why do you want to change employers?

Second Last Employer:
Phone:
Address:
Position Held:
From Date:
To Date:
Why did you leave?

Third Last Employer:
Phone:
Address:
Position Held:
From Date:
To Date:
Why did you leave?

I certify that I personally completed this application and that all of the information is true and correct. I authorize Aberdeen Express to conduct a thorough background investigation in accordance with state and federal law and authorize my previous employers to release any information requested by Aberdeen Express and hold them harmless of all liability from the release of said information. Also, in accordance with the provisions of 49 CFR Part 382.405 and 382.413, I hereby authorize and require my previous and/or current employers specifically listed by me on this application to release the results (including any refusal to test) of all drug and alcohol tests taken by me pursuant to the provisions of 49 CFR while in their employment to Aberdeen Express. by whatever means is most expedient.

  
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