PLEASE NOTE: * indicates REQUIRED information.

     
*Your Name  
 Address  
*City  
*State  
*Zip Code  
     
Please insert contact phone numbers, more than one is ok.  
Home  
Cell Phone  
Others  
Fax (if available)  
*Email Address  
*Confirm Email Address  
*Birth Date  
Social Security Number  
*Do you have a CDL (Commercial Drivers License type A or B)  
*List Current Endorsements. Like chauffeurs, air brakes, passenger etc.  
*List Current License Type  
*State License Issued in now  
*Have Had How Long? Years:  Months:   
*Have you had a drivers license in any previous state besides your current state, in the last 3 years?  
*Which state?  
*Drivers License Number  
*List Current Endorsements, if any  
*Any DUI, DWI or OWI convictions?  
*Is your license suspended now?  
*Has any license of yours ever been suspended?  
*How many drug tests have you passed in the last 5 years?  
*How many drug tests have you faild in the last 5 years?  
*How many drug tests have you refused in the last 10 years?  
*Have you ever been convicted of a misdemeanor?  
*Have you ever been convicted of a felony?  
*What vehicle type do you have experience in commercial driving?
 
*With what transportation companies have you gained this experience?  
 
*With what "EXPEDITE" companies have you driven for in the past or currently?  
*With What vehicle type (s)
*Do you have any employment agreement/contract that prohibits you from working for a new or added expediting company?(Example: you are prohibited for working for another "EXPEDITE" company)  
*Would you like to run with more than one expediting carrier at a time?  
*Type of "cargo" unit you own now, if any?
*Do you:  
I wish to apply to drive a cargo unit provided to me by a carrier or fleet owner  
Do you want to:  
 
When are you available to start?  
     
Comments:  
   

Statement of Agreement and indemnification;

I authorize past or present employers to release any information requested by the above carriers and hold them harmless of all liability from release of said information. I (the name that appears on the application) have personally filled out and completed  this application, and I have read, understand and agree to the truth of this information and this Statement of Agreement and Indemnification.

I hereby agree to indemnify and hold harmless the carrier (s) / recruiting source (s) (whichever applies) that I submit this to, it's information providers licensors, licensees, consultants, contractors, agents, advertisers attorneys and employees from any and all liabilities, costs and expenses, including, without limitation, reasonable attorneys fees that may arise from my use of this site or application. Furthermore, I certify that all of the information in this application is true and correct.

I authorize the above recruiting source / carrier (s) to obtain any and all information (including, but not limited to, work history, criminal history, and drug (controlled substances) & alcohol testing, from any source to include past or present employers, Medical Review Officer (s) (MRO) or their agent (s) DAC services, and / or other consumer reports, in accordance with State and Federal laws.

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.

By clicking the Submit button, I agree to the terms and the Statement of Agreement and Indemnification.

*Signature: