CDL Job Application

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 the presence of non-related job medical condition of handicap. All motor carriers regulated under Federal Motor Carrier Safety Regulations must meet the requirements of Title 49 CFR Part 391 and Part 382 as they apply to qualifying the applicant for a driving position.

"*" indicates required fields

Your Personal Information

Position(s) You're Applying For*

Your Name*

First Last

Your Email Address*

Enter Email Confirm Email

Do you have a legal right to work in the United States?*

Date of Birth*

Phone*

Social Security Number

Addresses for past three years

Current Address*

Street Address Unit / Suite Number City State Zip Code

Months at this address

Previous Address

Street Address Unit / Suite Number City State Zip Code

Months at this address

Are you now employed*

How long since leaving last employment?*

Who referred you?

Rate of pay expected*

Have ever been bonded?

Answer only if a job requirement

Name of bonding company*

List any reasons you might be unable to perform the functions of the job for which you are applying

Employment History

All driver applicants to drive in interstate commerce must provide the following information on all employers during the preceding 3 years. List complete mailing address, street number, city, state and zip code.

Applicants to drive a commercial motor vehicle* in interstate or intrastate commerce shall also provide an additional 7 years' information on those employers for whom the applicant operated such vehicle.

Your Previous Employers*

Please list your previous employers, the dates you worked and the position you held. List employers in reverse order starting with the most recent.

Name

Address

Dates Worked

Job Position

Contact Person

Contact Phone

Ending Wage

Reason for Leaving

Subject to FMCSRs²

Safety-sensitive Function³

* Includes vehicles having a GVWR of 26,001 lbs. or more, vehicles designed to transport 16 or more passengers (including the driver), or any size vehicle used to transport hazardous materials in a quantity requiring placarding.

² The Federal Motor Carrier Safety Regulations (FMCSRs) apply to anyone operating a motor vehicle on a highway in interstate commerce to transport passengers or property when the vehicle: (1) weighs or has a GVWR of 10,001 pounds or more, (2) is designed or used to transport more than 8 passengers (including the driver), OR (3) is of any size and used to transport hazardous materials in a quantity requiring placarding.

³ Was your job designated as a safety-sensitive functions in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR part 40?

Check here to indicate that all required driving history where your drove a vehicle weighing more than 26,001 lbs. GCVWR, or was designed to carry 16 or more passengers including the driver, or which transported hazardous materials in placardable quantities for the period describe above has been included in this application*

I have included all required driving history

Accident Record for Past 3 Years

Have you had any accidents in the past 3 years?*

List of Accidents*

Date

Nature of Accident

Fatalities

Injury

Hazardous Material Spill

Traffic Convictions & Forfeitures for Past 3 Years

Have you had any traffic convictions or forfeitures in the past 3 years?*

List of Traffic Convictions/Forfeitures*

Date

Location

Charge

Penalty

Experience & Qualifications

Valid licenses currently held.

List of Experience & Qualifications*

State

License Number

Type

Expiration Date

A) Have you ever been denied a license, permit or privilege to operate a motor vehicle?*

B) Has any license, permit or privilege ever been suspended or revoked?*

If you answered "yes" to question A or B, explain the details:

Driving Experience

Examples for Type: Van, Tank, Flat, etc.

Straight Truck

Type

From

Miles

Tractor and Semi-Trailer

Type

From

Miles

Tractor - Two Trailers

Type

From

Miles

Tractor - Three Trailers

Type

From

Miles

Motor Coach - School Bus (more than 8 passengers)

Type

From

Miles

Motor Coach - School Bus (more than 15 passengers)

Type

From

Miles

List States Operated in for Last 5 Years*

List special courses or training that will help you as a driver

Which safe driving awards do you hold and from whom?

Experience and Qualifications

Show any trucking, transportation or other experience that may help in your work for this company

List courses and training other than shown elsewhere on this application

List special equipment or technical materials you can work with (other than those already shown)

Highest Grade Completed*

Last School Attended (Name, City, State)

Terms and Conditions

This certifies that I completed this application, and that all entries on it and information in it are true and complete to the best of my knowledge. I understand that the employment information I provided in the Employment History section of this application may be used, and my previous employers will be contacted, for the purpose of investigating my safety performance history information as required by 49 CFR 391.23(d) and (e). I authorize Zwald Transport, Inc. and its agents to contact my former employers for the purpose of fulfilling the requirements of the 49 CFR Parts 391.22 and 382.413. I further authorize Zwald Transport, Inc. and its agents to make any such additional inquires beyond the FMCSR minimum requirements that are necessary to qualify this application. I do hereby release Zwald Transport, Inc., its agents and any of my former employers from any and all liability which may result from obtaining and/or furnishing such information. I have received a copy of and been advised of my rights under 49 CFR 391.23(h) and (i) review information provided by previous employers upon submitting a written request within 30 days after being notified of denial of employment, (ii) have errors in information corrected, and (iii) have a rebuttal statement attached to allege erroneous information.

Acceptance*

I agree to the Terms and Conditions

Electronic Signature*

Date*

This field is for validation purposes and should be left unchanged.