Commercial Driver Application

Upload Your Resume: You'll find an "Upload Resume" link at the top of this application. This is a quick and convenient way to share your employment history, especially if you have an updated resume.To upload your resume, click on the "Upload Resume" link below.
Fill In Employment Information: Alternatively, you can manually fill in the fields below to detail your employment history.
Note: You don't have to do both. You can choose to either upload your resume or fill in the employment information manually.

Upload Resume

Max file size 10MB.

Uploading...

fileuploaded.jpg

Upload failed. Max size for files is 10 MB.

Applicant Name

Primary Phone

Email Address

Current Address

* If at the above residence less than three years, list below all residences for the past three years.

Previous Address

Position Applying For?

Temporary

Part Time

Full Time

Who Referred You?

Rate of Pay Expected?

Have you worked for DNA Empire Logistics before?

If yes, when?

Where?

Rate of Pay

Position

Reason for Leaving

Names of any relatives employed by DNA Empire Logistics

Are you currently employed?

If not, how long since leaving last employment?

Education

Last School Attended

Military ExperienceHave you ever served in the U.S Armed Forces?

If yes,Which branch?

Are you currently serving in the Military Reserves?

Are you currently in the National Guard?

GeneralHave you ever been convicted of a felony?

* Conviction of a crime is not an automatic bar to employment - all circumstances will be considered.

DRIVER EXPERIENCE AND QUALIFICATIONS

*The Federal Motor Carrier Safety Regulations (49CFR391.21 (b) (2) requires that driver applicants state their date of birth and SS #.

Date of Birth

Social Security Number

Physical History

*The Federal Motor Carrier Safety Regulations (49CFR391 Subpart E) requires that all driver applicants pass certain physical tests before they are hired to drive a motor vehicle.

Date of last Department of Transportation prescribed examination

Can you provide a copy

Have you ever been granted a waiver under section 391.49 of the Federal Motor Carrier Safety Regulations pertaining to the loss of foot, leg, hand or arm?

ALCOHOL AND CONTROLLED SUBSTANCE STATEMENTHave you ever been convicted of a felony?

*The Federal Motor Carrier Safety Regulations 49CFR40.25(j) requires all persons with applying for a driving position requiring a commercial drivers license to answer the following questions:

1) Within the last two years, have you ever tested positive, or refused to test, on any pre-employment drug or alcohol test administered by an employer to which you applied for, but did not obtain, safety-sensitive transportation work?2) Within the last two years, have you ever tested positive, or refused to test, on any type of drug or alcohol test administered by an employer for which you preformed safety-sensitive transportation work?3) If you answered yes to either 1 or 2 above, can you provide and/or obtain proof that you have successfully completed the DOT return-to-duty requirements?

Applicants Signature

Date

Driving Experiences

Straight Truck

Tractor and Semi - Trailer

Twin

Other

List States or regions operated in during the last five years:List special courses or training that will help you as a driver: List safe driving awards held and who awards were presented by:Accident Review for the past 3 years

Date

Nature of Accident

# of Fatalities

# of Injuries

# of Vehicles Towed

Citation Issued?

Date

Nature of Accident

# of Fatalities

# of Injuries

# of Vehicles Towed

Citation Issued?

Date

Nature of Accident

# of Fatalities

# of Injuries

# of Vehicles Towed

Citation Issued?

MOTOR VEHICLE DRIVING RECORD (MVR)
Traffic Convictions and Forfeitures for the past 3 years other than parking violations.

Date

Location

Charge

Penalty

Date

Location

Charge

Penalty

Date

Location

Charge

Penalty

Employment Record

The Federal Motor Carrier Safety Regulations (49CFR391.21) require that all applicants wishing to drive a commercial vehicle list all employment for the last three (3) years. In addition, if you have driven a commercial vehicle previously, you must provide employment history for an additional seven (7) years for a total of ten (10) years. Any gaps in employment must be explained.
‍
Start with the last or current position, including any military experience, and work back (Attach separate sheet if necessary.) You are required to list the complete mailing address: street number, city, state and zip code.

Current Employer

Supervisors Name

Address

Phone

Position Held

Dates Held

Salary

Reasons for Leaving

Previous Employer

Supervisors Name

Address

Phone

Position Held

Dates Held

Salary

Reasons for Leaving

Previous Employer

Supervisors Name

Address

Phone

Position Held

Dates Held

Salary

Reasons for Leaving

Previous Employer

Supervisors Name

Address

Phone

Position Held

Dates Held

Salary

Reasons for Leaving

APPLICANT MUST READ AND SIGN

I certify that I have read and understand all of this employment application. It is agreed and understood that the employer or hisagents may investigate the applicant’s background to ascertain any and all information of concern to applicant’s record, whether same is of record or not, and applicant releases employers and other persons named herein from all liability for any damages on account of his furnishing such information. I understand that, as an applicant for a position with this company, I may be asked to demonstrate that I am capable of performing tasks that are pertinent to the job.
It is also agreed and understood that under the Fair Credit Reporting Act, Public Law 91-508, I have been told that this investigation may include an investigative Consumer Report, including information regarding my character, personal reputation, personal characteristics and mode of living.
I agree to furnish such additional information and complete such examinations as may be required to complete my employment file.
I also understand that misrepresentation or omission of information or facts may result in my rejection or dismissal.
If hired, I agree to abide by all the rules and policies of the employer.
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.

Applicant Signature
Date

Upload Resume

Max file size 10MB.

Uploading...

fileuploaded.jpg

Upload failed. Max size for files is 10 MB.

Thank you! Your submission has been received!

Oops! Something went wrong while submitting the form.

Commercial Driver Application

Commercial Driver Application

Who we are

Contact Us