CDL Driver Job Application

APPLICANT INFORMATION

Position Applying For
(The Age Discrimination of Employment Act of 1967 prohibits discrimination on the basis of age with respect to individuals who are at least 40 but less than 70 years of age.)

Current & 3 Years Previous Addresses:

Referral Info

Have You Worked For STI Before?
If Yes, provide dates.

Education History

Employment History

Give a COMPLETE RECORD of all employment for the past three (3) years, including any unemployment or self-employment periods, and all commercial driving experience for the past ten (10) years.
Company Address
Company Address
City
State/Province
Zip/Postal
Country

Driving Experience

Straight Truck

Tractor & Semitrailer

Tractor & Doubles

Tractor & Triples

Driving Experience (continued)

Maximum upload size: 268.44MB
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?
Is there any reason you might be unable to perform the functions of the job for which you have applied (as described in the job description)?
Have you ever been convicted of a felony?

Job References

List three (3) persons for references, other than family members, who have knowledge of your safety habits.
I have read and agree:
I have read and agree:
I have read and agree:
I have read and agree:
I have read and agree:
I have read and agree:
I have read and agree:
I have read and agree:
I have read and agree:

Equal Employment Opportunity "Employee Questionnaire" for Self-Identification of Race/Ethnicity

Click here to read the Anti-Discrimination Notice
Gender

Definitions of race/ethnicity are below (as defined by the Equal Employment Opportunity Commission)

Race/Ethnic Identification (check one):

Are you Hispanic or Latino?
If you answered "No" please select a race from the options below:

Definitions of race/ethnicity are (as defined by the Equal Employment Opportunity Commission):

Hispanic of Latino - A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin regardless of race. 

White (Not Hispanic or Latino) - A person having origins in any of the original peoples of Europe, the Middle East, or North Africa

Black or African American (Not Hispanic or Latino) - A person having origins in any of the black racial groups of Africa. 

Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino) - A person having origins in any of the peoples of Hawaii, Guam, Samoa, or other Pacific Islands

Asian (Not Hispanic or Latino) - A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian Subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam

American Indian or Alaska Native (Not Hispanic or Latino) - A person having origins in any of the original peoples of North and South America (including Central America), and who maintain tribal affiliation or community attachment

Two or More Races (Not Hispanic or Latino) - All persons who identify with more than one of the above five races.

Request for Check of Driving Record

I agree:
I agree:
I agree:

REQUESTED BY: Signature Transport, Inc., Tammy Catlin-Toney - HR Director 

TO: 

  • OR DMV Records, 1905 Lana Ave NE, Salem, OR 97314-2250 
  • WA Dept. of Licensing, Driver Record Section, PO Box 9030, Olympia, WA 98507-9030 
  • ID Transportation Dept., Driver Services Section, PO Box 34, Boise, ID 83731 
  • NV DMV & PS, Motor Vehicle Records Section, 555 Wright Way, Carson City, NV 89611-9250
  • CA Dept. of Motor Vehicles, Information Services Branch, PO Box 944247, G-199, Sacramento, CA 94244-2470 

The following named individual has made application with our company as a driver of a commercial motor vehicle requiring us to obtain and review his/her motor vehicle driving record for the past 3 years, and on an annual basis thereafter, while retained by Signature Transport, Inc. as a driver. CFR Part 391.23