~DRIVER MINIMUM QUALIFICATIONS~

Applicant’s Name:
Email Address:
Applying for what Company:  Terminal Location:
Date of Birth:  SS#:  PHONE#:    
APPLICANT’S PLEASE TYPE YOUR INITIALS IN THE SPACE
BESIDE EACH REQUIREMENT THAT YOU MEET OR EXCEED
 
Minimum age….22
  18 Months of verifiable all-weather experience with a Tractor-Trailer (within the past five years) experience must be with a 48’ and/or 53’trailer.
12 to 17 Months of verifiable all-weather experience with Tractor-Trailer (within the past five years) experience must be with a 48’ and/or 53’ trailer. Road test will be required.
  Physically qualified with a current long form DOT physical (physical must be within the past 12 months)
  No more than 4 moving violations within the previous three years of which no more than one can be considered a “Serious” violations under US DOT standards. Poor driving records beyond three years are considered & MAY prevent qualification!
  No reckless/Careless Driving convictions within three years, never in a commercial vehicle.
  Must have a valid CDL from state of residence. CDL License#    STATE:   
  No CDL driving suspensions within the past three(3) years, exception one event of failing to pay a ticket timely,
(unintentionally)
No more than one preventable DOT recordable accident within the past three years depending upon review.
  No more than two minor preventable accidents within the past three years.
  No DUI/DWI (alcohol or drugs) within the past five years, NEVER in a commercial vehicle. (No more than one ever)
  No convictions for possession and/or use of controlled substances or illegal drugs within the past five years.
  No convictions EVER for the manufacturing and/or distribution of controlled substances or illegal drugs.
  No felony convictions, criminal or traffic with the past 10 years. (Special circumstance cases will be reviewed, example bad checks several years ago, etc.)
No prior positive DOT drug or alcohol tests within the past 5 years.
  *A Major Preventable Highway Accident is:
A Major Preventable Highway Accident, whether cited or not, that involves either:
1. Personal injury that requires immediate emergency medical treatment away from the scene
2. Extensive property damage
3. The involvement of 3 or more vehicles
   

By signing/printing below I am certifying that I have read and understand the above “Driver Minimum
Qualifications” and that my initials in the space beside each minimum requirement is certification that I meet or
exceed each and every minimum requirement. Company listed on this form may/will use the information obtained
to perform a safety, employment verification and background investigation. I consent and provide the above
information.
Printed Name:  Date
Signature:
WARNING: FALSIFICATION WILL RESULT IN DISQUALIFICATION!