Skip to content
Fax 623-936-7360
Mon - Fri: 9:00 am - 5:00 pm
623-936-4339
Home
About
Services
Location
Application
Contact
Menu
Home
About
Services
Location
Application
Contact
Drivers Application
Drivers Application For Employment
Name
First
Middle
Last
Date
MM slash DD slash YYYY
Phone
(Required)
Email
(Required)
Drivers License Number
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Expires
MM slash DD slash YYYY
Position(s) Applied for
Social Security Number
Date of Birth
MM slash DD slash YYYY
Residency
List your addresses of residency for the last 3 years
Address
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
How Long?
Address
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
How Long?
Address
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
How Long?
Do you have the legal right to work in the United States?
Yes
No
Date of Birth
MM slash DD slash YYYY
Can you provide proof of age?
Yes
No
Have You Worked for this company before?
Yes
No
From:
MM slash DD slash YYYY
To:
MM slash DD slash YYYY
Where?
Position?
Rate of Pay
Reason for leaving
Are you currently employed?
Yes
No
How long since leaving last employment?
Who referred you?
Rate of pay expected
Have you ever been bonded?
Yes
No
(Answer only if a job requirement)
Name of bonding company
Have you ever been convicted of a felony?
Yes
No
Please explain fully.
Conviction of a crime is not an automatic bar to employment - all circumstances will be considered.
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 intrastate or interstate commerce shall also provide additional 7 years' information on these employers for whom the applicant operated such vehicle. (NOTE: List employers in reverse order starting with the most recent.)
Employer Name
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Position Held
Salary/Wage
Reason for leaving
Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Contact Person
Phone
Were you subject to the FMCSRS while employed?
Yes
No
Was your job designated as a safety-sensitive function in any DOT-regulated mode subject to the Drug and Alcohol testing requirments of 49 CFR Part 40?
Yes
No
Employer Name
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Position Held
Salary/Wage
Reason for leaving
Position Held
Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Contact Person
Phone
Were you subject to the FMCSRS while employed?
Yes
No
Was your job designated as a safety-sensitive function in any DOT-regulated mode subject to the Drug and Alcohol testing requirments of 49 CFR Part 40?
Yes
No
Employer Name
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Position Held
Salary/Wage
Reason for leaving
Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Contact Person
Phone
Were you subject to the FMCSRS while employed?
Yes
No
Was your job designated as a safety-sensitive function in any DOT-regulated mode subject to the Drug and Alcohol testing requirments of 49 CFR Part 40?
Yes
No
Employer Name
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Position Held
Salary/Wage
Reason for leaving
Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Contact Person
Phone
Were you subject to the FMCSRS while employed?
Yes
No
Was your job designated as a safety-sensitive function in any DOT-regulated mode subject to the Drug and Alcohol testing requirments of 49 CFR Part 40?
Yes
No
Accident Record
Accident record for the past 3 years or more. If none, write none.
Date
MM slash DD slash YYYY
Nature of accident
(Head-on, Rear-end, upset, ect.)
Injuries
Fatalities
Hazardous Material Spill
Date
MM slash DD slash YYYY
Nature of accident
(Head-on, Rear-end, upset, ect.)
Injuries
Fatalities
Hazardous Material Spill
Date
MM slash DD slash YYYY
Nature of accident
(Head-on, Rear-end, upset, ect.)
Injuries
Hazardous Material Spill
Fatalities
Traffic Convictions
Traffic convictions and forfeitures for the past 3 years (other than parking violations). If none, write none.
Date
MM slash DD slash YYYY
Location
Charge
Penalty
Date
MM slash DD slash YYYY
Location
Charge
Penalty
Date
MM slash DD slash YYYY
Location
Charge
Penalty
Experience and Qualifications - Driver
Traffic convictions and forfeitures for the past 3 years (other than parking violations). If none, write none.
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
License Number
Type
Expiration Date
MM slash DD slash YYYY
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
License Number
Type
Expiration Date
MM slash DD slash YYYY
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
License Number
Type
Expiration Date
MM slash DD slash YYYY
Have you ever been denied a license, permit, or privilege to operate a motor vehicle?
Yes
No
Has any license, permit, or privilege ever been suspended or revoked?
Yes
No
Give Details
Straight Truck
Yes
No
Type of Equipment
Van
Tank
Flat
Dump
Refer
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Tractor and Semi-Trailer
Yes
No
Type of Equipment
Van
Tank
Flat
Dump
Refer
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Tractor - Two Trailers
Yes
No
Type of Equipment
Van
Tank
Flat
Dump
Refer
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Tractor - Three Trailers
Yes
No
Type of Equipment
Van
Tank
Flat
Dump
Refer
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Motorcoach - School Bus
Yes
No
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Select States operated in for the last five years
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Show special courses or training thatt will help you as a driver
Which safe driving awards do you hold and from whom?
Show any trucking, transportation, or other experience that may help in your work for this company.
List courses and training other than shown elsewhere in this application
List special equipment or technical materials you can work with (other than those already shown)
Education
Highest Grade Completed
1
2
3
4
5
6
7
8
High School
Associate Degree
Bachelor's Degree
Graduate or Professional Degree
Some College
Other
Last School Attended
Fair Credit Reporting Authorization
(Required)
I authorize SFS Trucking, INC. to obtain a Motor Vehicle Report on you. You also acknowledge that you have received a copy of this form and "A Summary of Your Right Under the Fair Credit Reporting Act" and that upon request, you will receive a copy of the Motor Vehicle Report.
Any employee, who does not authorize SFS Trucking, INC. to obtain a Motor Vehicle Report, will not be allowed to operate a vehicle in conjunction with their employment until a MOtor Vehicle Report can be provided for review.
Any information provided in this form or recovered from the Motor Vehicle Report is the property of SFS Trucking, INC and will be placed in the employee's personal file. It may be reviewed with the employee and their supervisor and/or manager at any time. However, only upon request, will SFS Trucking, INC. provide you with a copy of the Motor Vehicle Report.
Pre-Employment Urinalysis Agreement
(Required)
I have read and understand the above conditions for the Pre-employment Urinalysis Content Agreement
The Federal Motor Carrier Safety Regulations Title-49 United States Code of Federal Regulations, Section 391.103, Pre-employment testing requirement apply to driver-applicants of this company.
391-103 Pre-Employment testing requirements:
A. A motor carrier shall require a driver-applicant who the motor Carrier intends to hire or use to be tested for the use of controlled substances as a prequalification condition.
B. A driver-applicant shall submit to controlled substance testing as a pre-qualification condition.
C. Prior to collection of a urine sample under 391.107 of this subpart, a driver-applicant shall be notified that the sample will be tested for the presence of controlled substances.
As a condition of my Employment Application, I consent to the Urine sample collection and controlled substance testing.
I understand a positive test for controlled substances based on the Urinalysis Test will medically disqualify me from the operation of a commercial motor vehicle for this company.
The MRO (Medical Review Officer) will maintain the results of the Urinalysis Test. Negative and Positive results will be reported to the company.
My written authorization is required for the Urinalysis Test results to be given to other parties.
Pre-Employment Agreement
(Required)
I have read and understand the below and voluntarily agree to all terms and conditions thereof.
SFS Trucking Services, Inc. prides itself in maintaining a safe and desirable workplace for everyone by ensuring a drug-free environment.
As a condition of employment, SFS Trucking Services, Inc. drug tests all Driver applicants being considered for employment and requires current D.O.T. Medical Certificates along with random Drug and Alcohol testing of all qualified drivers.
Driver applicants selected for employment with SFS Trucking Services, Inc. are placed on a 90-day probationary period from the hire date.
Therefore, as a condition of employment with SFS Trucking Services, Inc. should I resign my position or I am terminated for any reason within the probationary period, other than workforce reductions due to economic conditions, I agree to reimburse all costs incurred by SFS Trucking Servies, Inc. for initial Drug Screening, Physical Exams and administrative costs.
Further, I agree and understand the above listed costs incurred as a direct result of my employment, will charged back to me and subsequently deducted from my final paycheck.
Disclosure
(Required)
I authorize GoodHire and its agents to contact my current employer if necessary to verify my current employment status.
Section 1: Disclosure
PAR Compliance & Consultants LLC (the "Company") may request background information about you from a consumer reporting agency in connection with your employment application and for employment purposes. The report ordered is defined by the Fair Credit Reporting Act (FCRA) as a Consumer Report, and all inquires are limited to information that affects job performance and the workplace. It is conducted in accordance with applicable federal and state laws including the FCRA. The screening will be conducted by an outside agency - GoodHire, LLC - Address: P.O. Box 391403 Omaha, NEW 68139 | Phone: 1-888-906-7351 | Fax: 650-352-1933 | Email: support@goodhire.com. As a result, GoodHire may obtain a Consumer Report on your as an applicant or during employment.
A consumer report is a compilation of information that might affect your employability. The scope of the report may include information concerning your driving record, civil and criminal records, credit, drug screening results, worker's compensation record, education, credentials, identity, past addresses, social security number, previous employment and personal references.
Should an employer rely upon consumer report for an adverse action, the FCRA mandates you be provided with a copy of the consumer report and a summary of your rights. An adverse action is defined as "a denial of employment or any other decision for employment purposes that adversely affects any current or prospective employee."
Section 2: Authorization and Release
I have carefully read and understood this Candidate Disclosure, Authorization & Consent for the Procurement of Consumer Reports form and the attached summary of rights under the Fair Credit Reporting Act. By my signature below, I consent to the release of consumer reports and investigative consumer reports prepared by a consumer reporting agency, GoodHire, LLC., to the Company and its designated representatives and agents. I understand that if the Company hires me, my consent will apply, and the Company may obtain reports, throughout my employment. I also understand that information contained in my job application or otherwise disclosed by me before or during my employment, if any, may be used for the purpose of obtaining consumer reports and/or investigate consumer reports. By my signature below, I authorize law enforcement agencies, learning institutions (including public and private schools and universities), information service bureaus, credit bureaus, record/data repositories, courts (federal, state, and local), motor vehicle records agencies, my past or present employers, the military, and other individuals and sources to flourish any and all information on me that is requested by the consumer reporting agency. By my signature below, I certify the information I provided on this form is true and correct and will be valid for any reports that may be requested by or on behalf the Company.
for California, Minnesota, Oklahoma, Massachusetts, or New York Residents.
Check this box to receive a free copy of any Consumer Report or Credit Report from GoodHire electronically. For a paper copy, contact GoodHire at 1-888-906-7351 or support@goodhire.com.
If you are a resident of, or performing jobs located in, California, Minnesota, Oklahoma, Massachusetts, or New York, check this box to receive a free copy of any Consumer Report or Credit Report from GoodHire electronically. For a paper copy, contact GoodHire at 1-888-906-7351 or support@goodhire.com.