Drivers Application | PEEPS Transportation, Inc

Commercial Driver

Application for Employment

Not just any driver can be a PEEPS driver. We handpick safe and experienced candidates who can meet our own–and our customers' rigorous performance standards. We trust our drivers to be the face of our company because we know they will provide exceptional service in every job, and for every customer.

Please fill out all of the sections below:

Applicant Information

First Name

Last Name

Current Address

City

State

Postal Code

Telephone Number

Email Address

Position Applying For:

Education

Select Highest Grade Completed

Last School Attended _

Military

Have you ever served in the U.S. Armed Forces?

If yes, which branch of service:

Are you currently serving in Military Reserves?

Are you currently serving in National Guard?

General

Have you ever been bonded?

Name of bonding company :

Have you ever been convicted of a felony?

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

Last 4 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.

Department of Transportation Exam

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 STATEMENT

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?

DRIVER’S LICENSE INFORMATION

Licenses held in past 3 years must be shown State License Number Type Expiration

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?

C. Have you ever been disqualified for violations of the Federal Motor Carrier Safety Regulations?

DRIVER EXPERIENCE AND QUALIFICATION

List states 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 Give Details:

Traffic Convictions and Forfeitures for the past 3 years other than parking violations. Give Details

EMPLOYMENT RECORD

Current Employer:

Previous Employer:

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 his agents 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:

Dated:

Come Drive For Us APPLICATION

Commercial Driver

Application for Employment

Please fill out all of the sections below:

Applicant Information

Education

Military

General

DRIVER EXPERIENCE AND QUALIFICATIONS

PHYSICAL HISTORY

ALCOHOL AND CONTROLLED SUBSTANCE STATEMENT

DRIVER’S LICENSE INFORMATION

DRIVER EXPERIENCE AND QUALIFICATION

EMPLOYMENT RECORD

APPLICANT MUST READ AND SIGN