General Information

    Full Name *

    Email *

    Address *

    Address (line 2)

    City *

    State *

    Zip Code *

    Country *

    Phone Number *

    Last 4 of SSN *

    If hired, can you furnish proof you are eligible to work in the U.S.? *
    YesNo

    Are you at least 24 years of age or older? *
    YesNo

    Have you ever worked for passenger transportation company? *
    YesNo

    If yes, when & where

    Job Interest

    Do you have reliable transportation to get you to and from work? *
    YesNo

    Position applying for *

    Referred by *

    Salary required *

    Check each day you are available to work (please note that most positions require weekend availability) *
    MondayTuesdayWednesdayThursdayFridaySaturdaySunday

    Type of employment desired (check all that apply) *
    Full-timePart-timeTemporarySummer only

    Are you willing to work (check all that apply) *
    Days (7am-4pm)Evenings (4pm-11pm)Nights (11pm-7am)OvertimeHolidays

    Is there any time that you cannot work?

    Employment History Information

    Work History: USDOT requires that employment for at least 3 years and/or commercial driving experience for the past 10 years be shown.

    Company name

    Position held

    Address

    Address (line 2)

    City

    State

    Zip Code

    Country

    Start date

    Date finished

    Employer phone

    Supervisor name

    Describe your duties

    Reason for leaving

    Were you subject to Federal Motor Carrier Safety Regulations (FMCSR) while employed by this previous employer?
    YesNo

    Was this previous job position designated as a safety sensitive function in any USDOT regulated mode, subject to alcohol and controlled substance testing requirements as required by 49 CFR Part 40?
    YesNo

    Next Employer

    Company name

    Position held

    Address

    Address (line 2)

    City

    State

    Zip Code

    Country

    Start date

    Date finished

    Employer phone

    Supervisor name

    Describe your duties

    Reason for leaving

    Were you subject to Federal Motor Carrier Safety Regulations (FMCSR) while employed by this previous employer?
    YesNo

    Was this previous job position designated as a safety sensitive function in any USDOT regulated mode, subject to alcohol and controlled substance testing requirements as required by 49 CFR Part 40?
    YesNo

    Next Employer

    Company name

    Position held

    Address

    Address (line 2)

    City

    State

    Zip Code

    Country

    Start date

    Date finished

    Employer phone

    Supervisor name

    Describe your duties

    Reason for leaving

    Were you subject to Federal Motor Carrier Safety Regulations (FMCSR) while employed by this previous employer?
    YesNo

    Was this previous job position designated as a safety sensitive function in any USDOT regulated mode, subject to alcohol and controlled substance testing requirements as required by 49 CFR Part 40?
    YesNo

    Drivers License Information

    Drivers license number

    State issued

    Type

    Endorsements

    Expires

    Have you ever been denied a license, permit or privilege to operate a motor vehicle?
    YesNo

    Has any license, permit or privilege ever been suspended or revoked?
    YesNo

    Check the vehicles you have experience operating
    Motorcoach (Bus)School BusTractor TrailerStraight TruckMini BusLimoPassenger Van (Transportation Company Related)Town Car

    Explain any accidents in the past 3 years with dates and nature of the accident

    List all traffic convictions for the past 3 years with the date and location

    Additional Information

    Have you ever been convicted of a felony? *
    YesNo

    If yes, please give date and explain

    Are you now or have you ever been under investigation for a felony?
    YesNo

    If yes, please give date and explain

    Have you ever been employed under a name other than the name used on this application? *
    YesNo

    If yes, please explain

    Education Information

    High School

    Name & City/State of High School *

    Course of Study/ Degree Earned *

    Did you graduate? *
    YesNoAttending

    College or University

    Name & City/State of College or University

    Course of Study/ Degree Earned

    Did you graduate?
    YesNoAttending

    Other

    Name & City/State of Other (specify)

    Course of Study/ Degree Earned

    Did you graduate?
    YesNoAttending

    You should hire me because... *

    I understand and agree that, if hired my employment is "at will" and is not for a definite period and may, regardless of circumstances, be terminated at any time without prior notice by the Company. I further acknowledge that no contract of employment will be valid against the company unless signed by the Chief Operating Officer of the Company.

    I acknowledge that as a condition of my employment, I will be required to agree to be bound by the terms of and sign the Company. Failure to sign this Agreement shall result in revocation of my offer of employment.

    Choose ONE: *
    I AcceptI Do Not Accept