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Collects education, DOT certification drivers application details, prior three years residency, references, driving experience, accident record, and traffic convictions. Ends with required compliance certification under Federal Motor Carrier Safety Regulations.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/exam/","Exam",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/employment-application-cdl-license-driver-qualification-certification-form/302884/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/employment-application-cdl-license-driver-qualification-certification-form/302884.png","ImageObject",300,407,{"name":42,"@type":43},"Mack Lee","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-21","2026-09-19",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",14,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What eligibility and authorization details are requested on the CDL employment application?","Question",{"text":63,"@type":64},"The form asks whether the applicant is at least 21, legally authorized to work in the US, and whether identity and eligibility proof will be required upon employment. 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We strongly encourage women, minorities, individuals with disabilities and veterans to apply to all our job openings. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without any regard to race, color, religion, gender, national origin, disability status, protected veteran status, or any other characteristic protected bylaw. Consistent with the Americans with Disabilities Act, applicants may request accommodations if needed to participate in the application process.  \nApplicant Information:  \nFull Name:   Date:   \nLast First Middle (Application Completed)  \nAddress:  \n\n| Physical Address (No P.O. Box) | Apartment/Unit \\# |\n| --- | --- |\n\nCity State ZIP Code  \nPhone:  ( ) ( )   \n(Home) (Cell)  \nSocial Security \\#     Date Can Start:   Salary Desired$   \nPosition(s) Applying  \nFor:    \nReferred by:    \nYES NO YES NO  \nAre you at least 21 years old?   Are you legally authorized to work in the US?    \n(Proof of identity & eligibility will be required upon employment)  \nHave you ever worked for or applied with this YES NO  \ncompany before?   If yes, when?   \nYES NO If yes, when &  \nHave you ever been convicted, plead guilty, or   details:   \nno contest to a felony? (*Answering “yes” does not constitute an automatic rejection to employment. Date of offense, seriousness, & nature of violation, & position applied for will be considered.)  \nWould you object to pre-employment drug Test & Physical?  \nYES  \nNO  \nDL \\# & State:   Do you have a good driving record? Yes  or No   \nWhich CDL license do you have? (A)  or (B)   \nWhich endorsements?    \nCan you perform the essential functions of the  \nYES  \nNO  \nposition for which you are applying for?  \n(*If you have any question as to what functions are applicable to the position for which you are applying for, please ask the interviewer before answering this question.)  \nEducation:  \nHigh School:   City, State:   Graduate: Yes  or No  Technical:   Trade:   Graduate: Yes  or No  College / Univ:   Major/Degree:   Graduate: Yes  or No   \nDRIVERS APPLICATION FOR DOT CERTIFICATION  \nPREVIOUS THREE YEARS RESIDENCY  \n  \\# YEARS    \n(STREET) (CITY) (STATE & ZIP CODE)  \n  \\# YEARS    \n(STREET) (CITY) (STATE & ZIP CODE)  \n  \\# YEARS    \n(STREET) (CITY) (STATE & ZIP CODE)  \nReferences:  \nPlease list three persons not related to you, whom you have known for at least one year.  \nName:   Phone \\#:   \nName:   Phone \\#:    \nName:   Phone \\#:   \nDRIVING EXPERIENCE  \n\n| CLASS OF\u003Cbr>EQUIPMENT | TYPE OF EQUIPMENT (VAN, TANK, FLAT, ETC.) | DATES\u003Cbr>FROM (M/Y) TO (M/Y) | APPROX. NO. OF MILES (TOTAL) |\n| --- | --- | --- | --- |\n| STRAIGHT TRUCK |  |  |  |\n| TRACTOR AND SEMITRAILER |  |  |  |\n| TRACTOR – TWO TRAILERS |  |  |  |\n| OTHER |  |  |  |\n\nACCIDENT RECORD FOR PAST 3 YEARS OR MORE (ATTACH SHEET IF MORE SPACE IS NEEDED)  \n\n| DATES | NATURE OF ACCIDENT\u003Cbr>(HEAD-ON, REAR-END, UPSET, ETC.) | NUMBER\u003Cbr>FATALITIES | NUMBER\u003Cbr>INJURIES | CHEMICAL\u003Cbr>SPILLS |\n| --- | --- | --- | --- | --- |\n|  |  |  |  | YES  NO  |\n|  |  |  |  | YES  NO  |\n|  |  |  |  | YES  NO  |\n\nTRAFFIC CONVICTIONS AND FORFEITURES FOR THE PAST 3 YEARS (OTHER THAN PARKING VIOLATIONS)  \n\n| DATE CONVICTED\u003Cbr>(month/year) | VIOLATION | STATE OF VIOLATION LOCATION | PENALTY\u003Cbr>(forfeited bond, collateral and/or points) |\n| --- | --- | --- | --- |\n|  |  |  |  |\n|  |  |  |  |\n|  |  |  |  |\n\nREQUIRED QUESTIONS  \nA. Have you ever been denied a license, permit or privilege to operate a motor vehicle? YES   NO    \nB. Has any license, permit or privilege ever been suspended or revoked? YES   NO    \nC. Have you ever been convicted of any criminal act involving the use of a CMV or while driving a CMV?  \nYES   NO    \nD. Have you ever refused to be tested for drugs or alcohol for DOT-mandated test? YES   NO    \nE. Have you ever","cbCaig7VD4yzgIYh","https://ap.wps.com/l/cbCaig7VD4yzgIYh","pdf",396062,"English","# Applicant Information\n# Eligibility and Required Questions\n# CDL and Driver License Requirements\n# Education and Residency\n# References and Driving Experience\n# Accident Record and Traffic Convictions\n# Certification of Compliance","[{\"question\":\"What eligibility and authorization details are requested on the CDL employment application?\",\"answer\":\"The form asks whether the applicant is at least 21, legally authorized to work in the US, and whether identity and eligibility proof will be required upon employment. It also includes questions about prior work or application with the company and felony convictions.\"},{\"question\":\"What CDL license and driving record information must be provided?\",\"answer\":\"Applicants must indicate whether they have a good driving record and which CDL license they have (A or B), along with endorsements. The form also asks whether the applicant can perform the essential functions of the position.\"},{\"question\":\"What driver compliance and reporting requirements are certified at the end of the form?\",\"answer\":\"The certification section states requirements under Parts 383 and 391 of the Federal Motor Carrier Safety Regulations, including holding only one license and notifying the employer the next business day of any suspension or revocation. It also requires reporting certain traffic violations within the specified timeframe.\"}]","Employment Application - CDL License - Driver Qualification & Certification Form | PDF",1789798477]