Capitol Warehousing | Driver Application
15448
page-template,page-template-full_width,page-template-full_width-php,page,page-id-15448,page-child,parent-pageid-15412,ajax_fade,page_not_loaded,,vertical_menu_enabled,side_area_uncovered_from_content,qode-child-theme-ver-1.0.0,qode-theme-ver-11.1,qode-theme-bridge,wpb-js-composer js-comp-ver-5.1.1,vc_responsive

Driver Application

Capitol Warehousing Trucking

Driver Employment Application

In compliance with Federal and State equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status, veteran status, non-job related disability, or any other protected group status.

                       
To be Read and Signed by Applicant
I authorize you to make such investigations and inquiries of my personal, employment, financial or medical history and other related matters as may be necessary in arriving at an employment decision. (Generally, inquiries regarding medical history will be made only if and after a conditional offer of employment has been extended.) I hereby release employers, schools, health care providers and other persons from all liability in responding to inquiries and releasing information in connection with my application.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the Company.

I understand that information I provide regarding current and/or previous employers may be used, and those employer(s) will be contacted, for the purpose of investigating my safety performance history as required by 49 CFR 291.23(d) and (e). I understand that I have the right to:

1. Review information provided by previous employers;

2. Have errors in the information correct by previous employers and for those previous employers to re-send the corrected information to the prospective employer; and

3. Have a rebuttal statement attached to the alleged erroneous information, if the previous employer(s) and I cannot agree on the accuracy of the information.
 
Applicant Information
List your addresses for the past 3 years

Current address

Past 3 Years

Conviction of a crime is not an automatic bar to employment - all circumstances will be considered.

Is there any reason you might be unable to perform the functions of the job for which you have applied (as described in the job description)?
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 an additional 7 years’ information on those employers for whom the applicant operated such vehicle.
NOTE: List employers in reverse order starting with the most recent. Attach an additional file to this application as necessary.
Was your job designated as a safety-sensitive function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR Part 40?

Was your job designated as a safety-sensitive function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR Part 40?

Was your job designated as a safety-sensitive function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR Part 40?

Was your job designated as a safety-sensitive function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR Part 40?

Was your job designated as a safety-sensitive function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR Part 40?

Was your job designated as a safety-sensitive function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR Part 40?

*Includes vehicles having a GVWR of 26,001 lbs. or more, vehicles designed to transport 16 or more passengers (including the driver), or any size vehicle used to transport hazardous materials in a quantity requiring placarding.
**The Federal Motor Carrier Safety Regulations (FMCSRs) apply to anyone operating a motor vehicle on a highway in interstate commerce to transport passengers or property when the vehicle: (1) weighs or has a GVWR of 10,001 pounds or more, (2) is designed or used to transport more than 8 passengers (including the driver), OR (3) is of any size and is used to transport hazardous materials in a quantity requiring placarding.
Driving Record
Accident Record
For the past 3 years or more. Attach a file if more space is needed. If none, write 'None.'



Traffic Convictions and Forfeitures
For the past 3 years (other than parking violations) If none, write 'None.'



Experience and Qualifications - Driver
Driver Licenses
List all driver licenses or permits held in the past 3 years.




Driving Experience
Check yes or no. If yes, select the type of equipment
VanTankFlatDumpRefer

VanTankFlatDumpRefer

VanTankFlatDumpRefer

VanTankFlatDumpRefer

VanTankFlatDumpRefer

VanTankFlatDumpRefer
Experience and Qualifications - Other
Education
File Upload

Applicant Certification
This certifies that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge.