Driver Application

Driver Employment Application

It is the policy of The Frate Group, Inc. to provide equal employment opportunities to all applicants and employees without regard to any legally protected status such as race, color, religion, gender, national origin, age, disability or veteran status. All questions on this form must be completed. Please print and use ink. Applications will remain on file for 90 days

Date of application:

Referral Source:

Resume attached: (attach resume next step)

Attach Resume

One file only.
5 MB limit.
Allowed types: txt, rtf, doc, docx, pdf.

PERSONAL INFORMATION

Last Name

First Name

Middle Name

Current Street Address

Country

Street address

City

Postal code

Have you resided at your current address for 3 or more years?

Previous Street Address (If current address less than 3 yrs)

Country

Home Phone

Cell Phone

E-Mail Address

Date of Birth

Height

feet

inches

Weight

Have you applied to JA Frate previously?

Have you worked for JA Frate previously?

Do you have any friends or relatives that work here?

If yes, please list.

POSITION INFORMATION

Are you able to perform the essential functions of the job you are applying for, with or without reasonable accommodation?

Will Accept

Shift Preference

Date Available

Salary Desired

GENERAL INFORMATION

If hired, are you able to submit proof that you are legally eligible for employment in the United States?

References

Reference Name	Telephone Number	Relationship
Reference Name	Telephone Number	Relationship
Reference Name	Telephone Number	Relationship

Emergency Contact

Name	Telephone Number	Relationship
Name	Telephone Number	Relationship

EDUCATION & TRAINING INFORMATION

Highest Level of Education Completed?

Name of Last School Attended

List any Occupational Awards, Certifications or Licenses

Occupational Awards, Certifications or Licenses	Where Issued	Expiration Date	Operations
Occupational Awards, Certifications or Licenses	Where Issued	Expiration Date

Veteran Information

Branch of Service	Date of Entry	Date of Discharge	Operations
Branch of Service	Date of Entry	Date of Discharge

EXPERIENCE & QUALIFICATIONS

Driver Licenses

STATE	LICENSE NO.	TYPE	EXPIRATION	ENDORSEMENTS	Operations
STATE	LICENSE NO.	TYPE	EXPIRATION	ENDORSEMENTS
STATE	LICENSE NO.	TYPE	EXPIRATION	ENDORSEMENTS

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

If yes to this question, please upload document with additional details.

One file only.
5 MB limit.
Allowed types: txt, rtf, doc, docx, pdf.

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

If yes to this question, please upload document with additional details.

One file only.
5 MB limit.
Allowed types: txt, rtf, doc, docx, pdf.

Have you ever been convicted of a felony or misdemeanor?

If yes to this question, please upload document with additional details.

One file only.
5 MB limit.
Allowed types: txt, rtf, doc, docx, pdf.

Have you ever violated the FMCSA Alcohol or Controlled Substances prohibitions?

If yes to this question, please upload document with additional details.

One file only.
5 MB limit.
Allowed types: txt, rtf, doc, docx, pdf.

CLASS OF EQUIPMENT	TYPE OF EQUIPMENT	APPROX. NO. MONTHS/YRS DRIVEN	APPROX. NO. MILES DRIVEN
CLASS OF EQUIPMENT	TYPE OF EQUIPMENT	APPROX. NO. MONTHS/YRS DRIVEN	APPROX. NO. MILES DRIVEN

CLASS OF EQUIPMENT	TYPE OF EQUIPMENT	APPROX. NO. MONTHS/YRS DRIVEN	APPROX. NO. MILES DRIVEN
CLASS OF EQUIPMENT	TYPE OF EQUIPMENT	APPROX. NO. MONTHS/YRS DRIVEN	APPROX. NO. MILES DRIVEN

CLASS OF EQUIPMENT	TYPE OF EQUIPMENT	APPROX. NO. MONTHS/YRS DRIVEN	APPROX. NO. MILES DRIVEN
CLASS OF EQUIPMENT	TYPE OF EQUIPMENT	APPROX. NO. MONTHS/YRS DRIVEN	APPROX. NO. MILES DRIVEN

List states operated in for last 5 years:

DRIVING RECORD

Accident record and Traffic convictions for past 5 years, attach sheet below if more space is needed.

Accidents

DATE	NATURE OF ACCIDENT	INJURIES	FATALITIES	Operations
DATE	NATURE OF ACCIDENT	INJURIES	FATALITIES

Traffic Convictions

DATE	LOCATION	CHARGE	PENALTY	Operations
DATE	LOCATION	CHARGE	PENALTY

Attach document here if more space is need.

One file only.
5 MB limit.
Allowed types: txt, rtf, doc, docx, pdf.

EMPLOYMENT HISTORY

PLEASE READ - All drivers must provide information on all employers during the preceding 3 years. If applying for a position driving a Commercial Motor Vehicle you must also provide an additional 7 years of employment information for those employers for whom the applicant operated such vehicle, for up to a total of ten years. Your present and previous employers will be contacted for the purpose of investigating your safety performance history as required by 391.23 of the FMCSRs. Please list your most current employment first. List all jobs, including self-employment, military history and explain any gaps in employment. List complete dates, addresses and phone numbers for each employer.

EMPLOYMENT INFORMATION

Company Name

From

Company Address

Country

Telephone Number

Job Title

Wage

Supervisor Name

Reason for leaving

Were you subject to the FMCSRs?

Were you subject to DOT Drug/Alcohol Testing?

EMPLOYMENT INFORMATION

Company Name

From

Company Address

Country

Telephone Number

Job Title

Wage

Supervisor Name

Reason for leaving

Were you subject to the FMCSRs?

Were you subject to DOT Drug/Alcohol Testing?

EMPLOYMENT INFORMATION

Company Name

From

Company Address

Country

Telephone Number

Job Title

Wage

Supervisor Name

Reason for leaving

Were you subject to the FMCSRs?

Were you subject to DOT Drug/Alcohol Testing?

EMPLOYMENT INFORMATION

Company Name

From

Company Address

Country

Telephone Number

Job Title

Wage

Supervisor Name

Reason for leaving

Were you subject to the FMCSRs?

Were you subject to DOT Drug/Alcohol Testing?

EMPLOYMENT INFORMATION

Company Name

From

Company Address

Country

Telephone Number

Job Title

Wage

Supervisor Name

Reason for leaving

Were you subject to the FMCSRs?

Were you subject to DOT Drug/Alcohol Testing?

EMPLOYMENT INFORMATION

Company Name

From

Company Address

Country

Telephone Number

Job Title

Wage

Supervisor Name

Reason for leaving

Were you subject to the FMCSRs?

Were you subject to DOT Drug/Alcohol Testing?

OTHER EXPERIENCE & QUALIFICATIONS

Show any trucking, transportation or other experience that may be helpful in your work for this company.

List courses and training other than those previously stated in the application.

List equipment or technical materials you can work with other than those already previously stated.

APPLICANT CERTIFICATION

I certify that the information provided on this application is truthful and accurate. I understand that providing false or misleading information will be the basis for rejection of my application, or if my employment commences, immediate termination.

I authorize The Frate Group, Inc. to contact former employers and educational organizations regarding my employment and education. I authorize my former employers and educational organizations to fully and freely communicate information regarding my previous employment, attendance, and grades. I authorize those persons designated as references to fully and freely communicate information regarding my previous employment and education.

I have the right to review information provided to The Frate Group, Inc. by previous employers and have any errors in such information corrected by my previous employer as stated in Section 391.23(i) of the FMCSRs. Should I wish to review this information, I must submit a written request to The Frate Group as stated in Section 391.23(i) of the FMCSRs.

I HAVE CAREFULLY READ THE ABOVE CERTIFICATION AND I UNDERSTAND AND AGREE TO ITS TERMS.