H&F Trucking Driver Application

We're looking for good drivers to join our team.

Please complete and submit the driver application below.
* Must have at least 3 years prior driving experience *

Applicant Information

Date

Position applying for

Contractor Driver

Name

Phone

Age

Date of Birth

SSN

Medical Card Exp. Date

Have you worked for this company before?

Yes No

If you answered yes, give dates:

Start Date (Mo/Yr)

End Date (Mo/Yr)

Reason for leaving

Employment History

Give a COMPLETE RECORD of all employment for the last three (3) years, including any unemployment or self-employment periods starting with the present or most recent employment.

Employer Name

Start Date (Mo/Yr)

End Date (Mo/Yr)

Employer Address

Employer Phone

Position Held

Reason for leaving

Were you subject to the FMCSRs while employed here?

Yes No

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?

Yes No

----------

Employer Name

Start Date (Mo/Yr)

End Date (Mo/Yr)

Employer Address

Employer Phone

Position Held

Reason for leaving

Were you subject to the FMCSRs while employed here?

Yes No

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?

Yes No

----------

Employer Name

Start Date (Mo/Yr)

End Date (Mo/Yr)

Employer Address

Employer Phone

Position Held

Reason for leaving

Were you subject to the FMCSRs while employed here?

Yes No

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?

Yes No

Driving Experience

Give a COMPLETE RECORD of all commercial driving experience for the past ten (10) years.

Straight Truck

Start Date (Mo/Yr)

End Date (Mo/Yr)

Approximate # of Miles

Tractor & Semi Trailer

Start Date (Mo/Yr)

End Date (Mo/Yr)

Approximate # of Miles

Other

Start Date (Mo/Yr)

End Date (Mo/Yr)

Approximate # of Miles

List all states operated in for the last five (5) years:

List special courses/training completed (PTD/DDC, HAZMAT, etc.)

List any Safe Driving Awards you hold and from whom:

Accident Record for the past three (3) years:

Date of Accident

Nature of Accident

Location of Accident

# of Fatalities

# of Injuries

----------

Date of Accident

Nature of Accident

Location of Accident

# of Fatalities

# of Injuries

----------

Date of Accident

Nature of Accident

Location of Accident

# of Fatalities

# of Injuries

Driver's License - List each driver's license held in the past three (3) years:

State

License

Type

Endorsements

DL #

Exp. Date

----------

State

License

Type

Endorsements

DL #

Exp. Date

----------

State

License

Type

Endorsements

DL #

Exp. Date

----------

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

Yes No

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

Yes No

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)?

Yes No

Job References

List three (3) persons for references, other than family members, who have knowledge of your safety habits:

Name

Address

Phone

----------

Name

Address

Phone

----------

Name

Address

Phone

Applicants Please Read Before Submitting

It is agreed and understood that any misrepresentation given on this application shall be considered an act of dishonesty.

It is agreed and understood that the motor carrier or his agents may investigate the applicant's background to obtain any and all information of concern to applicant's record, whether same is of record or not, and applicant releases employers and person named herein from all liability for any damages on account of his furnishing such information.

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 investigating Consumer Report, including information regarding my character, general 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 application file.

It is agreed and understood that this application in no way obligates the motor carrier to employ or hire the applicant.

It is agreed and understood that if qualified and hired, I may be on a probationary period during which time I may be disqualified without recourse.

By submitting this application, the applicant 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.

If you need help, please give us a call at 806-440-0461.

Call (806) 440-0461