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Driver Application - East Coast
Contact Information
--- CONTACT INFORMATION ---
Name
Phone
Street Address
City
State
Zip Code
Email
Applying for Company or Owner Operator position?
Company
Owner Operator
Applying for Local or OTR position?
Local
OTR
How did you hear about Go To Logistics?
Work Information
--- WORK INFORMATION ---
CDL #
State
Endorsement
Are HAZMAT Certified?
Yes
No
List tickets in the last 3 years
List accidents in the last 3 years
Are you 23 years or older?
Yes
No
How long driving a CMV?
Select
1 year
2 - 5 years
6 - 10 years
11 - 15 years
16+ years
Can you provide proof that you are legally eligible to work in the U.S.?
Yes
No
Have you ever tested positive or refused to test on any pre-employment drug or alcohol test administered by an employer to which you applied for, but did not obtain employment during the past two years?
Yes
No
Work History: Current Employer
--- WORK HISTORY: CURRENT EMPLOYER ---
Employer Name
Phone
Address
Are you presently employed?
Yes
No
May we call your current employer?
Yes
No
Position held
From:
To:
Why do you want to change employers?
Were you subject to FMCSR rules?
Yes
No
Was job designated as a safety sensitive function in any DOT regulated mode subject to drug and alcohol testing as by 49CFR part 40?
Yes
No
Work History: Second Employer
--- WORK HISTORY: SECOND EMPLOYER ---
Employer Name
Phone
Address
Are you presently employed?
Yes
No
May we call your current employer?
Yes
No
Position held
From:
To:
Why do you want to change employers?
Were you subject to FMCSR rules?
Yes
No
Was job designated as a safety sensitive function in any DOT regulated mode subject to drug and alcohol testing as by 49CFR part 40?
Yes
No
Work History: Third Employer
--- WORK HISTORY: THIRD EMPLOYER ---
Employer Name
Phone
Address
Are you presently employed?
Yes
No
May we call your current employer?
Yes
No
From:
To:
Why do you want to change employers?
Were you subject to FMCSR rules?
Yes
No
Was job designated as a safety sensitive function in any DOT regulated mode subject to drug and alcohol testing as by 49CFR part 40?
Yes
No
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