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Driver Application
Knockout Questions (Required)
Do you currently hold a valid Class A CDL?
Yes
No
Do you currently possess an X Endorsement (Tanker + Hazmat)?
Yes
No
How many years of Class A driving experience do you have?
Less than 1 year
1–2 years
2–5 years
5+ years
How many years of tanker driving experience do you have?
None
Less than 1 year
1–3 years
3+ years
How many years of petroleum or fuel hauling experience do you have?
None
Less than 1 year
1–3 years
3+ years
Have you ever failed or refused a DOT drug or alcohol test?
Yes
No
Can you pass a DOT drug screening and DOT physical examination?
Yes
No
Are you willing to work nights, weekends, holidays, and overtime as needed?
Yes
No
Are you legally authorized to work in the United States?
Yes
No
Do you currently possess a TWIC Card or can you obtain one if required?
Yes
No
Personal Information
First Name
Middle Name
Last Name
Preferred Name (Optional)
Phone Number
Email Address
Address
Date of Birth
Best Method of Contact
Phone
Text
Email
Position Information
Position Applying For
Preferred Terminal Location
Desired Employment Type
Full-Time
Part-Time
Temporary
Desired Annual Income
Available Start Date
How did you hear about us?
Company Website
Indeed
Facebook
Referral
Current Employee
Other
If referred by an employee, who referred you?
CDL & Licensing Information
Do you currently hold a valid Class A CDL?
Yes
No
CDL Number
Issuing State
CDL Expiration Date
Current Endorsements
Tanker (N)
Hazmat (H)
Tanker/Hazmat (X)
Doubles/Triples (T)
Have you ever had your CDL suspended, revoked, or disqualified?
Yes
No
If yes, please explain.
Petroleum Hauling Experience
Have you previously hauled any of the following?
Gasoline
Diesel
Jet Fuel
Ethanol
Crude Oil
Lubricants
Chemicals
Other
Please describe your petroleum hauling experience.
What types of equipment have you operated?
Tank Wagons
MC-306 Tankers
Semi Tankers
Pup Trailers
Doubles
Other
Have you performed fuel loading and unloading at terminals?
Yes
No
If yes, which terminals or loading racks have you worked with?
Driving Experience
Years of Class A Driving Experience
Years of Tanker Experience
Years of Fuel Hauling Experience
Approximate Miles Driven Annually
Have you operated:
Manual Transmission
Automatic Transmission
Both
Current Employment
Current Employer
Current Position
Current Employer Phone Number
Supervisor Name
Employment Start Date
May we contact your current employer?
Yes
No
Reason for Leaving (if applicable)
Employment History (Past 10 Years)
Employer Name
Job Title
Supervisor Name
Phone Number
Start Date
End Date
Reason for Leaving
Safety & Compliance
Have you had any preventable accidents within the last 3 years?
Yes
No
If yes, please explain.
Have you received any moving violations within the last 3 years?
Yes
No
If yes, please explain.
Have you ever been convicted of:
DUI/DWI
Reckless Driving
Leaving the Scene of an Accident
Serious Traffic Violations
If yes, please explain.
Are you registered with the FMCSA Drug & Alcohol Clearinghouse?
Yes
No
Do you consent to a DOT Clearinghouse query?
Yes
No
Can you pass a DOT pre-employment drug screen?
Yes
No
Can you pass a DOT physical examination?
Yes
No
Work Availability
Are you willing to work:
Nights
Weekends
Holidays
Overtime
Emergency Dispatches
Are you willing to travel overnight if required?
Yes
No
Can you perform the essential functions of the position with or without reasonable accommodation?
Yes
No
TWIC & Security
Do you currently possess a valid TWIC Card?
Yes
No
TWIC Expiration Date
If no, are you eligible and willing to obtain a TWIC Card?
Yes
No
Emergency Contact
Emergency Contact Name
Relationship
Primary Phone Number
Alternate Phone Number
Professional References
Name
Company
Relationship
Phone Number
Email Address
Applicant Certification
I certify that all information provided in this application is true and complete to the best of my knowledge. I understand that any false statement, omission, or misrepresentation may result in disqualification from employment consideration or termination of employment if hired. I authorize the company to verify information provided and conduct background checks, motor vehicle record checks, employment verification, DOT Clearinghouse queries, and pre-employment drug testing as permitted by law.
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