Driver's Application for Employment

State(s) Applying For (check all that apply)

Type of Driver Position Applying For (check all that apply) *

Regional

Local

Position Applies for: DRIVERS POSITION In compliance with Federal and State equal employment opportunity laws; qualified driver applicants are considered for driver positions without regard to race, color, religion, sex, national origin, age, marital status, veteran status, or any other protected group status.

To Be Read and Signed by Applicant

I authorize Central Arizona Freight Inc. to make such investigations and inquires as needed of my personal, driving, criminal, employment, financial and or medical history and other related matters as may be necessary in arriving at an employment decision. I hereby release all persons, employers, schools, health care providers and other person’s from all liability in responding to inquires and releasing information in connection with my application.

In the event of employment, I understand that any incorrect, false or misleading information given in my application or during the employment interview(s) may result in discharge. I understand that I am required to abide by All Federal Motor Carrier Safety Administration regulations and all policies, rules, and regulations of Central Arizona Freight Inc.

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 FMCSA 49 CFR 391.23(d) and (e). I understand that I have the right to:

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

I understand that I must serve a 90-day probation period during which my abilities to perform the duties of the position applied for will be monitored and evaluated. Failure to meet the company’s and FMCSA’s expectations can result in termination of my employment.

Driver Employment Applicant

Answer all Questions

First Name*

Middle Name*

Last Name*

Social Security Number *

Current Address*

City*

County*

State *

Zip Code *

Home Phone Number*

Cell Phone Number*

List All Other Names or Combination of Names You Have Used During the Last 10 years*

US Military Veteran

Yes

Branch

Years