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Application for Authorization to Drive
Applications are held for 90 days. Applications are considered for position without regard to race, creed, color, sex, religion, age (other than minimum requirements), disability, marital status or national origin.
List all addresses for past 5 years
If you are applying for a job as a commercial truck driver, in case of emergency, whom should we contact?
Employment Record for the past ten (10) years.
Begin with your present or most recent job and work backward in order, listing your employers for at least 10 years including all full and part time employment. All times must be accounted for including military service, self-employment, and periods of employment. Use a Supplementary sheet if necessary.
We must have telephone numbers, Include Periods of Unemployment
Please answer the following questions.
Issuing state, License Number, Type, Expiration Date, Restrictions, Turned in?
Month/Year, Type of Claim, $$ Amount of Claim, Type of Cargo, Were you Charged for the Claim?