Driver Application Form

Note: Please only use this Web application form if you are not able to use the PDF version of this form found here.

ALL APPLICANTS MUST PROVIDE THE FOLLOWING INFORMATION:
• Completed Application, including employment history

ORIGINAL DOCUMENTS WILL HAVE TO BE PROVIDED AT THE TIME OF INTERVIEW OR AT THE TIME OF ORIENTATION

  • Original Driver's Abstract (current within 30 days)
  • Original Criminal Record Search (current within 30 days)
  • Copy of current Commercial Driver's License
  • Copy of a valid Fast Card and/or Passport
  • Completed Road Test
  • Pass a Pre-employment drug and alcohol test
  • Owner Operators will need to supply detailed information regarding their unit and registration

How did you hear about us?

-or-

Applicant Information

Applicant Name

Position Applied for:



Current Mailing Address

Previous Address if Current Address Less Than 3 Years

Previous Address #1

Previous Address #2

Have you ever been employed by us or one of our associated companies?

Do you have the legal right to drive a commercial vehicle in the United States?

Are there any reasons you may not be able to perform the functions of the position for which you applied?


Driving Experience
Tractor Trailer

Do you have Mountain Experience?

Do you have Border Crossing Experience?

Previous Employment Information

EMPLOYMENT HISTORY

Applicants with no Commercial driving experience must provide Employment History for the last 3 years. Applicants with Commercial driving experience must provide Employment History for the last 10 years. Begin with your current or most recent job and work backwards listing all your employers. All time must be accounted for including periods of self-employment and unemployment.

Previous Employer #1

Date:

Were you subject to the Federal Motor Carrier Regulations?

Was your job designated as a safety - sensitive function and subject to drug and alcohol testing requirements as per DOT 49CFR part 40?

Previous Employer #2

Date:

Were you subject to the Federal Motor Carrier Regulations?

Was your job designated as a safety - sensitive function and subject to drug and alcohol testing requirements as per DOT 49CFR part 40?

Previous Employer #3

Date:

Were you subject to the Federal Motor Carrier Regulations?

Was your job designated as a safety - sensitive function and subject to drug and alcohol testing requirements as per DOT 49CFR part 40?

Previous Employer #4

Date:

Were you subject to the Federal Motor Carrier Regulations?

Was your job designated as a safety - sensitive function and subject to drug and alcohol testing requirements as per DOT 49CFR part 40?

Previous Employer #5

Date:

Were you subject to the Federal Motor Carrier Regulations?

Was your job designated as a safety - sensitive function and subject to drug and alcohol testing requirements as per DOT 49CFR part 40?

Certificate of Application

Clicking "I Agree" certifies that this application was completed by me, and that all entries on it and information in it are true and completed to the best of my knowledge. No applicant will be eligible for hire until successfully passing an approved road test and drug screening.

Request Information From Previous Employer

I hereby authorize you to release the following information to Big Freight Systems Inc for the purpose of investigating as required by Section 391.23 of the Federal Motor Carrier Safety Regulations. You are released from any and all liability which may result from furnishing such information.

BELOW IS AN EXAMPLE OF WHAT WILL BE REQUESTED FROM PREVIOUS EMPLOYER:

Dear Sir/ Madam

The above named individual has made application to Big Freight Systems for a position as a Truck Driver. He/She states that they were employed by you.

Name of Previous Employer: _____________________

Previous Employer Address: _____________________

He/she states they were position: _____________________
We appreciate your time in completing, in confidence, the information requested below. Thank you,

Sincerely: ______________________________ Recruiting


TO BE COMPLETED BY PREVIOUS EMPLOYER:

Date: __________________________________

Employed from: __M__ / __Y__ To __M__ / __Y__

Did he/she drive a motor vehicle for you: Yes_____ No_____

Type: Truck _______ Tractor & Trailer unit ______ Other: ______________

Did he/she cross the Canada /USA border in a commercial vehicle? Yes ___ No ____

Was he/she a Safe and Efficient Driver? Yes____ No____

Attendance and Reliability: Check One 1 2 3 4 5 (1- Very Unreliable, 5 Very Reliable)

Completion of job and paper work: Check One 1 2 3 4 5 (1- Very Unreliable, 5 Very Reliable)

Reason for leaving your company? __________________

Would you rehire? Yes _____ No_____

Was the applicant part of a Drug and Alcohol program with your company? Yes____ No

Please advise us of his/her past driving record: ________________

Person Furnishing Information: Title:_________ Date:___________

Signature:__________________

Request for Drug and Alcohol Testing Information from Previous Employers

In accordance with 49 CFR 382.413 and 49 CFR 40.25 and the Pre-employment test exemption in accordance with 49 CFR 382.301(b)

The person above has applied to our company for a safety -sensitive position as outlined in 49 CFR 382.107. In compliance with DOT regulations 49 CFR 382.413.49 CFR 40.25 and 382.301 we are hereby requesting information regarding this individual involvement with your company drug and alcohol testing program. A consent for the release of this information follows:

BELOW IS AN EXAMPLE OF WHAT WILL BE REQUESTED FROM PREVIOUS EMPLOYER:

TO: Previous Employer/Company:______________ Date:__________________

Adress:________________________ Phone:___________ Fax:__________

In accordance with 49 CFR 382.405 (f) by my signature above I authorize you and / or your Third party Administrator to release any and all information regarding drug and alcohol testing done on myself including any and all information on this form and responses to questions set out on this form, while in your employment, acting as your agent, under contract with you, or acting as your representative in any capacity during the preceding three years from the above date. This information is to be released to the prospective employer named below and / or to their Third Party Administrator.

Has this person ever tested positive, as verified by an MRO, for a controlled substance test in the last 3 years? Yes_____ No_____

Has this person ever had an alcohol test with a Breath Alcohol Concentration of 0.04 or greater in the last 3 years? Yes_____ No_____

Has this person ever refused to a DOT required test for drugs or alcohol in the last 3 years (including verified adulterated or substituted drug test results? Yes_____ No_____

Do you have knowledge of any violations by this driver, under 49 CFR Subpart B or any other DOT agency drug and alcohol testing regulations within the last 3 years (including all information you received from a previous employer) Yes_____ No_____

If YES to any of the above:

  • Was the person referred to a SAP? Yes_____ No_____
  • Was the person evaluated by the SAP? Yes_____ No_____
  • If yes, did the SAP recommend treatment and or education? Yes_____ No_____
  • Was treatment completed by the SAP? Yes_____ No_____
  • Did the person undergo a return to duty test? Yes_____ No_____
  • If yes, was the return to duty test negative Yes_____ No_____
  • Did the SAP recommend follow-up testing? Yes_____ No_____
  • Did the person complete the follow-up testing? Yes_____ No_____

Signature of Person Providing Information: ____________________________

Please Print Name: _______________________________

Date: __________________________

Federal Motor Carrier Safety Administration (FMCSA) CONSENT FORM
  1. In connection with your application for employment with Prospective Employer Big Freight SystemsInc., its employees, agents or contractors may obtain one or more reports regarding your driving, and safety inspection history from the Federal Motor Carrier Safety Administration (FMCSA).
  2. When the application for employment is submitted in person, if the Prospective Employer uses anyinformation it obtains from FMCSA in a decision to not hire you or to make any other adverse employment decision regarding you, the Prospective Employer will provide you with a copy of the report upon which its decision was based and a written summary of your rights under the Fair Credit Reporting Act before taking any final adverse action. If any final adverse action is taken against you based upon your driving history or safety report, the Prospective Employer will notify you that the action has been taken and that the action was based in part or in whole on this report.
  3. When the application for employment is submitted by mail, telephone, computer, or other similarmeans, if the Prospective Employer uses any information it obtains from FMCSA in a decision to not hire you or to make any other adverse employment decision regarding you, the Prospective Employer must provide you within three business days of taking adverse action oral, written or electronic notification: that adverse action has been taken based in whole or in part on information obtained from FMCSA; the name, address, and the toll free telephone number of FMCSA; that the FMCSA did not make the decision to take the adverse action and is unable to provide you the specific reasons why the adverse action was taken; and that you may, upon providing proper identification, request a free copy of the report and may dispute with the FMCSA the accuracy or completeness of any information or report. If you request a copy of a driver record from the Prospective Employer who procured the report, then, within 3 business days of receiving your request, together with proper identification, the Prospective Employer must send or provide to you a copy of your report and a summary of your rights under the Fair Credit Reporting Act.
    1. The Prospective Employer cannot obtain background reports from FMCSA unless you consentin writing.
    2. If you agree that the Prospective Employer may obtain such background reports, please read thefollowing and sign below:
  4. I authorize ("Prospective Employer") Big Freight Systems to access the FMCSA Pre-EmploymentScreening Program (PSP) system to seek information regarding my commercial driving safety record and information regarding my safety inspection history. I understand that I am consenting to the release of safety performance information including crash data from the previous five (5) years and inspection history from the previous three (3) years. I understand and acknowledge that this release of information may assist the Prospective Employer to make a determination regarding my suitability as an employee.
  5. I further understand that neither the Prospective Employer nor the FMCSA contractor supplying thecrash and safety information has the capability to correct any safety data that appears to be incorrect. I understand I may challenge the accuracy of the data by submitting a request to https://dataqs.fmcsa.dot.gov. If I am challenging crash or inspection information reported by a State, FMCSA cannot change or correct this data. I understand my request will be forwarded by the DataQs system to the appropriate State for adjudication.
  6. Please note: Any crash or inspection in which you were involved will display on your PSP report. Sincethe PSP report does not report, or assign, or imply fault, it will include all Commercial Motor Vehicle (CMV) crashes where you were a driver or co-driver and where those crashes were reported to FMCSA, regardless of fault. Similarly, all inspections, with or without violations, appear on the PSP report. State citations associated with FMCSR violations that have been adjudicated by a court of law will also appear, and remain, on a PSP report.

I have read the above Notice Regarding Background Reports provided to me by Prospective Employer and I understand that if I sign this consent form, Prospective Employer may obtain a report of my crash and inspection history. I hereby authorize Prospective Employer and its employees, authorized agents, and/or affiliates to obtain the information authorized above.