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Year-Make and Model of your commercial vehicle:

What Accommodations Do You Need:

Please give full details of conviction This does not automatically deem you ineligible for the position that you are applying for.

Please give full details of conviction

Please give full details of this accident/s

Please give full details of violation/s

Please give full detailed information regarding conviction/s or forfeiture/s

Reason for Leaving:

Reason for Leaving:

Branch of Service:

Dates of Service:
from

To

Rank at Discharge or Separation:

Type of Discharge (if applicable):

Military Occupational Specialty (MOS, AFSC, or NEC):

Relevant Training, Skills, and Certifications

VA or Service-Connected Disability Status (if applicable):

Acknowledgment & Confirmation Statement for Driver Applicant Submission

I, the undersigned applicant, acknowledge that I have completed the online driver application form to the best of my knowledge and belief. I understand that before submitting my application for consideration, I must carefully review the following steps to ensure a complete and accurate submission process:

1. Review of Application:

• I have thoroughly reviewed all information provided in the application, ensuring that all required fields are truthfully and accurately completed.

• Any errors or omissions have been corrected before submission.

2. Submission of Required Documentation:

• I understand that additional documents may be required to verify my qualifications, including but not limited to:

• A valid driver’s license (CDL, if applicable).

• A recent Motor Vehicle Record (MVR).

• A Department of Transportation (DOT) medical certificate (if applicable).

• Proof of legal authorization to work in the United States.

• Any relevant endorsements or certifications.

• I acknowledge that failure to provide these documents upon request may delay or disqualify my application.

3. Consent to Background Screening & Drug Testing:

• I authorize the company to conduct a background check, including but not limited to:

• Employment verification.

• Criminal background check.

• Drug and alcohol testing history per FMCSA regulations.

• Driving record (MVR) review.

• I understand that I may be required to submit to a pre-employment drug and alcohol test in compliance with DOT regulations and company policy.

4. Understanding of Company Policies & Regulations:

• I acknowledge that my application does not guarantee employment and is subject to company hiring policies.

• I understand that the company follows federal, state, and local laws regarding employment and that my employment eligibility will be verified.

• I have read and agree to comply with company safety standards, operational policies, and procedures if selected for employment.

5. Truthfulness & Accuracy Statement:

• I certify that all information provided in my application is true and complete.

• I understand that any false, misleading, or omitted information may result in my disqualification from employment consideration or termination if already hired.

6. Next Steps After Submission:

• Upon submission, my application will be reviewed by the hiring team.

• If my qualifications align with the company’s requirements, I may be contacted for further steps, including an interview and additional assessments.

• I will check my email and phone regularly for communication regarding my application status.

By signing below, I confirm that I have read, understand, and agree to the terms outlined in this acknowledgment statement. I voluntarily submit my application with full awareness of the necessary steps that will follow.