Driver Application

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WES’S SERVICE, INC.

Driver Application

Serious APPLICANTS ONLY, please apply.

Make sure to include the following:
– A copy of your drivers license.
– A signed copy of the downloadable Consent form.

Consent Form:
1. Download consent form
2. Print, complete and sign it.
3. Scan (or take a good picture of it).
4. Upload it to the below Driver Applicant Form.

Drivers License:
1. Scan (or take a good picture of it).
2. Upload it to the below Driver Applicant Form.

Step 1 of 3

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APPLICANT INFORMATION
Attach a copy of signed Consent Form (MVR), see above.*
Attach a copy of your drivers license*
Position(s) Applied For*
Name
First Middle Last
Social Security No.*
List your addresses of residency for the past 3 years.
Current Address*
Street Address City State ZIP Code
Phone*
How Long?*
yr. / mo.
Previous Addresses
Address
Street Address City State / Province / Region ZIP / Postal Code
How Long?
yr. / mo.
Address
Street Address City State / Province / Region ZIP / Postal Code
How Long?
yr. / mo.
Address
Street Address City State / Province / Region ZIP / Postal Code
How Long?
yr. / mo.
Do you have a legal right to work in the United States?*
Date of Birth*
(Required For Commercial Drivers)
Can you provide proof of age?*
Have you worked for this company before?*
Where?
Dates: From
To:
Rate of Pay
Position
Reason for leaving
Are you now employed?*
If not, how long since leaving last employment?
Who referred you?*
Rate of pay expected*
Have you ever been bonded?
(Answer only if a job requirement)
Name of bonding company

Is there any reason you might be unable to perform the functions of the job for which you have applied [as described in the attached job description]?*
If yes, explain if you wish
EMPLOYMENT HISTORY
All driver applicants to drive in interstate commerce must provide the following information on all employers during the preceeding 3 years. List complete mailing address, street number, city, state, and zip code. Applicants to drive a commercial motor vehicle* in intrastate commerce shall also provide an additional 7 years' information on those employers for whom the applicant operated such vehicle. (NOTE: List employers in reverse order starting with the most recent.)

EMPLOYER*

Name	Full Address	Contact Person	Phone #	Were you subject to the FMCSRs** while employed?	Was your job designated as a safety-sensitive function in any dot-regulated mode subject to the drug and alcohol testing requirements or 49 CFR Part 40?	Date worker: From - To	Position Held	Salary / Wage	Reason For Leaving

*Includes vehicles having a GVWR or 26,001 lbs. or more, vehicles designed to transport 16 or more passengers (including the driver), or any size vehicle used to transport hazardous materials in a quantity requiring placarding.

**The Federal Motor Carrier Safety Regulations (FMCSRs) apply to anyone operating a motor vehicle on a highway in interstate commerce to transport passengers or property when the vehicle: (1) weighs or has a GVWR or 10,001 pounds or more, (2) is designed or used to transport 8 or more passengers (including the driver), OR (3) is of any size and is used to transport hazardous materials in a quantity requiring placarding.
ACCIDENT RECORD FOR PAST 3 YEARS OR MORE (ATTACH SHEET IF MORE SPACE IS NEEDED) IF NONE, WRITE NONE
ACCIDENT RECORD*
Dates Nature of Accident (Head-on, Rear-end, Upset, Etc.) Fatalities Injuries Hazardous Material Spill
TRAFFIC CONVICTIONS*
And forfeitures for the past 3 years (other than parking violations) if none, write none
Location Date Charge Penalty
Experience & Qualifications*
Driver licenses or permits held in the past 3 years
State License No. Class Endorement(s) Expiration Date
Have you ever been denied a license, permit, or privilege to operate a motor vehicle?*
Has any license, permit, or privilege ever been suspended or revoked?*
IF THE ANSWER TO EITHER A OR B IS YES, GIVE DETAILS

DRIVING EXPERIENCE*

Include any that apply

Class of Equipment (Straight truck, tractor and semi-trailer, tractor - two trailers, tractor - three trailers, motorcoach - schoolbus more than 8 passengers, motorcoach - school bus more than 15 passengers)	Type of Equipment (Van, Tank, Flat, Dump, Refer)	Dates: From - To	Approx # of Miles (Total)

List states operated in for the last 5 years:*
Show special courses or training that will help you as a driver:*
Which safe driving awards do you hold and from whom?

EXPERIENCE AND QUALIFICATION - OTHER
Show any trucking, transportation or other experience that may help in your work for this company
List courses and training other than show elsewhere in this application
List special equipment or technical materials you can work with (other than those already shown)
EDUCATION*
8 years total in grade school, 4 years in high school, up to 8 years in college.
Years of Grade School Years of High School Years of College
Name of Last School Attended*
City, State*
This certifies that this application was completed by me and that all entries on it and information in it are true and complete to the best of my knowledge.
Signature*
Date*
Let us know you are human
Comments
This field is for validation purposes and should be left unchanged.

Driver Application

WES’S SERVICE, INC.

Driver Application

Make sure to include the following: – A copy of your drivers license. – A signed copy of the downloadable Consent form.

Step 1 of 3

APPLICANT INFORMATION

Make sure to include the following:
– A copy of your drivers license.
– A signed copy of the downloadable Consent form.