Driver Application
Personal Information

Present Address*

Previous Address(es) during last 3 years (FMCSR 391.21 (3))*

Date of Birth  (required by  FMCSR 391.21 (2) to verify motor vehicle report)*

Have you applied for work and / or worked for this company before?
If hired, can you present evidence of your U.S. Citizenship or proof of your legal right to live and work in this country?
Are you able to perform the essential functions and duties of the job as contained in the job description with reasonable accommodation?
How did you find out about Gamer Logistics?

Who?

Please read carefully

A. Have you ever been denied a license, permit or privilege to operate a motor vehicle?
B. Any license, permit or privilege been suspended or revoked?
C. Have you ever been stopped while intoxicated?
D. During the past two (2) years have you tested positive on a Pre-employment alcohol or drug test administired by Employer to which you applied for but did not obtain a Driver position regulated bye the DOT drug and alcohol testing rules?
E. During the past two (2) Years have you refused to test on a Pre-employment alcohol or drug test administered by an Employer to which you applied for but did not obtain a Driver position regulated by the DOT drug and alcohol testing rules?
F. Have you ever been convicted for possession of, sale, or use of a narcotic drug, amphetamine, or a derivative thereof?
G. Have you ever been convicted of a criminal offense? (A conviction will not necessarily disqualify you from employment.)
H. Do you currently have any criminal actions pending in which you are a defendant? (A "yes" answer will not necessarily disqualify you from employment.)
I. Are you currently on probation or parole status? (A "yes" answer will not necessarily disqualify you from employment.)

Education

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Military Status

Have you served in the U.S. Armed Forces?

Employment record for past 10 years

DOT Regulations require: START YOUR MOST RECENT JOB.

If your driving experience is less than 3 years, than write down all your work experience for the past 3 years. 

If your driving experience is more than 3 years but less than 10 years, then write all of your driving experience. 

No need to write down any driving experience that is over 10 years.

Reglamento del DOT: INICIE CON SU TRABAJO MÁS RECIENTE Y ANOTE PROGRESIVAMENTE

Si su experiencia de manejo es más de 3 años pero menos de 10 años, enliste toda su experiencia de manejo.

No necesita anotar experiencia de trabajo mayor a 10 años.

IF YOU HAVE  BEEN UNEMPLOYED FOR SOME TIME, PLEASE INDICATE DATES AND REASON BELOW

Gap in employment

Explain the reason for gap in employment

(1) Current or most recent employer

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Type of Truck Driven
Type of Trailer Pulled
Job Position Held

Accidents

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Explain the reason for leaving

Gap in employment between job (1) and (2)

Explain the reason for gap in employment

Second most recent employer

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Type of Truck Driven
Type of Trailer Pulled
Job Position Held

Accidents

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Explain the reason for leaving

Gap in employment between job (2) and (3)

Explain the reason for gap in employment

Third most recent employer

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Type of Truck Driven
Type of Trailer Pulled
Job Position Held

Accidents

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Explain the reason for leaving

Gap in employment between job (3) and (4)*

Explain the reason for gap in employment

Driver Experience

Date from

Straight Truck

Tractor & trailer

Tractor & reefer

Date to

Aproximate number of miles

Traveled (Total)

License

Load file
Max. 15 Mb

Moving traffic convictions list for past five (5) years. If none write none.

States in which you hace operated a class-A motor vehicle in the past five years:

References

Please list 2 people able to verify your employment and personal history. Such as co worker, neighbor, customer or an upstanding citizen of your community. **DO NOT LIST RELATIVES**

Reference 1

Reference 2

Terminal

 (915) 590-9700

Headquarters (915) 533-5700

Indianapolis Office (317) 279-6902

Ciudad Juárez Office +52 (656) 611-0745

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