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  • REQUEST A FREIGHT QUOTE
  • ASSESSORIAL & FSC CHARGES
  • PCT Logo
  • WEST COAST LTL WINE SHIPPING RATES
  • ABOUT US
    • LOCATIONS
      • Atascadero, CA
      • Carrollton, TX
      • Napa, CA
      • Paso Robles, CA

Driving Job Application

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  2. Driving Job Application
Driving Job Applicationpctadmin2020-03-04T03:08:15+00:00

APPLICANT FORM

Apply to work with us.

Step 1 of 5

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  • MM slash DD slash YYYY
    You may select more than one.
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  • Please enter a number from 16 to 99.
  • MM slash DD slash YYYY
  • (The Age Discrimination of Employment Act of 1967 prohibits discrimination on the basis of age with respect to individuals who are at least 40 but less than 70 years of age.)
  • MM slash DD slash YYYY
  • CURRENT & PREVIOUS THREE (3) YEARS ADDRESSES:
  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • If yes, give dates:
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  • Give a COMPLETE RECORD of all employment for the past three (3) years, including any unemployment or self employment periods, and all commercial driving experience for the past ten (10) years.

  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
    DOT require disclosure of all commercial driving experience in the last 10 years.
  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
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  • DRIVER EXPERIENCE
  • From Date (month/year)To Date (month/year)
  • From Date (month/year)To Date (month/year)

  • Accident Record for past three (3) years:

  • DATE OF ACCIDENTNATURE OF ACCIDENTLOCATION OF ACCIDENT# OF FATALITIES# OF PEOPLE INJURED 
    Please use the (+) on the right side to add additional accidents.

  • Traffic Convictions and Forfeitures for the last three (3) years (other than parking violations):
  • DATELOCATIONCHARGEPENALTY 
    Please use the (+) on the right side to add additional convictions and forfeitures.

  • Driver’s License (list each driver’s license held in the past three(3) years:

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  • It is agreed and understood that any misrepresentation given on this application shall be considered an act of dishonesty.

    It is agreed and understood that the motor carrier or his agents may investigate the applicant’s background to obtain any and all information of concern to applicant’s record, whether same is of record or not, and applicant releases employers and person named herein from all liability for any damages on account of his furnishing such information.

    It is also agreed and understood that under the Fair Credit Reporting Act, Public Law 91-508, I have been told that this investigation may include an investigative Consumer Report, including information regarding my character, general reputation, personal characteristics, and mode of living.

    I agree to furnish such additional information and complete such examinations as may be required to complete my application file.

    It is agreed and understood that this Application in no way obligates the motor carrier to employ or hire the applicant.

    It is agreed and understood that if qualified and hired, I may be on a probationary period during which time I may be disqualified without recourse.

    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.

  • Clear Signature
    You can sign with your mouse, or with your finger if you are using a mobile device.
  • MM slash DD slash YYYY
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  • This field is for validation purposes and should be left unchanged.
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