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Administrative Application

Rosstavi Freight Transport, Inc. is an Equal Opportunity Employer and fully subscribes to the principles of Equal Employment Opportunity. Applicants and/or employees are considered for hire, promotion, and job status, without regard of race, color, religion, creed, sex, marital status, national origin, age, and physical or mental disability.

    Personal Information

    Driver License State

    Emergency Contact

    General Information

    Are you able to perform the essential job functions of the position for which you are applying or without reasonable accommodation?

    Have you been convicted of any felonies other than minor traffic violations during the past seven years? (A criminal record or a conviction will not automatically bar employment, but will be considered only as it reasonably relates to your fitness to perform in the position for which you are applying.)

    Previous Three Years Residency:

    License Information

    Section 383.21 FMCSR states "No person who operates a commercial motor vehicle shall at any time have more than one driver's license". I certify that I do not have more than one motor vehicle license, the information for which is listed below.

    Driving Experience

    Straight Truck

    Tractor and Semi-Trailer

    Tractor Two-Trailer

    Other

    Accident Record For The Past 3 Years or More:

    Chemical Spills

    Chemical Spills

    Chemical Spills

    Traffic Convictions and Forfeitures for The Past 3 Years(Other Than Parking Violations)

    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?

    Education and Training

    Last Grade Completed

    College

    Masters

    Doctorate

    Graduated or Degree

    Graduated or Degree

    Graduated or Degree

    Skills

    Availability

    If required, will you work?

    Rotating Shifts

    Overtime

    Saturdays

    Sundays

    Position

    Pay Frequency

    Employment History

    FR 391.21 (b)(11) requires that an application for employment contain 10 years of prior employment information on the driver.

    Present or Most Recent Employer

    Where you subject to the Federal Motor Carrier Safety Regulations (FMCSR) while employed by the previous employer?

    Was the previous job position designated as a safety sensitive function in any DOT regulated mode, subject to alcohol and controlled substances testing requirements as required by 49 CFR Part 40?

    Employer Two

    Where you subject to the Federal Motor Carrier Safety Regulations (FMCSR) while employed by the previous employer?

    Was the previous job position designated as a safety sensitive function in any DOT regulated mode, subject to alcohol and controlled substances testing requirements as required by 49 CFR Part 40?

    Employer Three

    Where you subject to the Federal Motor Carrier Safety Regulations (FMCSR) while employed by the previous employer?

    Was the previous job position designated as a safety sensitive function in any DOT regulated mode, subject to alcohol and controlled substances testing requirements as required by 49 CFR Part 40?

    Documents

    Upload Resume

    READ CAREFULLY: I certify that the information contained in this application is correct to the best of my knowledge and understand that any misstatement or omission of information may result in denial of employment or discharge. I authorize the references listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing same to you.

    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.

    By typing your name in the applicant signature text input as an online signature, you acknowledge and agree that it constitutes a legally binding electronic signature and you accept all associated terms and responsibilities.

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