Driver Application For Employment

Driver Application For Employment
(Drivers Only) (The U.S. Department of Transportation requires that driver applicants state their date of birth - 391.21(b) (2).)

Other Addresses

List any other addresses at which you have resided during the past 3 years:
Ohio Only



Conviction of a crime is not an automatic bar to employment, all circumstances will be considered.

Employment Record

The U.S. Department of Transportation requires that driver applicants show all employment for the past three years. Effective July, 1987 driver’s applicants must also show commercial driver employment for the seven years immediately proceeding this three-year period. 391.21(b) (10), (11).

Start with the current or most recent position, including military experience.


Driver Experience and Qualification

Driver licenses held in the past 3 years must be shown.

Driving Experience

Straight Truck

Tractor & Semi Trailer

Twin Trailers


Accident Review for Past 3 Years

Traffic Convictions and Forfeitures for the Past 3 Years Other than Parking Violations

Drug and Alcohol Testing

Pursuant to changes effective August 1, 2001, in Part 40 of the Federal Motor Carrier Safety Regulations, this section is being added to the driver application and should be completed by each applicant. These changes require each motor carrier to inquire of prospective drivers the information in the question below.

In addition, if the answer to the above question was “Yes”, please list the name and contact information for the Substance Abuse Professional (SAP) who completed your evaluation.

Applicant must read and sign.

I certify that I have read and understood all of this employment application. It is agreed and understood that the employer or its agents may investigate my background to ascertain any and all information of concern to my employment history, whether same is of record or not. I hereby release TLC EXPRESS, LLC, its officers, employees, agents, directors, affiliates and attorneys and any other persons named herein from all liability for any damages on account of furnishing such information. I understand that as an applicant for a position with this company, I may be asked to demonstrate that I am capable of performing tasks that are pertinent to the job. I also understand that if offered a job, it may be conditioned on the results of a physical examination and drug test.

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.

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

I also understand that misrepresentation of omission of information of facts may result in my rejection or dismissal. It is agreed and understood that this application for employment in no way obligates the employer to employ the applicant.

If hired, I agree to abide by all the results and policies of my employer.

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. This also certifies that I have received a copy of the job description and company policies and all questions have been answered to my satisfaction.