B&W Trailer Driver Application

Driver Application
Required Items Marked with an *
Applicant Instructions: If the answer to a question is "no", "none", or "NA", please fill in the blank accordingly. Do not leave any questions blank.
Education and Employment History
Please select the highest grade completed. *
Present or Last Employer
Driving Experience
Straight Truck
Tractor and Semi-Trailer
Tractor - Doubles/Triples
Other - Tanker, Flatbed, Specialized, etc.
Accident Record for the Past 3 Years
Traffic Convictions and Forfeitures for the Past 3 Years
(Do not include parking violations)
Driver's License
(list each driver's license held in the past 3 years)
To Be Read, Understood and Signed by the Driver Applicant
It is agreed and understood that any misrepresentation given on this application shall be considered an act of dishonesty. It is also a violation of 49 CFR 390.35 – Making fraudulent or intentionally false statements or records, which is subject to federal penalty by the Federal Motor Carrier Safety Administration.
It is agreed and understood that the motor carrier or his agents may investigate the applicant’s background to ascertain any and all information of concern to applicant’s record, whether same is of record or not, and applicant releases employers and persons 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 investigating 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 driver 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 all entries on it and information in it are true and complete to the best of my knowledge.
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