You must click the Submit Application button at the bottom when you finish or we will not receive the application.

Driver's Application for Employment

F&F TRANSPORT, Inc.

1162 CAYADUTTA STREET
FONDA, NY 12068

We are an equal opportunity employer.

TO BE READ AND SIGNED BY APPLICANT

I authorize you to make such investigations and inquiries of my personal, employment, financial or medical history and other related matters as may be necessary in arriving at an employment decision. (Generally, inquiries regarding medical history will be made only if and after a conditional offer of employment has been extended.)
I hereby release employers, schools, health care providers and other persons from all liability in responding to inquiries and releasing information in connection with my application.
I certify that the information given by me on this application and during the interview process is true and complete in all respects, and I agree that if the information is found to be false, misleading, or unsatisfactory in any respect (in the Company's judgment) that I will be disqualified from consideration for employment or subject to immediate dismissal if discovered after I am hired.
I also understand that if I'm hired by the Company, that my employment is at-will and that I am required to abide by all rules and regulations of the Company.
I understand that information I provide regarding current and/or previous employers may be used, and those employer(s) will be contacted, for the purpose of investigating my safety performance history as required by 49 CFR 391.23(d) and (e). I understand that I have the right to:

  • Review information provided by previous employers;
  • Have errors in the information corrected by previous employers and for those previous employers to re-send the corrected information to the prospective employer; and
  • Have a rebuttal statement attached to the alleged erroneous information, if the previous employer(s) and I cannot agree on the accuracy of the information.

Complete Name of Applicant (Signature): Date:

Each inquiry on this application must be fully answered or completed.

PERSONAL INFORMATION

Date of application:

Position(s) Applied for

Last Name: First Name: Middle:

Social Security #: Phone


List your addresses of residency for the past 3 years.

Current Address:

Street: City: State: Zip: How Long? (yr./mo.):

Previous Address:

Street: City: State: Zip: How Long? (yr./mo.):
Street: City: State: Zip: How Long? (yr./mo.):
Street: City: State: Zip: How Long? (yr./mo.):

Do you have the legal right to work in the United States?

Date of Birth (Required for Commercial Drivers): Can you provide proof of age?

Have you worked for this company before? Where?

Dates: From To Rate of Pay Position

Reason for leaving

Are you employed now? If not, how long since leaving last employment?

Who referred you? Rate of pay expected

Have you ever been bonded? (Answer only if a job requirement) Name of bonding company

Prior to conducting a background investigation, the Company will provide you with a release form that complies with the Fair Credit Reporting Act and any applicable state law.

Have you ever been convicted of a felony? If yes, please explain fully. Conviction of a crime is not an automatic bar to employment-all circumstances will be considered.

Have you tested positive, or refused to test, on any pre-employment drug or alcohol test administered by an employer to which you applied for, but were not hired, for safety-sensitive transportation work covered by DOT drug and alcohol testing rules in the past two (2) years? If yes, please explain below:

EDUCATION

Choose highest grade completed: High School: College:

Last school attended:
Name: City/State:

EMPLOYMENT HISTORY

All driver applicants to drive in interstate commerce must provide the following information on all employers during the preceding 3 years. List complete mailing address, street number, city, state and zip code. Applicants to drive a commercial motor vehicle* in intrastate or interstate commerce shall also provide an additional 7 years' information on those employers for whom the applicant operated such vehicle. (NOTE: List employers in reverse order starting with the most recent. Add another sheet as necessary.)

Do you have employment experience?

Employer
Date
Name: From Mo. Yr. To Mo. Yr.
Address: Position Held:
City: State: Zip: Salary/Wage:
Contact person: Phone: Reason for Leaving:
Were you subject to the FMCSRs+ while employed?
Was your job designated as a safety-sensitive function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR part 40?
Employer
Date
Name: From Mo. Yr. To Mo. Yr.
Address: Position Held:
City: State: Zip: Salary/Wage:
Contact person: Phone: Reason for Leaving:
Were you subject to the FMCSRs+ while employed?
Was your job designated as a safety-sensitive function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR part 40?
Employer
Date
Name: From Mo. Yr. To Mo. Yr.
Address: Position Held:
City: State: Zip: Salary/Wage:
Contact person: Phone: Reason for Leaving:
Were you subject to the FMCSRs+ while employed?
Was your job designated as a safety-sensitive function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR part 40?
Employer
Date
Name: From Mo. Yr. To Mo. Yr.
Address: Position Held:
City: State: Zip: Salary/Wage:
Contact person: Phone: Reason for Leaving:
Were you subject to the FMCSRs+ while employed?
Was your job designated as a safety-sensitive function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR part 40?
Employer
Date
Name: From Mo. Yr. To Mo. Yr.
Address: Position Held:
City: State: Zip: Salary/Wage:
Contact person: Phone: Reason for Leaving:
Were you subject to the FMCSRs+ while employed?
Was your job designated as a safety-sensitive function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR part 40?

*Includes vehicles having a GVWR of 26,001 lbs. or more, vehicles designed to transport 16 or more passengers (including the driver), or any size vehicle used to transport hazardous materials in a quantity requiring placarding.
+The Federal Motor Carrier Safety Regulations (FMCSRs) apply to anyone operating a motor vehicle on a highway in interstate commerce to transport passengers or property when the vehicle: (1) weighs or has a GVWR of 10,001 pounds or more, (2) is designed or used to transport more than 8 passengers (including the driver), OR (3) is of any size and is used to transport hazardous materials in a quantity requiring placarding.

ACCIDENT RECORD

Have you been involved in an accident within the past three years?
Provide information for accidents within the past 3 years or more (attach sheet if more space is needed)

Dates
Nature Of Accident
(Head-On, Rear-End,
Upset, Etc.)
No. Of
Fatalities
No. Of
Injuries
Hazardous
Material
Spill
City/
State
Last Accident
Next Previous
Next Previous

TRAFFIC CONVICTIONS

Have you had any traffic convictions or forfeitures (other than parking violations) within the past three years?
Provide information for traffic convictions and Forfeitures for the past 3 years (other than parking violations)

Location
Date
Charge
Penalty
Type of Motor
Vehicle

(Attach sheet if more space is needed)

EXPERIENCE AND QUALIFICATIONS - DRIVER

 
State
License No.
Class
Endorsement(s)
Expiration Date
Driver licenses or
permits held
in the past 3 years

A. Have you been denied or disqualified from obtaining a license, permit or privilege to operate a motor vehicle?
B. Has any license, permit or privilege ever been suspended or revoked?
C. Have you ever been denied insurance to drive a motor vehicle?
If the answer to either A, B or C is YES, attach a statement giving details.

DRIVING EXPERIENCE

Check YES or NO.

Class of Equipment
Type of Equipment
Dates
Approx. No. Of Miles
FROM (M/Y)
TO (M/Y)
(Total)
Straight TruckyesnoVANTANKFLATDUMPREFER
Tractor and Semi-TraileryesnoVANTANKFLATDUMPREFER
Tractor - Two TrailersyesnoVANTANKFLATDUMPREFER
Tractor - Three TrailersyesnoVANTANKFLATDUMPREFER
Motorcoach - School Bus
(More Than 8 Passengers)
yesno
--
Motorcoach - School Bus
(More Than 15 Passengers)
yesno
--
Other:

List states operated in for last five years:

Show special courses or training that will help you as a driver:

Which safe driving awards do you hold and from whom?

EXPERIENCE AND QUALIFICATIONS - OTHER

Show any Trucking, Transportation or other experience that may help in your work for this Company

List Courses and Training other than shown elsewhere in this application

List Special Equipment or Technical Materials you can work with (other than those already shown)

TO BE READ AND SIGNED BY APPLICANT

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.

Complete Name of Applicant Date

If you would like an email confirmation that your application was filed successfully, please enter your email address below. We will not use your email address for any purpose other than to contact you regarding your application.
Email Address:

Attach A Resume (optional)

You must click the Submit Application button above or we will not receive it