Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of Birth *

MM

DD

YYYY

Home Phone *

(###)

###

####

Cell Phone *

(###)

###

####

Have You Ever Been Convicted of a Felony? *

Yes

No

How Many Year(s) of Recent Experience Driving a Tractor and Trailor? *

No Experience Pulling a Trailor

6 Months of Verifiable History and Graduated from a Certified Driving School

1 Year of Verifiable History in the Past 3 Years

5 Years of Verifiable History in the Past 10 Years

License Expiration Date *

MM

DD

YYYY

Valid Class A Endorsement *

Yes

No

Doubles Endorsement *

Yes

No

Expiration Date of DOT Physical Card *

MM

DD

YYYY

Start Date *

MM

DD

YYYY

End Date *

If you are currently employed or contracted, please enter the current month and year as the End Date.

MM

DD

YYYY

Street Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone Number *

(###)

###

####

Were You Terminated/Discharged/Laid Off? *

Yes

No

Start Date *

MM

DD

YYYY

End Date *

MM

DD

YYYY

Street Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone Number *

(###)

###

####

Were You Terminated/Discharged/Laid Off? *

Yes

No

Please Read Carefully Before Submitting *

Steve C. Davis Inc is an equal opportunity employer. Qualified application will receive consideration for employment without regard to race, sex, disability, veteran, or other protected status. I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for Steve C. Davis Inc to hire me. If I am hired, I understand that either Steve C. Davis Inc or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of Steve C. Davis Inc has the authority to make any assurance to the contrary. I attest with my signature below that I have given to Steve C. Davis true and complete information on this application. No requested information has been concealed. I authorize Steve C. Davis to contact references provided for employment reference checks. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal.

Yes

No