Application

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DRIVER'S APPLICATION FOR EMPLOYMENT

Southern Freight, Inc.

99 University Avenue, SW

Atlanta, GA 30315

404-479-5811 (phone) - 404-479-5793 (fax)


In compliance with Federal and State equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status, veteran status, non-job related disability, or any other protected group status.

Date of application:
Position(s) Applied for
Name
Social Security No.

List your address of residency for the past 3 years.

Current Address
Street
City
Zip Code
Phone
How long?
Previous Address
Street
City
Zip Code
How long?
Street
City
Zip Code
How long?
Street
City
Zip Code
How long?

Date of Birth

Have you worked for this company before?
Where?
From
To
Rate of Pay
Position
Reason for leaving

If not, how long since leaving last employment?
Who referred you?
Rate of pay expected

Name of bonding company
Please explain fully here. Conviction of a crime is not a an automatic bar to employment - all circumstances will be considered.
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Is there any reason you might be unable to perform the functions of the job for which you have applied (as described in the posted or attached job description)?
Explain, if you wish:

Employment History!

Give a Complete Record of all employment for the past three years, including any employment or self employment,and all commercial driving experience for the past ten years.

Position Held
From
To
Name
Street
City
Zip Code
Reason for leaving
Phone

Position Held
From
To
Name
Street
City
Zip Code
Reason for leaving
Phone

Position Held
From
To
Name
Street
City
Zip Code
Reason for leaving
Phone

Position Held
From
To
Name
Street
City
Zip Code
Reason for leaving
Phone

Position Held
From
To
Name
Street
City
Zip Code
Reason for leaving
Phone

*The Federal Motor Carrier Safety Regulations (FMCSRs) apply to anyone who operates a motor vehicle on a highway ininterstate commerce to transport passengers or property when the vehicle: (1) has a GVWR or weighs 10,001 pounds or more.(2) is designed or used to transport nine or more passengers, or (3) is of any size, used to transport hazardous materials in aquantity requiring placarding.


ACCIDENT RECORD FOR PAST 3 YEARS OR MORE (ATTACH SHEET IF MORE SPACE IS NEEDED) IF NONE, WRITE NONE

DATE LAST ACCIDENT
NATURE OF ACCIDENT (HEAD-ON, REAR-END, UPSET, ETC.)
FATALITIES
INJURIES
DATE NEXT PREVIOUS
NATURE OF ACCIDENT (HEAD-ON, REAR-END, UPSET, ETC.)
FATALITIES
INJURIES
DATE NEXT PREVIOUS
NATURE OF ACCIDENT (HEAD-ON, REAR-END, UPSET, ETC.)
FATALITIES
INJURIES
DATE NEXT PREVIOUS
NATURE OF ACCIDENT (HEAD-ON, REAR-END, UPSET, ETC.)
FATALITIES
FATALITIES

TRAFFIC CONVICTIONS AND FORFEITURES FOR THE PAST 3 YEARS (OTHER THAN PARKING VIOLATIONS) IF NONE, WRITE “NONE”.

LOCATION
DATE
CHARGE
PENALTY
LOCATION
DATE
CHARGE
PENALTY
LOCATION
DATE
CHARGE
PENALTY
LOCATION
DATE
CHARGE
PENALTY

Education

12345678
CIRCLE HIGHEST GRADE COMPLETED:
1234
HIGH SCHOOL
COLLEGE
NAME LAST SCHOOL ATTENDED
CITY

Experience and Qualifications - Driver

DRIVER LICENSES

LICENSE NO.
TYPE
EXPIRATION DATE
LICENSE NO.
TYPE
EXPIRATION DATE
LICENSE NO.
TYPE
EXPIRATION DATE
LICENSE NO.
TYPE
EXPIRATION DATE

YesNo
A. Have you ever been denied 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 tested positive or refused to test on any drug or alcohol test administered by an employer covered by DOT?

IF THE ANSWER TO EITHER A, B OR C IS YES, ENCLOSE DETAILS ON LAST PAGE.


Driving Experience

STRAIGHT TRUCK

TYPE OF EQUIPMENT
FROM
TO
APPROX. NO. OF MILES

TRACTOR AND SEMI-TRAILER

TYPE OF EQUIPMENT
FROM
TO
APPROX. NO. OF MILES

TRACTOR - TWO TRAILERS

TYPE OF EQUIPMENT
FROM
TO
APPROX. NO. OF MILES

MOTORCOACH - SCHOOL BUS

TYPE OF EQUIPMENT
FROM
TO
APPROX. NO. OF MILES

OTHER:

TYPE OF EQUIPMENT
FROM
TO
APPROX. NO. OF MILES
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)

ENTER DETAILS FOR PREVIOUS SECTIONS HERE.
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TO BE READ AND SIGNED BY APPLICANT

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.

I authorize you to make such investigations and inquiries of my personal, employment, financial or medical history and otherrelated matters as may be necessary in arriving at an employment decision. (Generally, inquiries regarding medical history willbe 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 andreleasing information in connection with my application.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result indischarge. 

I understand, also, that I am required to abide by all rules and regulations of Southern Freight, Inc.

Signature
I agree.

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