In compliance with Federal and State equal opportunity laws, qualified applicants are considered for all positions without regards to race, color, religion, sex, national origin, age, marital status, or non-job related disability.
* First Name * Middle Name * Last Name * Social Security Number
Please list your address of residency for the past 3 years:
* How Long?
* How Long? -+
* Have you ever worked for MN Express Inc before? YesNo
* Have you ever been convicted of a felony? YesNo
Applicants shall also provide an additional 7 years' information on previous employers/leasors. A TOTAL OF 10 YEARS HISTORY IS REQUIRED.
* Reason For Leaving * Subject to FMCSRS? YesNo * Were you subject to the dot drug and alcohol testing requirements of 49CFR part 40? YesNo -+
* Accident record for the past 3 years or more? YesNo
-+
Traffic convictions & forfeitures for the past 3 years (other than parking violations)
* Traffic convictions & forfeitures for the past 3 years? YesNo
* College --Please select--1234
* Have you ever received a positive test result on any DOT drug collection? YesNo
* Type of equipment --Please select--48 ft Dry Van53 ft Dry VanRefriegereted VanTankerFlatbedIntermodalOther
* Approximate Number of Miles ( Total )
* Show special courses or training that will help you as a driver
* Which safe driving awards do you hold and from whom?
* Show any trucking, transportation or other experience that may help in your work * 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)
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.
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 is intent.)
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. In the event of employment with MN Express Inc, I understand that false or misleading information given in my application or interview (s) may result in termination/cancellation of lease. I understand also, that I am required to abide by all rules and regulations of the aforementioned company.