Driver Employment Application

Driver Application

Tucker Door & Trim is an equal opportunity employer and does not discriminate in hiring or employment based on race, color, religious creed, national origin, age, sex, marital status, physical or mental handicap, or veteran status. All statements on this application will be verified. Any misrepresentation or omission may be grounds for disqualification for employment consideration or continued employment. Fill in all items thoroughly.
Personal Information
- Last Name*
- First Name*
- Middle or Maiden Name
- Primary Phone*
- Secondary Phone
- Email
- May we contact you via E-Mail?
  - YES
  - NO
Address*
Street Address Address Line 2 City State ZIP Code
- Available Start Date*
  MM slash DD slash YYYY
Are you legally eligible to work in the United States?*
If offered employment you will be required to provide documentation to verify employment eligibility. Failure to provide the requested documentation may result in a determination that the applicant is ineligible for employment in the United States.
- Yes
- No
How did you hear about us?*
- Employee Referral
- Other
Please list the Employee who referred you or how you heard about us.
Have you ever been employed by Tucker Door & Trim?*
- YES
- NO
If YES, when and where?
Do you have any relatives who are currently employed with Tucker Door & Trim?*
- YES
- NO
If YES, please provide their name and relationship.
Have you been convicted of a felony within the past 7 years?*
- YES
- NO
Driver's License Information
Section 383.21 FMCSR states “No person who operates a commercial motor vehicle shall at any time have more than one driver’s license.” I certify that I do not have more than one motor vehicle license, the information for which is listed above.
- License #*
- Class:*
- State:*
- Expiration Date:*
  MM slash DD slash YYYY
Driving Experience
I have no driving experience in the last 3 years.
- YES
Class of Equipment
- Straight Truck
Type of Equipment
Van, Reefer, Tank, Flat
Dates
mm/yyyy to mm/yyyy
Approximate Number of Miles
Class of Equipment
- Tractor & Semi-Trailer
Type of Equipment
Van, Reefer, Tank, Flat
Dates
mm/yyyy to mm/yyyy
Approximate Number of Miles
Class of Equipment
- Tractor - Two Trailers
Type of Equipment
Van, Reefer, Tank, Flat
Dates
mm/yyyy to mm/yyyy
Approximate Number of Miles
Employment History
Most Recent Employment
Name of Organization*
- Start Date*
  MM slash DD slash YYYY
- End Date*
  MM slash DD slash YYYY
- Job Title*
Address*
City State
Phone (Optional)
Reason for Leaving*
- Hours worked per week*
Were you subject to the FMCSRs** while employed?
- YES
- NO
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?
- YES
- NO
- Pay $*
- Per*
Other Employment
Name of Organization
- Start Date
  MM slash DD slash YYYY
- End Date
  MM slash DD slash YYYY
- Job Title
Address
City State
Phone
Reason for Leaving
- Hours worked per week
Were you subject to the FMCSRs** while employed?
- YES
- NO
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?
- YES
- NO
- Pay $
- Per
Other Employment 2
Name of Organization
- Start Date
  MM slash DD slash YYYY
- End Date
  MM slash DD slash YYYY
- Job Title
Address
City State
Phone
Reason for Leaving
- Hours worked per week
Were you subject to the FMCSRs** while employed?
- YES
- NO
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?
- YES
- NO
- Pay $
- Per
Describe any additional specialized training, apprenticeship, tools or skills.
Forklift equipment, and or any material handling equipment, computers or handhelds, etc.
State any additional information you feel may be helpful to us in considering your application.
Applicant's Certification and Agreement

I certify that the entries and statements made by me on this application are, to the best of my knowledge, true, complete, and correct. I understand that any misrepresentation or material omission of fact on this or any other document required by Tucker Door & Trim, if employed, may be considered as constituting grounds for disciplinary measures, including dismissal. I further understand that any offer of employment is subject to successful completion of a drug screen, and where necessary, other examinations and background investigations. Having applied for employment with Tucker Door & Trim, I do hereby agree and do give my consent that any person, firm, or organization listed herein is authorized to furnish Tucker Door & Trim with personal or reference material concerning my character, past employment, or any other information they so request and release them from any damages whatsoever for issuing same.
You may contact my present employer*
- YES
- NO
Resume Upload
If you have a resume please attach here. Only word documents and PDF files will be allowed.
Drop files here or

Accepted file types: doc, docx, pdf, Max. file size: 256 MB, Max. files: 3.
Signature*
Signature Date*
MM slash DD slash YYYY