Driver Application

Email*

Which type of Driving position are you interested in?*

Company Driver
Owner Operator

Are you presently qualified to operate a CMV per 49 CFR 391.11?*

Yes
No

Are you willing to adhere to a company dress code while on your duty clock? Including provided Uniform Shirts with Long Pants tucked?*

Yes
No
Maybe

Some facilities require respirators to be worn in case of environmental hazards and general sterilization precautions. As such, it may be required or requested of you at some point to be clean shaven, are you willing to do so?*

Yes
No
Maybe

What is your Full Legal Name?*

First

Middle

Last

What is a good phone number to reach you at?*

What is your Full Legal Address?*

Street Address

Address Line 2

City

State

ZIP Code

If you have resided at the above address for less than 5 years, please list your previous address.

Street Address

Address Line 2

City

State

ZIP Code

What is your Driver License Number?*

What State is your Driver License Issued from?*

What Endorsements are on your CDL? (If Any)

Please check all that apply.

H - Hazardous Materials
N - Tank (Liquid & Gasses)
T - Multiple Trailers
X - Combination Tank & Hazardous Materials

Do you have a TWIC?*

Yes
No

Do you have a passport?*

Yes
No

What is your SSN?*

What is your Date of Birth?*

Consent/Verification

In this portion, you will be either approving or denying consent for First Class Services, Inc. to use the information you have provided in this Application to evaluate your prospective employment with respective agencies as detailed in each question.

All of these are required eventually to start your employment with First Class Services, Inc.

Consenting on this Applications allows you to be ahead of the game and not have to wait on this information to be returned from each agency.

Do you consent to First Class Services, Inc. running a MVR on your behalf to evaluate your prospective employment at this time?*

Yes
No

Do you consent to First Class Services, Inc. running a Query with the FMCSA Drug & Alcohol Clearing House on your behalf to evaluate your prospective employment at this time?*

Yes
No

Do you consent to First Class Services, Inc. running a PSP on your behalf to evaluate your prospective employment at this time?*

Yes
No

Experience

How many years of CDL experience do you have?*

Do you have Tank Experience?*

Yes
No

If yes, which of these do you have experience with?*

Liquid
Gasses
Dry Bulk
Other

What other tank experience do you have?*

Where and when did you have tank experience?*

How many years of Liquid Tank Experience do you have?

How many years of Dry Bulk Tank Experience do you have?

Have you used a Compressor for either Loading or Unloading a Tanker Trailer?*

Yes
No

If yes, approximately how many loads have you done this?

Have you ever done this for a flammable commodity?

Yes
No
Maybe

Have you used a Pump for either Loading or Unloading a Tanker Trailer?*

Yes
No

If yes, approximately how many loads have you done this?

Have you ever done this for a flammable commodity?

Yes
No
Maybe

Work History (Include up to the last 10 years)

Note: We will not contact current employers without your consent, this information is just to help speed up employment verification for the on-boarding process.

More in-depth work history will be requested at the next stage of the hiring process.

Where are you currently working?*

What is their address?*

Street Address

Address Line 2

City

State

ZIP Code

What is / was your position while working for this company?

When did you start working for this company?

When did you stop working for this company?

What is / was your reason for leaving this company?

Where did you work previously?

What is their address?

Street Address

Address Line 2

City

State

ZIP Code

What is / was your position while working for this company?

When did you start working for this company?

What is / was your reason for leaving this company?

When did you stop working for this company?

Additional Work History

Company Name	Address	Position	Start Date	End Date	Reason For Leaving	Actions

There are no Work History.

Signature

Your signature authorizes FCS to complete a preliminary background check to include an MVR, a query with the FMCSA Drug & Alcohol Clearinghouse, and a Pre-employment Screening Program.

Signature