Driver Application Form

Non-Discrimination Policy: R. F. Fager, Co. is committed to the principle of equal opportunity in employment. All applicants will be considered for employment without regard to race, religion, color, sex, national origin, age, marital or veteran status, disability, medical condition or any other category protected by law.

Personal Information

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

How long have you been at this address?

Home Phone

Cell Phone / Alternate Phone

Additional Information

Have you ever filed an application with this organization in the past?

If so, when?

Have you been an employee of this organization in the past?

If so, when?

Are you legally authorized to work in the United States?

Are you currently employed?

If yes, may we contact your current employer?

Employment Desired

How were you referred to R. F. Fager Co?

What is your desired salary?

Date available for work if selected?

Education

Education (check all that apply)

High School
College
Trade/Business

Name of High School

Location of High School

Last Year Completed of High School

Did you Graduate High School?

Name of College

Location of College

Last Year Completed of College

Did you Graduate College?

College Degree Received

Name of Trade/Business School

Location of Trade/Business School

Last Year Completed of Trade/Business School

Did you Graduate Trade/Business School?

Trade/Business School Degree Received

Activities

List activities you are involved in, other than religious; exclude organizations, the name of the character of which indicates the race, creed, or national origin of its members.

Employment History

Employer

From

To

Position Held/Title

Address

Street Address Address Line 2 City State ZIP Code

Supervisor

Phone

May We Contact?

Reason For Leaving

Salary

Employer

From

To

Position Held/Title

Address

Street Address Address Line 2 City State ZIP Code

Supervisor

Phone

May We Contact?

Reason For Leaving

Salary

Employer

From

To

Position Held/Title

Address

Street Address Address Line 2 City State ZIP Code

Supervisor

Phone

May We Contact?

Reason For Leaving

Salary

Employer

From

To

Position Held/Title

Address

Street Address Address Line 2 City State ZIP Code

Supervisor

Phone

May We Contact?

Reason For Leaving

Salary

Employer

From

To

Position Held/Title

Address

Street Address Address Line 2 City State ZIP Code

Supervisor

Phone

May We Contact?

Reason For Leaving

Salary

Employer

From

To

Position Held/Title

Address

Street Address Address Line 2 City State ZIP Code

Supervisor

Phone

May We Contact?

Reason For Leaving

Salary

Employer

From

To

Position Held/Title

Address

Street Address Address Line 2 City State ZIP Code

Supervisor

Phone

May We Contact?

Reason For Leaving

Salary

Driver Applicant Information

Licenses

License State

License Number

Type of License

License State

License Number

Type of License

License State

License Number

Type of License

Driving Experience and Qualifications

Class of Equipment

Type of Equipment

Date From

Date To

Approximate Number of Total Miles

Class of Equipment

Type of Equipment

Date From

Date To

Approximate Number of Total Miles

Class of Equipment

Type of Equipment

Date From

Date To

Approximate Number of Total Miles

Class of Equipment

Type of Equipment

Date From

Date To

Approximate Number of Total Miles

Accident Record

Date

Nature of Accident

(head-on, read-end, upset, etc.)

Fatalities

Injuries

Date

Nature of Accident

(head-on, read-end, upset, etc.)

Fatalities

Injuries

Date

Nature of Accident

(head-on, read-end, upset, etc.)

Fatalities

Injuries

Traffic Convictions and Forfeitures

Conviction Location

Date

Charge

Penalty

Conviction Location

Date

Charge

Penalty

Conviction Location

Date

Charge

Penalty

Have you ever been denied a license, permit or privlege to operate a motor vehicle?

What are the details on your denied license, permit or privlege to drive a motor vehicle?

Have you ever had any license, permit, or privilege suspended or revoked?

What are the details on your suspended or revoked license, permit or privlege?

What states have you operated in for the previous 5 years?

What special courses or training have you completed that has helped you as a driver?

Which Safe Driving Awards do you hold and from whom?

List any trucking, transportation, or other experience that may help in your work for this company.

Criminal Record

Have you ever been convicted of a felony?

Have you ever been convicted of a misdemeanor?

If you answered yes to either of the questions above, please give the date of conviction, the location (city, county, state) of the court in which you were convicted, and a description of the crime. State you were fined, imprisoned, or placed on probation. Note: convictions are not an automatic bar to employment, all circumstances will be considered.

References

Give the names of at least 3 people not related to you, whom you have known at least one year.

Reference Name

Address

Street Address Address Line 2 City State ZIP Code

Business

Years Known

Phone Number

Reference Name

Address

Street Address Address Line 2 City State ZIP Code

Business

Years Known

Phone Number

Reference Name

Address

Street Address Address Line 2 City State ZIP Code

Business

Years Known

Phone Number

Reference Name

Address

Street Address Address Line 2 City State ZIP Code

Business

Years Known

Phone Number

Thank you for your application. This statement is to inform you that R. F. Fager Co. may obtain a consumer report or an investigative consumer report as part of its pre-employment background investigation. Such a report may include criminal background checks, motor vehicle driving record checks and consumer credit checks and may contain information bearing on your credit worthiness, credit standing, credit capacity, character, general reputation, personal characteristic or mode of living. The report will be used for employment purposes only. In addition, you have the right, within a reasonable period of time after receipt of this notice to make a written request for the nature and scope of the investigation requested by us and for a summary of your rights under the Fair Credit Reporting Act.

Phone

This field is for validation purposes and should be left unchanged.

Driver Application Form

Personal Information

Additional Information

Education

Activities

Employment History

Driver Applicant Information

Licenses

Driving Experience and Qualifications

Accident Record

Traffic Convictions and Forfeitures

Criminal Record

References

Do you have specific questions? Contact us today!