Application for Employment Summit Express, LLC 970-668-6000

Your Contact Information
First Name*
Last Name*
E-mail Address*
Phone*
Address*
Previous Address if above address for less than three years
How did you learn about this Position?*
Which position are you applying for?*
Were you referred by a Summit Express Employee?*
Who referred you?
Are you legally allowed to work in the U.S.?*
Education and Qualifications
School or Training
Degree or Certificate
Dates Attended
School or Training
Degree or Certificate
Dates Attended
School or Training
Degree or Certificate
Dates Attended
Qualifications and Skills
Are you over 21 years old?*
Has any license, permit or privilege been suspended, revoked or denied?*
Have you ever been denied a license, permit or privilege to operate a motor vehicle?*
Please explain if you answered yes to the previous two questions.
Accident record for the past three years- attach additional sheet if necessary*
Traffic convictions (other than parking violations) and forfeitures for the past three years*

Attach Resume

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When Can You Start?
By Checking the above box it 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 A motor carrier may require an applicant to provide in information in addition to the information required by the Federal Motor Carrier Safety Regulations.
DRIVER APPLICANT ONLY:I understand that information I provide regarding current and/or previous employers may be used and those employer(s) will be contacted, for the purpose of investigating my safety performance history as required by 49 CFR391.23(d) and (e). I understand that I have the right to:• Review information provided by previous employers:• Have errors in the information corrected by previous employers and for those previous employers to resend the corrected information to the prospective employer; and• Have a rebuttal statement attached to the alleged erroneous information, if the previous employer(s)and I cannot agree on the accuracy of the information.
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