Big Boy Ranch Transportation
Pre-Screening Questionnaire
Position Applying For
*
Owner Only
Owner Operator
Contract Company Driver
Full Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Your Driver's Name (if you do not have a driver, leave this section blank)
First Name
Last Name
Referred by:
Who told you about Big Boy Ranch Transportation
Are you 23 years of age or older?
*
Yes
No
Do you have a minimum of 24 month of commercial motor vehicle driving experience in the last 36 months?
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Yes
No
Has Your driver's license ever been suspended or revoked in the past 60 months?
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Yes
No
Have you ever been convicted of driving under the influence of alcohol (.04 or greater alcohol concentration, driving under the influence under state law, or refusing to test)?
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Yes
No
Have you ever been convicted of driving under the influence of a controlled substance?
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Yes
No
Have you ever been convicted of leaving the scene of an accident?
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Yes
No
Have you ever been convicted of more than one excessive speeding violation (15 mph or more above the speed limit)?
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Yes
No
Have you ever been convicted of reckless driving?
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Yes
No
Have you ever been convicted of any moving violation in connection with a fatal accident?
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Yes
No
Have you ever been convicted of vehicular manslaughter or vehicular homicide?
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Yes
No
Have you ever been convicted of eluding a police officer?
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Yes
No
Have you ever been convicted of operating a vehicle with a suspended or revoked license?
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Yes
No
Have you received MORE than 2 moving violations in the past 24 months?
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Yes
No
Have you received MORE than 3 moving violations in the past 36 months?
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Yes
No
Have you been INVOLVED in MORE than 1 accident in the past 36 months?
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Yes
No
Have you ever REFUSED or FAILED a controlled substance or alcohol test?
*
Yes
No
Submit
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