Commercial Driver Application Form Logo

  • NOTICE:

    Before an application is submitted, the motor carrier must inform the applicant that the information he/she provides in accordance with paragraph (b) (10) of this section may be used, and the applicant’s previous employers will be contacted, for the purpose of investigating the applicant’s safety performance history information as required by paragraphs (d) and (e) of 391.23.

  • Thank you for your interest in Foltz Trucking, Inc. To apply for a driving position, please complete our online application for employment. Incomplete information will delay the processing of your application or prevent it from being submitted.

    In compliance with Federal and State equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status, veteran status, non-job related disability, or any other protected group status.

    To fill out this form, the following will be needed:
    • Home address history for the past 3 years
    • Current driver license number and driver license history for the past 3 years
    • Employment history up to 10 years
    • History of traffic accidents, violations and/or convictions from the last 3 years 
       (including DUI or reckless driving conviction and license suspension)

    Required fields, those with a( * )means you must provide the requested information to continue. Please contact us at 218-847-4451 if you encounter any errors while filling out this form and cannot continue.

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  • Physical History

  • Previous Employment In Order
    Starting With The Most Recent

    All driver applicants to drive in interstate commerce must provide the following information on all employers during the preceding three (3) years.

    Applicants to drive a commercial motor vehicle (as defined by the USDOT) in intrastate or interstate commerce shall also provide an additional (7) years information on those employers for whom the applicant was an operator of a commercial motor vehicle.

    Before an application is submitted, the motor carrier must inform the applicant that the information he/she provides in accordance with paragraph (b) (10) of this section may be used, and the applicant’s previous employers will be contacted, for the purpose of investigating the applicant’s safety performance history information as required by paragraphs (d) and (e) of 391.23.

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  • Due Process Rights

  • IF THIS SECTION IS NOT SIGNED AND DATED BY THE APPLICANT, THE APPLICATION WILL NOT BE PROCESSED.

    (i)(2) Drivers who have previous Department of Transportation regulated employment history in the preceding three years, and wish to review previous employer-provided investigative information must submit a written request to the prospective employer, which may be done at any time, including when applying, or as late as 30 days after being employed or being notified of denial of employment. The prospective employer must provide this information to the applicant within five (5) business days of receiving the written request. If the prospective employer has not yet received the requested information from the previous employer(s), then the five-business days deadline will begin when the prospective employer receives the requested safety performance history information. If the driver has not arranged to pick up or receive the requested records within thirty (30) days of the prospective employer making them available, the prospective motor carrier may consider the driver to have waived his/her request to review the records. Please contact Human Resources for more information.

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  • Accident Record
    For The Past     3 Years

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  • Traffic Convictions & Forfeitures 
    For The Past     3 Years (Other than parking violations)

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  • Education

  • Driver Experience & Qualifications

  • Driver's Licenses

    Date of each unexpired commercial motor vehicle operator's license or permit that  has been issued to the applicant

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  • Driving Experience

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  • Application For Assignment 
    by PRO Resources Corporation

  • Application For Assignment — Driver's Signature
    The purpose of this application is to determine whether or not the applicant is qualified to operate Motor Carrier's equipment according to the requirements of the Federal Motor Carrier Safety Regulations and the Client Company (lessee).

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  • To Be Read And Signed By Applicant
    This 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. I authorize you to make such investigations and inquiries of my personal, employment, financial or medical history and other related matters, as may be necessary for arriving at an employment decision. I hereby release employers, schools or persons from all liability in responding to inquiries in connection with my application. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in my discharge. I understand, also, that I am required to abide by all rules and regulations of the company, as permitted by law.

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  • APPLICANT'S CERTIFICATION

    (To be read and signed by the applicant)

    In consideration for employment with PRO Resources Corporation, I hereby understand and agree as follows:

    This application was completed by me, all entries upon it and information in it are true and complete to the best of my knowledge. Any false or misleading information furnished by me on this application or other required documents or in connection with my application shall result in denial of employment or, if employed by PRO Resources Corporation, the termination of my employment. PRO Resources Corporation has my consent to make a thorough investigation on my background, including my past employment, references furnished, education and any other activities, and I release all persons, firms or entities supplying such information from any and all liability and damages on account of supplying such information. I further agree to indemnify PRO Resources Corporation against any and all liability that may result from making such an investigation.

    I certify that I have not taken any non-prescribed medication during the past (60) sixty days. This includes, but is not limited to amphetamines, narcotics or any other habit-forming drug. If PRO Resources Corporation, or any of its lessees, advance me money or other items of value or I otherwise become financially indebted to PRO Resources Corporation, or any of its lessees, I agree to repay PRO Resources Corporation or any of its lessees, and any salary or wages I earn may be used to offset (by a payroll deduction) and applied against any monies owed to PRO Resources Corporation, or any of its lessees.

    This application will not be accepted or considered by PRO Resources Corporation unless all required information is completed by me and such information is fully legible. I will be given no further consideration if answers are evasive or the history of previous events is not presented in proper order with respect to dates.

    I hereby authorize PRO Resources Corporation to obtain a copy of my Motor Vehicle Report. I understand that I may be on a (90) ninety-day probationary period in which I may be discharged without reason or recourse.

    I agree to submit to any and all testing as required by PRO Resources Corporation, any of its lessees and the Department of Transportation.

    I also acknowledge and understand that I am applying for employment with PRO Resources Corporation, that if hired I will be an employee of PRO Resources Corporation, and that I can be terminated at any time with or without cause. I understand and agree that if I am employed by PRO Resources Corporation, as a condition of my employment with PRO Resources Corporation, PRO Resources Corporation has the right to transfer my services to any available position; therefore, I agree to accept a position that I am qualified to perform. In the event that training may be needed, I agree to participate in any training that may be necessary to satisfy the position.

  • Certification of Information
    I hereby certify that the information contained on this form is true and correct and that there are no omissions. I authorize any physician, medical facility, past employer(s) and/or privileged agencies contracted by PRO Resources Corporation, to furnish or verify workers' compensation information and medical information. (First and Last name required)

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  • Commercial Driver Job Description

  • The following is a description of what daily and overall functions are to be performed by any persons with the above JOB TITLE:

    (a) Driver must be capable of Eleven (11) hours of driving time per day.
    (b). Driver must be able to drive Seven (7) days a week.
    (c). Driver must be able to sit for Eleven (11) hours a day.
    (d). Driver must be capable of repetitive bending, and of lifting up to 100 pounds.
    (e). Driver must comply with all D.O.T. company required paperwork.
    (f). Driver must be literate in reading and writing skills.
    (g). Driver must be on time with load deliveries.
    (h). Driver must be able to distinguish the different time zone areas.
    (i). Driver must maintain a professional attitude and be cooperative.
    (j). Driver must maintain a neat, clean appearance of themselves.
    (k). Driver must be mechanically inclined in fueling and fluids.
    (l). Driver must comply with all D.O.T., Federal, State & Company regulations.
    (m). The driver, if applicable, must be knowledgeable in hazardous materials.
    (n). Driver must be able to load and unload freight.
    (o). Driver must be capable of excessive manual labor.
    (p). Driver must have required experience and qualifications for the equipment driver is hired to operate.
    (q). Driver must be physically able to, but not limited to, climbing in and out of tractors  on a repetitive basis, while being tolerable to different heights.
    (r). Driver must possess a valid, Class A CDL in state of domicile.
    (s). Driver must possess a current, valid D.O.T. physical.

  • I have read the Job Description and attest to the fact that I meet all requirements expected of me. I understand that this Job Description is not inclusive and does not take the place or exceed rules or laws established by any authorized Local, State or Federal agency.
    (First and Last Name Required)

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  • Release & Documentation of
    Pre-employment Testing Information
    by Driver/Applicant

  • (1) ANNUAL MOTOR VEHICLE DRIVER'S CERTIFICATION OF VIOLATIONS

    In accordance with 49 CFR 391.27 , I certify that the following is a true and complete list of traffic violations (other than parking violations) for which I have been convicted or forfeited bond or collateral during the past 12 months.

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  • (2) ANNUAL MOTOR VEHICLE DRIVER'S CERTIFICATION OF VIOLATIONS

    In accordance with 49 CFR 391.27 , I certify that the following is a true and complete list of traffic violations (other than parking violations) for which I have been convicted or forfeited bond or collateral during the past 12 months.

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  • (3) ANNUAL MOTOR VEHICLE DRIVER'S CERTIFICATION OF VIOLATIONS

    In accordance with 49 CFR 391.27 , I certify that the following is a true and complete list of traffic violations (other than parking violations) for which I have been convicted or forfeited bond or collateral during the past 12 months.

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  • Disclosure and Authorization Language
    For Mandatory Use By All Account Holders 

  • IMPORTANT DISCLOSURE 
    REGARDING BACKGROUND REPORTS FROM THE PSP Online Service

    In connection with your application for employment with Foltz Trucking (“Prospective Employer”), Prospective Employer, its employees, agents or contractors may obtain one or more reports regarding your driving, and safety inspection history from the Federal Motor Carrier Safety Administration (FMCSA).

    When the application for employment is submitted in person, if the Prospective Employer uses any information it obtains from FMCSA in a decision to not hire you or to make any other adverse employment decision regarding you, the Prospective Employer will provide you with a copy of the report upon which its decision was based and a written summary of your rights under the Fair Credit Reporting Act before taking any final adverse action. If any final adverse action is taken against you based upon your driving history or safety report, the Prospective Employer will notify you that the action has been taken and that the action was based in part or in whole on this report.

    When the application for employment is submitted by mail, telephone, computer, or other similar means, if the Prospective Employer uses any information it obtains from FMCSA in a decision to not hire you or to make any other adverse employment decision regarding you, the Prospective Employer must provide you within three business days of taking adverse action oral, written or electronic notification: that adverse action has been taken based in whole or in part on information obtained from FMCSA; the name, address, and the toll free telephone number of FMCSA; that the FMCSA did not make the decision to take the adverse action and is unable to provide you the specific reasons why the adverse action was taken; and that you may, upon providing proper identification, request a free copy of the report and may dispute with the FMCSA the accuracy or completeness of any information or report. If you request a copy of a driver record from the Prospective Employer who procured the report, then, within 3 business days of receiving your request, together with proper identification, the Prospective Employer must send or provide to you a copy of your report and a summary of your rights under the Fair Credit Reporting Act.

    Neither the Prospective Employer nor the FMCSA contractor supplying the crash and safety information has the capability to correct any safety data that appears to be incorrect. You may challenge the accuracy of the data by submitting a request to https://dataqs.fmcsa.dot.gov. If you challenge crash or inspection information reported by a State, FMCSA cannot change or correct this data. Your request will be forwarded by the DataQs system to the appropriate State for adjudication.

    Any crash or inspection in which you were involved will display on your PSP report. Since the PSP report does not report, or assign, or imply fault, it will include all Commercial Motor Vehicle (CMV) crashes where you were a driver or co-driver and where those crashes were reported to FMCSA, regardless of fault. Similarly, all inspections, with or without violations, appear on the PSP report. State citations associated with Federal Motor Carrier Safety Regulations (FMCSR) violations that have been adjudicated by a court of law will also appear, and remain, on a PSP report.

    The Prospective Employer cannot obtain background reports from FMCSA without your authorization.

     

    AUTHORIZATION
    If you agree that the Prospective Employer may obtain such background reports, please read the following and sign:

    I authorize Foltz Trucking (“Prospective Employer”) to access the FMCSA Pre-Employment Screening Program (PSP) system to seek information regarding my commercial driving safety record and information regarding my safety inspection history.

    I understand that I am authorizing the release of safety performance information including crash data from the previous five (5) years and inspection history from the previous three (3) years. I understand and acknowledge that this release of information may assist the Prospective Employer to make a determination regarding my suitability as an employee.

    I further understand that neither the Prospective Employer nor the FMCSA contractor supplying the crash and safety information has the capability to correct any safety data that appears to be incorrect. I understand I may challenge the accuracy of the data by submitting a request to https://dataqs.fmcsa.dot.gov. If I challenge crash or inspection information reported by a State, FMCSA cannot change or correct this data. I understand my request will be forwarded by the DataQs system to the appropriate State for adjudication.

    I understand that any crash or inspection in which I was involved will display on my PSP report. Since the PSP report does not report, or assign, or imply fault, I acknowledge it will include all CMV crashes where I was a driver or co-driver and where those crashes were reported to FMCSA, regardless of fault. Similarly, I understand all inspections, with or without violations, will appear 2 on my PSP report, and State citations associated with FMCSR violations that have been adjudicated by a court of law will also appear, and remain, on my PSP report. I have read the above Disclosure Regarding Background Reports provided to me by Prospective Employer and I understand that if I sign this Disclosure and Authorization, Prospective Employer may obtain a report of my crash and inspection history. I hereby authorize Prospective Employer and its employees, authorized agents, and/or affiliates to obtain the information authorized above.

    In connection with my application for employment with you, I understand that you may be requesting information concerning my driving record, credit history, criminal history, educational history, professional licensure and certification, workers’ compensation claims and other records available from various state, private and insurance sources. Workers’ compensation information will only be requested in compliance with the ADA. I understand that the report may include information obtained through personal interviews regarding my character, general reputation, personal characteristics or mode of living.

    I HEREBY AUTHORIZE, WITHOUT RESERVATION, ANY LAW ENFORCEMENT AGENCY, ADMINISTRATOR, STATE AGENCY, INSTITUTION, INFORMATION SERVICE BUREAU, EDUCATIONAL INSTITUTION, EMPLOYER OR INSURANCE COMPANY TO FURNISH THE ABOVE-MENTIONED INFORMATION.

    I further acknowledge that a telephonic facsimile (FAX) or photographic copy shall be as valid as the original. This release includes all state and federal agencies including state Departments of Labor.

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