Driver Application

Driver’s Application For Employment

To apply, please fill in the information below and click Submit.  If you prefer, you can also print out a PDF of the application, fill it in by hand, and turn it in to:

Sorce Enterprises
3201 N. Main St.
East Peoria, Illinois 61611
309-694-2083
contactus@sorceenterprises.com

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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 be read and signed by applicant

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 in arriving at an employment decision. (Generally, inquiries regarding medical history will be made only if and after a conditional offer of employment has been extended.) I hearby release employers, schools, health care providers and other persons from all liability in responding to inquiries and releasing information 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 discharge. I understand, also, that I am required to abide by all rules and regulations of the Company.

I understand that information I provide regarding current and/or previous employers may be used, and those employer(s) will be contated, for the purpose of investigating my safety performance history as required by 49 CFR 391.23(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 re-send 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.
Signature

Driver’s Application For Employment

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Applicant to complete

List your Addresses of Residency for the past 3 Years.

Current Address
yr./mo.
Previous Address
yr./mo.
yr./mo.
yr./mo.

Do you have the legal right to work in the United States?

Can you provide proof of age?

Have you worked for this company before?

Are you now employed?

Have you ever been bonded? (Answer only if a job requirement)

Have you ever been convicted of a felony?

Employment History

All driver applicants to drive in interstate commerce must provide the following information on all employers during the preceding 3 Years. List complete mailing address, street number, city, state and zip code.

Applicants to drive a commercial motor vehicle* in interstate or interstate commerce shall also provide an additional 7 years’ Information on those employers for whom the applicant operated such vehicle.
(NOTE: List emloyers in reverse order starting with the most recent. Add another sheet as necessary.)

EMPLOYER

Name

DATE

Where You Subject to the FMCSRs* While Employed?

Was your job designated as a safety-sensitive function in any dot-regulated mode subject to the drug and alcohol testing requirements of 49 CFR Part 40?

Driver’s Application For Employment

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Accident Record

For Past 3 Years or More. If None, Write NONE

Last Accident
Next Previous
Next Previous
Traffic Convictions

And Forfeitures For The Past 3 Years (Other than parking violations) If NONE, Write NONE

Experience and qualifications - Driver

List all driver licenses or permits held in the past 3 years

Driver Licenses

A. Have you ever been denied a license, permit or privilege to operate a motor vehicle?

B. Has any license, permit or privilege ever been suspended or revoked?

Driving experience

Check Yes or No

Class of Equipment

Straight Truck

Date
Select Type of Equipment

Are you now employed?

Class of Equipment

Tractor And Semi-Tralier

Date
Select Type of Equipment

Are you now employed?

Class of Equipment

Tractor - Two Trailers

Date
Select Type of Equipment

Are you now employed?

Class of Equipment

Tractor - Three Trailers

Date
Select Type of Equipment

Are you now employed?

Class of Equipment

Motorcoach - School Bus (More than 8 pass.)

Date
Select Type of Equipment

Are you now employed?

Class of Equipment

Motorcoach - School Bus

Date
Select Type of Equipment

Are you now employed?

Class of Equipment

Other

Date
Select Type of Equipment

Are you now employed?

Experience and qualifications - other
Education

High School:

College:

Last School Attended
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.

Signature