Driver Application

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*=Required

Date of Application*
Date of Hire*
Position Applied For*
Date of Birth*
Last, First, Mid Initial*
Phone*

Residency History

List your addresses of residency for the past 3 years.
Location #
Street
City
State
Zip
How Long?
Current*
Prev. #1
Prev. #2
Prev. #3
Prev. #4
Prev. #5

Employment History

ALL DRIVER APPLICANTS: To drive interstate commerce, you must provide the following information on all former/current employers (driving positions and non-driving positions) for the last 3 years. All information must be complete for your application to be considered.

ALL DRIVER APPLICANTS: To be employed as a driver of a commercial motor vehicle (any vehicle requiring a CDL License) in intrastate or interstate commerce, you must also provide an additional 7 years' information on those employers for whom you worked as a driver operating a commercial motor vehicle.

In other words, if you are going to drive a vehicle requiring a CDL, you must provide a total of 10 years working and driving experience.

Current Employer* Full Address* Position Held* Salary/Wage* Contact Person* Phone Number* From/To Dates*
Reason for leaving*

Were you subject to DOT rules while employed with this company?
Yes    No

While employed, was your job designated as "safety-sensitive" making you subject to the DOT drug and alcohol testing requirements?
Yes    No
Employer #1 Full Address Position Held Salary/Wage Contact Person Phone Number From/To Dates
Reason for leaving

Were you subject to DOT rules while employed with this company?
Yes    No

While employed, was your job designated as "safety-sensitive" making you subject to the DOT drug and alcohol testing requirements?
Yes    No
Employer #2 Full Address Position Held Salary/Wage Contact Person Phone Number From/To Dates
Reason for leaving

Were you subject to DOT rules while employed with this company?
Yes    No

While employed, was your job designated as "safety-sensitive" making you subject to the DOT drug and alcohol testing requirements?
Yes    No
Employer #3 Full Address Position Held Salary/Wage Contact Person Phone Number From/To Dates
Reason for leaving

Were you subject to DOT rules while employed with this company?
Yes    No

While employed, was your job designated as "safety-sensitive" making you subject to the DOT drug and alcohol testing requirements?
Yes    No
Employer #4 Full Address Position Held Salary/Wage Contact Person Phone Number From/To Dates
Reason for leaving

Were you subject to DOT rules while employed with this company?
Yes    No

While employed, was your job designated as "safety-sensitive" making you subject to the DOT drug and alcohol testing requirements?
Yes    No
Employer #5 Full Address Position Held Salary/Wage Contact Person Phone Number From/To Dates
Reason for leaving

Were you subject to DOT rules while employed with this company?
Yes    No

While employed, was your job designated as "safety-sensitive" making you subject to the DOT drug and alcohol testing requirements?
Yes    No

Background Check

STI Trucking, LLC Driver Safety Performance History

Applicant Rights

The Federal Motor Carrier Safety Administration promulgated rules to change the driver background check verifications required in 49 CFR Part 391 effective October 30, 2004. Under the new requirements STI Trucking, LLC is required to contact your previous employers for three (3) years previous to the date of your application for employment to verify certain specific safety information and records.

The information we will be requesting will include personal work history, accident involvement history, and the drug and alcohol testing history that they have on record. We will be reviewing information related to the time you were employed with each previous employer, and any information compiled by them as they performed Driver Safety Performance History checks as well.

As an applicant for a driving position, you have certain specific rights relating to the information that STI Trucking, LLC receives from your previous employer.
These rights include:
1. The right to review the information provided to STI Trucking, LLC by your previous employers, whether you listed the employers specifically on your application for employment or not.
2. The right to have any errors in the information provided to STI Trucking, LLC corrected by a previous employer and to request that they submit corrected information.
3. The right to have a rebuttal statement attached to alleged erroneous information in such instance that you are not in agreement with the information provided to STI Trucking, LLC by a previous employer.
4. The right to review the information within provided to STI Trucking, LLC within 30 days of employment (or within 30 days from the date that employment is denied based on information received) STI Trucking, LLC will provide such information to you upon receipt of your written request within five (5) business days.

I certify that I am a driver applicant and that I have read and understand my rights as prescribed by 49 CFR Part 391.
I Agree.
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Stone Trucking Co.

P.O. Box 700 • Keifer, Oklahoma 74041
PH: (918) 446-6181 or (800) 426-2487
FAX: (918) 446-6186
EMAIL: stone@stonetrucking.com

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