home | company | contact | forms | store
trans-u logoservicesagents drivers news gallery equipment submit resume

driver application
 
For a printable copy of our Driver Application click here
 

You must input your name, the date and check the box next to yes at the bottom of this application or it cannot be processed

Position Applying For

Owner Operator    Company Driver    Local Company Driver

Contact Information

Full Name (First,M,Last)
   
Street Address (Address,City,State,Zip)
 ,  ,  , 
Home Phone
- -
Cell Phone
- -
Email Address
Hometime Need
SSN (last 4 digits only)
XXX-XX-
Date of Birth
--
How did you hear about T-U?

CDL Information

Do you have a CDL?
Yes No
CDL Number
CDL Issue State
CDL Expiration Date
--
Class A CDL?
Yes No
Doubles Endorsement?
Yes No

Driver Information

Are you a U.S. Citizen?
Yes No
Are you legally eligible for contracting in this country?
Yes No
Do you have a TWIC card?
Yes No
Do you have a passport?
Yes No
Are you physically able/willing to tarp?
Yes No

Driving Experience

Largest load hauled (ft)?
L  W   H  Wt Lbs    
Load dimensions you are comfortable hauling (ft)?
L  W   H  Wt Lbs    
Do you have special training?
Yes No
If "yes" explain
Total Years OTR?
Flatbed: years     Step Deck:  years     Low Boy/RGN: years
Steel:  years     Industrial Machinery: years     Tractor & Trailer: years
I prefer to run
All 48 States    Regional    Local

Employment History

Work Record for Past Ten (10) Years

Your Work History will be carefully checked for the past 36 months. All 36 months must be accounted for, including self-employment or unemployment, indicate individuals we may contact, and supply us with phone numbers including area codes. Use the comments section at the bottom of this application to provide us with any additional information.

Are you currently employed?
Yes No
Number of jobs in last 3 years?

Current Employer

Employer Name
Phone
- -
Street Address (Address,City,State,Zip)
 ,  ,  , 
Start Date
--
End Date
--
Position held
Pay Rate
Supervisor Name
Can we contact this employer?
Yes No
Reason for leaving
Were you subject to FMCSA guidelines?
Yes No
Vehicle Driven
Was this position designated Safety Sensitive Function?
Yes No
Trailer Used
Type of travel lanes?
48 States Regional Local

Previous Employer#1

Employer Name
Phone
- -
Street Address (Address,City,State,Zip)
 ,  ,  , 
Start Date
--
End Date
--
Position held
Pay Rate
Supervisor Name
Can we contact this employer?
Yes No
Reason for leaving
Were you subject to FMCSA guidelines?
Yes No
Vehicle Driven
Was this position designated Safety Sensitive Function?
Yes No
Trailer Used
Type of travel lanes?
48 States Regional Local

Previous Employer#2

Employer Name
Phone
- -
Street Address (Address,City,State,Zip)
 ,  ,  , 
Start Date
--
End Date
--
Position held
Pay Rate
Supervisor Name
Can we contact this employer?
Yes No
Reason for leaving
Were you subject to FMCSA guidelines?
Yes No
Vehicle Driven
Was this position designated Safety Sensitive Function?
Yes No
Trailer Used
Type of travel lanes?
48 States Regional Local

Previous Employer#3

Employer Name
Phone
- -
Street Address (Address,City,State,Zip)
 ,  ,  , 
Start Date
--
End Date
--
Position held
Pay Rate
Supervisor Name
Can we contact this employer?
Yes No
Reason for leaving
Were you subject to FMCSA guidelines?
Yes No
Vehicle Driven
Was this position designated Safety Sensitive Function?
Yes No
Trailer Used
Type of travel lanes?
48 States Regional Local

Previous Employer#4

Employer Name
Phone
- -
Street Address (Address,City,State,Zip)
 ,  ,  , 
Start Date
--
End Date
--
Position held
Pay Rate
Supervisor Name
Can we contact this employer?
Yes No
Reason for leaving
Were you subject to FMCSA guidelines?
Yes No
Vehicle Driven
Was this position designated Safety Sensitive Function?
Yes No
Trailer Used
Type of travel lanes?
48 States Regional Local

Previous Employer#5

Employer Name
Phone
- -
Street Address (Address,City,State,Zip)
 ,  ,  , 
Start Date
--
End Date
--
Position held
Pay Rate
Supervisor Name
Can we contact this employer?
Yes No
Reason for leaving
Were you subject to FMCSA guidelines?
Yes No
Vehicle Driven
Was this position designated Safety Sensitive Function?
Yes No
Trailer Used
Type of travel lanes?
48 States Regional Local

Accidents (Past 5 years)

Date
Nature of Accident
Injury
Fatality
Date
Nature of Accident
Injury
Fatality
Date
Nature of Accident
Injury
Fatality
Date
Nature of Accident
Injury
Fatality

Traffic Convictions (Past 5 years)

Date
Location
Charge
Penalty
Date
Location
Charge
Penalty
Date
Location
Charge
Penalty
Date
Location
Charge
Penalty
Number of tickets received in last 3 years?

Criminal Record

Have you ever been convicted of a felony or charges pending in last 5 years?
Yes No
Have you ever been convicted, or are charges pending, for driving while under the influence of alcohol, a narcotic drug, amphetamines or derivatives thereof in the last 5 years?
Yes No
Have you ever been convicted of a crime or charges pending in last 5 years?
Yes No
Has any license, permit or privilege ever been suspended or revolved?
Yes No
Have you ever tested positive or refused a test for drugs or alcohol?
Yes No
Have you ever abandoned your equipment?
Yes No

**If you answered yes to any of the above, please explain in the comments box below.

Comments


This certifies that this application was completed by me, and that all entries on it and the information on it are true and complete to the best of my knowledge. I hereby request and authorize Trans-United, Inc. and their respective employees, representatives, agents or subcontractors, that receive this application to cause to be conducted, at any time, an investigation of my background which may include, but not be limited to, any information relating to my character, general reputation, personal characteristics, financial background, mode of living, criminal history, past work experience, educational background, alcohol and/or drug test results(or failure to submit to an alcohol or drug test), accident and cargo claim information, or any other information about me which may reflect upon my qualifications, credentials and suitability for contracting/employment with Trans-United, Inc. as an independent contractor/employee to perform work (which may include driving), gathered from any individual, organization, entity, agency or other source which may have knowledge concerning any such information. I have completed this application of my own free will and shall hold harmless Trans-United, Inc., their employees, agents and associated parties from any and all liability related to the use of this application. As part of the consideration of Trans-United, Inc. of my application, the Federal Motor Carrier Safety Regulations, part 391.23, 383.35 and/or other sub parts as necessary, requires the Company to investigate my current and past employment and driving background. As part of this investigation, Trans-United, Inc. and their respective employees, representatives, agents or subcontractors may obtain consumer reports from various consumer reporting agencies, including but not limited to USIS, DAC, HIRERIGHT, FMCSA programs and PSP, concerning my driving background. Any decision Trans-United, Inc. makes not to enter into a contract/employment offer with me based on information contained in my consumer report will be the decision of Trans-United, Inc. alone to make with the information that it obtains. In the event I am not offered an opportunity to enter into an independent contractor contract/employment with Trans-United, Inc. based on information contained in my consumer report, Trans-United, Inc. will tell me. Trans-United, Inc. will also advise me of my right to obtain a free copy of the consumer report from HIRERIGHT/DAC or other agency, and my right to dispute the accuracy or completeness of such report. My consent for Trans-United, Inc. to obtain the report from HIRERIGHT/DAC/FMCSA/PSP and or other agency is required.

REGARDING BACKGROUND REPORTS FROM THE PSP ONLINE SERVICE

1.) In connection with your application for independent contractor status/employment with Trans-United, Inc.(Prospective Leasors/Employer), it may obtain one or more reports regarding your driving and safety inspections from the Federal Motor Carrier Safety Administration (FMCSA).When the application for independent contractor status/employment is submitted in person, if the Prospective Leasors/Employer uses any information it obtains from FMCSA in a decision to not lease/hire you or to make any other adverse lease/employment decision regarding you, the Prospective Leasors/Employer will provide you a copy of the report upon which it 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 Leasors/Employer will notify you that the action has been taken and that the action was based in part or in whole on this report.

2.) When the application for employment is submitted by mail, telephone, computer, or other similar means, if the Prospective Leasors/employer use any information it obtains from FMCSA in a decision to not lease/hire you or to make any other adverse lease/employment decision regarding you, the Prospective Leasors/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 the FMCSA; that the FMCSA did not make the decision to take the adverse action and is unable to provide you with the specific reasons why the adverse action was taken; and that you may, upon providing proper identification, request a free copy of the report any 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 Leasors/Employer who procured the report, then, within 3 business days of receiving your request, together with proper identification, the Prospective Leasors/Employer must send or provide to you a copy of your report and a summary of your rights under the Fair Credit Reporting Act. The Prospective Leasors/Employer cannot obtain background reports from FMCSA unless you consent in writing. If you agree that the Prospective Leasors/Employer may obtain such background reports, please read the following and sign below.

3.) I authorize Trans-United, Inc. to access the FMCSA Pre-Employment Screening Program (PSP) system to seek information regarding by commercial driving safety record and information regarding by safety inspection history. I understand that I am consenting to 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 Trans-United, Inc. to make a determination regarding my suitability as an independent contractor/employee.

4.) I further understand that neither the Prospective Leasors/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 am challenging 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.

5.) Please note: 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 FMCSR violations that have been adjudicated by a court of law will also appear, and remain, on a PSP report.

6.) Although I have the right to withhold my consent, Trans-United, Inc. will not consider my application without my consent. In the event of the contract/employment with Trans-United, Inc. as an independent contractor/employee, I understand that false or misleading information given by me on this application or during the interview process could result in my contract/employment being immediately terminated.
 

*I have read and agree to the above Notice Regarding Background Reports and give permission to obtain a report of my crash and inspection history, any consumer background reports about me from the sources/agencies referenced.
Yes   No
Name
Date

**You must input your name, the date and check the box next to yes at the bottom of this application or it cannot be processed