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Step1: General Information
Step2: Employment History
Step3: Employment History (Contd.)
Step4: Employment Status
Step5: Driving Record
Step6: Release Authorization
Step7: Alcohal & Drug Test
Step8: Agreement
Step 1 of 8
(Application will remain active for 90 Days)
 
Cal ¡V Cleve, LTD.
DBA / Dot-Line Transportation
3601 Valley Park Drive El Reno, OK  73036
Phone  (800) 366-3685  Ext.3421; Fax (405) 262-4256
 
TO APPLICANT: READ THE FOLLOWING INFORMATION CAREFULLY BEFORE SUBMITTING THIS APPLICATION
 
THIS IS NOT AN APPLICATION FOR EMPLOYMENT EXCEPT TO THE EXTENT SO DEFINED IN THE COMMERCIAL FEDERAL MOTOR CARRIER SAFETY REGULATIONS.
THIS DOCUMENT WILL BE USED TO CERTIFY THE APPLICANT TO MEET THE REQUIREMENTS PRESCRIBED BY THE UNITED STATES DEPARTMENT OF TRANSPORTATION.
 
 
               
Date* :  
(mm/dd/yyyy)
Last Name* :
First Name* :  
Middle Name :
Social Security Number* :  
(xxx-xx-xxxx) 

List your addresses of residency for the past 3 years:

Current Address
Street* :  
City* :  
State* :  
Zip Code :
(xxxxx)
Phone Number* :  
(xxx-xxx-xxxx) 
How Long :
years/months
Previous Addresses
Street :
City :
State :
Zip Code :
(xxxxx)
Phone :
(xxx-xxx-xxxx)
How Long :
years/months
How many years of tractor semi-trailer experience can you prove? *
years 
Have you driven in Canada?
Do you have the legal right to work in the United States?
Date of Birth :
(Required for Commercial Drivers)
Can you provide proof of age?
Have you ever worked for this company before?
Where?  
Dates : From
To
(mm/dd/yyyy)      (mm/dd/yyyy)
Rate of Pay :  
Reason for Leaving :  
Are you now employed?
   
If not, how long since your last employment?  
Who referred you?  
Rate of pay expected :  
Are you familiar with the Motor Carrier Safety regulations?
Can you read and speak English sufficiently to converse with the general public, to understand traffic signs and signals in the English language, to respond to official inquiries and to make entries on reports and records?
Have you ever been convicted of a felony?
If yes, please explain in full on a separate sheet of paper. Conviction of a crime is not an automatic bar to employment ?all circumstances will be considered
 
Have you ever been convicted for driving while intoxicated?
Have you ever been convicted in the last 5 years for careless or reckless driving?
Is there any reason you might be unable to perform the functions necessary to operate a commercial motor vehicle?
If yes, explain if you wish