APPLICATION FOR EMPLOYMENT
Please note: this application must be filled out completely or it will not be processed.
Equal Opportunity Employer
In compliance with Federal and State equal opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, disability, and in Michigan, height, weight, and marital status

General Applicant Information:
Applicant's Full Name
Current Address for years
City   State   
Zip Code
Phone Number
Email 
Date of Birth
License Number
Social Security #
List Your Former Residence in the last 4 years
Address, City & State for years
Address, City & State for years
Address, City & State for years
Are you a U.S. Citizen, 
A lawful Permanent Resident,
or Otherwise Authorized to 
Work in the United States?		 Yes   No
Position applied for
Position Duration  Temporary  Permanent  Either
Have You Ever Worked 
For Our Company Before?
Yes    No
If Yes, where
From (date) 

Rate of Pay

Position

Reason for Leaving
Any Relatives Currently
Working For Us?		 Relatives Name:
Relatives Name:
Are you 
Currently Employed?		 Yes  No
If no, how long since last Employment?
Who Referred You?  Name:
Rate of Pay Expected
Have you ever been 
convicted of a crime?		 No   Yes     If yes, list date:
Current Felony Charges:
Have you ever used another name
other then the one specified above?		 If yes, list the name used:

DRIVING INFORMATION:
Accident Record For Past 3 Years or More. Email us additional information if it exists.
Last Accident Date: Injuries: Fatalities: Nature Of Accident: 
Last Accident Date: Injuries: Fatalities: Nature Of Accident:
Last Accident Date: Injuries: Fatalities: Nature Of Accident:
Traffic Convictions and forfeitures for the past 3 years (other then parking violations)
Location:   Date: Charge: Penalty:
Location:   Date: Charge: Penalty:
Location:   Date: Charge: Penalty:
Drivers Licenses and/or Permits in the Last 5 years
License #: State: Type: Expiration Date:
License #: State: Type: Expiration Date:
License #: State: Type: Expiration Date:
Have you ever been disqualified under federal motor carrier safety regulations guidelines?
YES   if yes, list the date
Have you ever been denied a license, permit or privilege to operate a motor vehicle?
YES   if yes, list the date
Has any license, permit or privilege ever been suspended or revoked?
YES   if yes, list the date
If the answer to either of the previous three questions was YES, explain here:
Have you ever been convicted or are any charges pending for driving while under the influence of alcohol, a narcotic drug, amphetamines or derivatives thereof?   
YES   if yes, list the date

Driving Experience
Class of Equipment Type of Equipment:
(Van, Tank, Flat, ETC)		 Dates
(From - To)		 Approx. # of Miles
(Total Miles)
Straight Truck

to

Total Miles

Tractor and Semi Trailer to Total Miles
Tractor - Two Trailers to Total Miles
Other to Total Miles
 

Truck Driving School Name:

   Graduation Date:

List Save driving Awards:

From Whom:
From Whom:
From Whom:

List The States You Operated 
in for the last 5 years:

Military Status
Branch of Military or Naval Service Rank:
Present Membership in
National Guard or Reserves?

Education
Select Highest Grade Completed Degree?
Last School Attended City & State

Previous Employment Record
Note: D.O.T. requires that employment history for the last 10 years be shown. Information must me complete for the application process. If former employee is no longer in business, in addition to information below, please provide W-2's and or 1099's and references.
Last Employer Information
Last Employer: Phone: Supervisors Name:
Street Address: City:  State: Zip Code:
Position Held: Date Hired: Date Left:
Salary: Reason For Leaving:

If you were a driver, complete this section

# of Accidents:

Number Chargeable:

Equipment Division Position:
(Check all that apply)   
Vehicle Type: Straight Truck    Semi    Dump    Other
Carried:  General Commodities    Steel    Other
Position: Owner-Operator    Fleet Driver    Other

List States You Operated In:
Second to Last Employer Information
Last Employer: Phone: Supervisors Name:
Street Address: City:  State: Zip Code:
Position Held: Date Hired: Date Left:
Salary: Reason For Leaving:

If you were a driver, complete this section

# of Accidents:

Number Chargeable:

Equipment Division Position:
(Check all that apply)   
Vehicle Type: Straight Truck    Semi    Dump    Other
Carried:  General Commodities    Steel    Other
Position: Owner-Operator    Fleet Driver    Other

List States You Operated In:
Third to Last Employer Information
Last Employer: Phone: Supervisors Name:
Street Address: City:  State: Zip Code:
Position Held: Date Hired: Date Left:
Salary: Reason For Leaving:

If you were a driver, complete this section

# of Accidents:

Number Chargeable:

Equipment Division Position:
(Check all that apply)   
Vehicle Type: Straight Truck    Semi    Dump    Other
Carried:  General Commodities    Steel    Other
Position: Owner-Operator    Fleet Driver    Other

List States You Operated In:
Forth to Last Employer Information
Last Employer: Phone: Supervisors Name:
Street Address: City:  State: Zip Code:
Position Held: Date Hired: Date Left:
Salary: Reason For Leaving:

If you were a driver, complete this section

# of Accidents:

Number Chargeable:

Equipment Division Position:
(Check all that apply)   
Vehicle Type: Straight Truck    Semi    Dump    Other
Carried:  General Commodities    Steel    Other
Position: Owner-Operator    Fleet Driver    Other

List States You Operated In:
Fifth to Last Employer Information
Last Employer: Phone: Supervisors Name:
Street Address: City:  State: Zip Code:
Position Held: Date Hired: Date Left:
Salary: Reason For Leaving:

If you were a driver, complete this section

# of Accidents:

Number Chargeable:

Equipment Division Position:
(Check all that apply)   
Vehicle Type: Straight Truck    Semi    Dump    Other
Carried:  General Commodities    Steel    Other
Position: Owner-Operator    Fleet Driver    Other

List States You Operated In:
Agreement: Please read and agree to this statement before submitting this form.
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 also agree that any false information, misrepresentations, or omissions may disqualify me from further consideration for employment or may result in discharge if hired, without regard to either my knowledge of the inaccuracy, the length of my employment, or the seriousness of the inaccuracy.

I authorize Classic Transportation Services, Inc., to conduct such background investigations as it deems necessary in arriving at an employment decision. I release Classic Transportation Services, Inc., and all companies, agencies, schools, and persons contacted from all liability and responsibility for providing, receiving, or acting on such information. I further agree to cooperate in any such investigation.

I understand that all Classic Transportation Services, Inc., employees are employed on an individual basis and are subject to termination at any time, with or without notice, with or without prior discipline or warning, and with or without cause. No person other then Classic Transportation Services, Inc.'s President has authority to offer employment for any specified period or to make any contract contrary to the statement of at-will employment. Moreover, no such agreement by the President with be enforceable unless the document is in writing, dated and signed by the President.

I hereby give my consent for Classic Transportation Services, Inc., through an authorized testing service of its choice, to collect blood, urine, hair, or saliva samples, other fluid or tissue samples from me and to conduct any other necessary medical test to determine the presence of alcohol, drugs, or controlled substances, and I hereby release Classic Transportation Services, Inc., from any liability arising out of such tests or its results. Further, I give my consent for the release of the test results and other relevant information to authorized Classic Transportation Services, Inc., management for appropriate review. If Classic Transportation Services, Inc., accepts me for employment, I hereby consent to be tested in the above manner during my employment when, in Classic Transportation Services, Inc.'s judgment, such testing is appropriate. I acknowledge that remaining free of illegal drug use is a condition of my employment.

YES, I have read and agree to these terms and conditions

Other Comments and
additional information: