Jobs | Drive with Us

Please enable JavaScript in your browser to complete this form.

Name *

First

Middle

Last

Current Address *

Address Line 1

City

State

Zip Code

Phone *

Email *

Personal Information

Date of Birth *

SSN# *

How long have you lived at your current address? *

If less than 3 years, please provide addresses for the previous 3 years in the field below.

Previous Addresses

List any prior addresses and how long you lived there.

Legal Rights

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

Can you provide documentation? *

To operate a commercial motor vehicle in interstate commerce you must be at least 21 years of age. Do you qualify? *

To operate a commercial motor vehicle in intrastate commerce you must be at least 18 years of age. Do you qualify? *

Can you provide proof of age? *

Have you ever been convicted of a felony? *

If you answer yes, we may require further information on a confidential basis.

Physical History

Federal and State Department of Transportation regulations require you to be medically qualified to drive a commercial motor vehicle.

Can you provide proof of a current DOT Medical Examination Report? *

Can you provide a Medical Certificate? *

Date of Last DOT Physical Examination: *

Doctor's Name / Address

Employment History

Driver applicants must provide the following information on all employers during the preceding 3 years; please account for gaps in employment with an exmplanation such as “unemployed” etc. List address, Contact Name and Phone Number.

Previous Employer Name

Employer Address

Address Line 1

City

State

Zip Code

Layout

Contact Name

Employer Phone Number

Employer Information

Dates of Employment

Example: June 2020 through August 2023

Salary/Wage

Was this job subject to the Federal Motor Carrier Safety Regulations (FMCSRs)?

Position Held

Reason for Leaving

Was this job subject to alcohol and controlled substances testing as required by 49CFR part 40?

Would you like to add another previous employer? *

Previous Employer Name 2

Employer Address 2

Address Line 1

City

State

Zip Code

Layout 2

Contact Name 2

Employer Phone Number 2

Employer Information 2

Dates of Employment 2

Example: June 2020 through August 2023

Salary/Wage 2

Was this job subject to the Federal Motor Carrier Safety Regulations (FMCSRs)?

Position Held 2

Reason for Leaving 2

Was this job subject to alcohol and controlled substances testing as required by 49CFR part 40?

Would you like to add a third previous employer?

Previous Employer Name 3

Employer Address 3

Address Line 1

City

State

Zip Code

Employer Information 3

Contact Name 3

Dates of Employment 3

Salary/Wage 3

Was this job subject to the Federal Motor Carrier Safety Regulations (FMCSRs)?

Employer Phone 3

Position Held 3

Reason for Leaving 3

Was this job subject to alcohol and controlled substances testing as required by 49CFR part 40?

Accident Record

For any vehicle in the past 3 years.

Have you been involved in an accident in any vehicle in the past 3 years? *

Accident History

Please provide dates and the nature of any accident(s) in the past 3 years. Describe the accident and any injuries or fatalities. Was it head-on, rear-end, etc.

Traffic Convictions and Forfeitures

Other than parking violations.

Have you had any traffic convictions or forfeitures in the past 3 years in any vehicle? *

Location, Date, Charge and Penalty

Please provide the location, date, charge, and penalty for any incidents in the past 3 years.

Driver Licenses / Permits

License Information 1

State

Type

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

License No.

Expiration Date

Month/Date/Year

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

Please provide an explanation for the yes answer above.

Add another license/permit?

License Information 2

State

Type

License No.

Expiration Date

Month/Date/Year

Driving Experience and Qualifications

Check any class of equipment you have experience with.

Straight Truck

Type of Trailer

Tanker, Flat Bed, Refrigerated Van, Dry Van, etc.

Approx # of Miles

Tractor and Semi-Trailer

Type of Trailer

Tanker, Flat Bed, Refrigerated Van, Dry Van, etc.

Approx # of Miles

Tractor – Double/Triple Trailers

Type of Trailer

Tanker, Flat Bed, Refrigerated Van, Dry Van, etc.

Approx # of Miles

Motor Coach – School Bus

Type of Trailer

Tanker, Flat Bed, Refrigerated Van, Dry Van, etc.

Approx # of Miles

List States Operated in Over Past Five Years

Show Special Courses or Training That Will Help You As a Driver

Which Safe Driving Awards do you hold and from whom?

Regulatory Qualifications

Can you read and speak the English language sufficiently to converse with the general public, to understand highway traffic signs and signals in the English language, to respond to official inquiries, and to make entries on reports and records? *

Have you tested positive, or refused to test, on any pre-employment drug or alcohol test administered by a motor carrier to which you have applied, but did not obtain a safety-sensitive transportation job covered by DOT testing rules during the past two years? *

Resume Upload

Cover Letter

Type or Copy/Paste from an existing document here.

Upload Your Resume

Click or drag a file to this area to upload.

Supported formats: pdf, doc, txt, zip, html

Request for Information from a Previous Employer

I hereby authorized you to release the following information to D&N Trucking, Inc. for the purpose of investigation as required by 391.23 and 382 of the Federal Motor Carrier Safety Regulations. You are released from any and all liability which may result from furnishing such information. I, the undersigned, understand if I wish to review previous employer-provided information, I must submit a written request to the prospective employer within 30 days after being employed or being notified of denial of employment. I understand I have the right to issue a rebuttal statement if the previous employer’s statement does not agree with my statement. Drivers wishing to request correction of erroneous information in records received must send the request for the correction to the previous employer that provided the records. Please refer to FMCSR 391.23.

Layout

Applicant's Signature *

First

Last

Type Your Name

Date *

Join Our Team

Personal Information

Physical History

Employment History

Accident Record

Traffic Convictions and Forfeitures

Driver Licenses / Permits

Driving Experience and Qualifications

Regulatory Qualifications

Resume Upload

Request for Information from a Previous Employer