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A/T Transportation Driver Application

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Thank you for your interest in A/T Transportation, LLC. To apply for a driving position, please complete our online application for employment. Incomplete information will delay the processing of your application or prevent it from being submitted.

We are an Equal Employment Opportunity Employer. No question is asked for the purpose of excluding any applicant due to race, creed, color, national origin, religion, age, sex, handicap or disability, veteran status, or any other class of individuals protected by law. This application will be current for only three months. lf you have not heard from A/T Transportation, LLC and still wish to be considered for employment at the end of the three months, you must fill out a new application.

To fill out this form, you will need to know the following:
  • Soclal Security Number
  • Home address history for the past 3 years
  • Cunent driver license number and driver license history for the past 3 years
  • Employment history up to 10 years
  • History of traffic accidents, violations and/or convictions from the last 3 years (including DUI or reckless driving conviction and license suspension)
  • Criminal history
  • Milititary history (if applicable)

Physical Requirements for Position

All drivers must meet the DOT physical qualification requirements, which are as follows:
  • No loss of foot, legs, hands, or arm (unless DOT has waived this requirement)
  • No impairment of:
    • A hand or finger that interferes with precension or power grasping
    • An arm, foot or leg that interferes with the ability to perform normal tasks associated with operating a motor vehicle (unless the DOT has waived this requirement)
  • No established medical history or current clinical diagnosis of:
    • Diabetes mellitus currently requiring insulin for control
    • Epilepsy or any other condition likely to cause loss of conciousness or any loss of ability to control a motor vehicle
  • No established medical history or current clinical diagnosis of any of the following likely to interfere with the ability to control, operate or driver a motor vehicle safely:
    • Respiratory dysfunction
    • Rheumatic, arthritic, orthopedic, muscular, neuromuscular or vascular disease
  • No current clinical diagnosis of:
    • Myocardial infraction (heart attack)
    • Angina pectoris (chest pain)
    • Coronary insufficency (decrease in blood flow through the coronary blood vessals)
    • Thrombosis (blood clots)
    • Any other cardiovascular disease known to be accompanied by syncope (fainting), dyspnea (shortness of breath), collapse or congestive heart failure
    • High blood pressure likely to interfere with the ability to operate a motor vehicle safely
    • Alcoholism
  • No use of an amphetamine, narcotic, or any other habit-forming drug except prescribed drugs that do not interfere with the ability to drive
  • No mental, nervous, organic or functional disease or psychiatric disorder like to interfere with the ability to operate a motor vehicle safely
If you do not meet the above requirements you will not be able to do the work for which you are applying

Are you physically able, with or without accomodation:
  • To operate a commercial motor vehicle for long periods of time?
  • To move freigh weighing up to 60 lbs. per piece from floor level to floor level a distance of up to 53 feet for extended period of time?
  • To climb in and out of an over-the-raod tractor, 4 to 6 feet, 8-10 times per day
  • To reach above shoulder level with both arms to load and unload freight for extended periods of time?
  • To operate a computer terminal?
  • To complete written logs and trip reports
  • To conduct pre-trip and past trip inspections of a tractor and trailer?
  • To fuel and perform preventative maintenance on a tractor and trailer?

Contact Information


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Previous Work Information


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Accident record for past 3 years or more. (Start with most recent account)

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Traffic Convictions and forfeitures for the past 3 years (other than parking violations)

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Education

Select Highest Grade Completed:

Experience and Qualifications - Driver


Drivers Licenses:

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Other Licenses

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Other Licenses

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DRIVING EXPERIENCE:

STRAIGHT TRUCK


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TRACTOR & SEMI-TRAILER


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TRACTOR-TWO TRAILERS


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MOTOR COACH - SCHOOL BUS


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OTHER


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Experience and Qualifications - Other


Employment History


All driver applicants to drive in interstate commerce must provide the following information on all employers during the preceding 3 years. List complete mailing address, street number, city, state and zip code.

Applicants to drive a commercial motor vehicle in intrastate or interstate commerce shall also provide an additional 7 years' information on those employers for whom the applicant operated such vehicle. (NOTE: List employers in reverse order starting with the most recent. )

Most Recent

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Next Most Recent Employer


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Safety Performance History And Motor Vehicle Report Authorization


I hereby authorize A/T Transportation, LLC to make such investigations and inquiries of my personal, employment, financial, or medical history and other related matters as may be necessary in arriving at an employment decision. (Generally, inquiries regarding medical history will be made only if and after a conditional offer of employment has been extended.) I hereby release employers, schools, health care providers, and other persons from all liability in responding to inquiries and releasing information in connection with my application.

I hereby authorize all previous employers to release and forward the information requested concerning my personal, employment, financial, or medical history. I also authorize the release of records of my controlled substance and alcohol testing in accordance to Federal Motor Carrier Safety Regulation.

I hereby authorize A/T Transportation, LLC to obtain a copy of my Motor Vehicle Record from the state office that maintains my driver records. I understand that a third party vendor may be used to obtain my Motor Vehicle Report. I further understand that the information in my Motor Vehicle Report may be used for hiring or employment purposes and for insurance underwriting or rating purposes.

This authorization shall remain in effect until my employment or driving duties for A/T Transportation, LLC is terminated.

In compliance with §40.25(g) and §391.23 (h), release of this information must be made in a written form that ensures confidentiality.


I agree with the above language
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PSP Authorization


In connection with your application for employment with A/T Transportation LLC ("Prospective Employer"), Prospective Employer, its employees, agents or contractors may obtain one or more reports regarding your driving, and safety inspection history from the Federal Motor Carrier Safety Administration (FMCSA).

When the application for employment is submitted in person, if the Prospective Employer uses any information it obtains from FMCSA in a decision to not hire you or to make any other adverse employment decision regarding you, the Prospective Employer will provide you with a copy of the report upon which its 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 Employer will notify you that the action has been taken and that the action was based in part or in whole on this report.

When the application for employment is submitted by mail, telephone, computer, or other similar means, if the Prospective Employer uses any information it obtains from FMCSA in a decision to not hire you or to make any other adverse employment decision regarding you, the Prospective 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 FMCSA; that the FMCSA did not make the decision to take the adverse action and is unable to provide you the specific reasons why the adverse action was taken; and that you may, upon providing proper identification, request a free copy of the report and may 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 Employer who procured the report, then, within 3 business days of receiving your request, together with proper identification, the Prospective Employer must send or provide to you a copy of your report and a summary of your rights under the Fair Credit Reporting Act.

Neither the Prospective Employer nor the FMCSA contractor supplying the crash and safety information has the capability to correct any safety data that appears to be incorrect. You may challenge the accuracy of the data by submitting a request to https://dataqs.fmcsa.dot.gov. If you challenge crash or inspection information reported by a State, FMCSA cannot change or correct this data. Your request will be forwarded by the DataQs system to the appropriate State for adjudication.

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 Federal Motor Carrier Safety Regulations (FMCSR) violations that have been adjudicated by a court of law will also appear, and remain, on a PSP report.

The Prospective Employer cannot obtain background reports from FMCSA without your authorization.

AUTHORIZATION

If you agree that the Prospective Employer may obtain such background reports, please read the following and sign below: I authorize A/T Transportation LLC ("Prospective Employer") to access the FMCSA Pre-Employment Screening Program (PSP) system to seek information regarding my commercial driving safety record and information regarding my safety inspection history. I understand that I am authorizing 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 the Prospective Employer to make a determination regarding my suitability as an employee.

I further understand that neither the Prospective 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 challenge 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.

I understand that any crash or inspection in which I was involved will display on my PSP report. Since the PSP report does not report, or assign, or imply fault, I acknowledge it will include all CMV crashes where I was a driver or co-driver and where those crashes were reported to FMCSA, regardless of fault. Similarly, I understand all inspections, with or without violations, will appear on my PSP report, and State citations associated with FMCSR violations that have been adjudicated by a court of law will also appear, and remain, on my PSP report. I have read the above Disclosure Regarding Background Reports provided to me by Prospective Employer and I understand that if I sign this Disclosure and Authorization, Prospective Employer may obtain a report of my crash and inspection history. I hereby authorize Prospective Employer and its employees, authorized agents, and/or affiliates to obtain the information authorized above.

NOTICE: This form is made available to monthly account holders by NIC on behalf of the U.S. Department of Transportation, Federal Motor Carrier Safety Administration (FMCSA). Account holders are required by federal law to obtain an Applicant’s written or electronic consent prior to accessing the Applicant’s PSP report. Further, account holders are required by FMCSA to use the language contained in this Disclosure and Authorization form to obtain an Applicant’s consent. The language must be used in whole, exactly as provided. Further, the language on this form must exist as one stand-alone document. The language may NOT be included with other consent forms or any other language.


Click here for a printable version

By checking this box, I agree with the above language and have been given the opportunity to copy/print the notice.


TERMS AND AGREEMENT - TO BE READ AND SIGNED BY APPLICANT


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 authorize you to make such investigations and inquiries of my personal, employment, financial or medical history and other related matters as may be necessary in arriving at an employment decision. (Generally, inquiries regarding medical history will be made only if and after a conditional offer of employment has been extended.) I hereby release employers, schools, health care providers and other persons from all liability in responding to inquiries and releasing information in connection with my application.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the Company.


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