TRANS-SYSTEM, INC.

"On the Road"  

THE LEADER IN TRANSPORTATION SOLUTIONS

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Online Employment Application

Position Applying For


System Transport

Flatbed

Solo/Team OTR
Regional-California
Regional-Phoenix, AZ
Regional-Chicago
Student Driver/Apprentice
Owner/Operator

T.W. Transport

Van/Refrigerated

Solo/Team
Owner/Operator
Student Driver/Apprentice

James J. Williams

Tanker/Bulk Commodities

Solo Driver

Personal Information


Last Name:

First Name:

MI:

Home Phone:

Cell Phone:

E-Mail:

Social Security No:

Date of Birth:

Street Address:

City:   State:

Zip:

Drivers License Number:

State:

Best time to reach you?

What is the best way to contact you?
Home Phone  Cell Phone  E-Mail


Background


Please Read through and answer the following questions carefully.
Have you Ever...

Been denied a license, permit, or privilege to operate a motor vehicle?

YN

If Yes, When

Had your motor vehicle operator's license, permit, or privilege suspended or revoked?

 YN

If Yes, When

Been disqualified from driving a motor vehicle under D.O.T. regulations?

 YN

If Yes, When

Been convicted for driving under the influence of alcohol or drugs?

YN

If Yes, When

Been convicted for possession, sale, or use of narcotic drugs, amphetamines, or a derivative?

YN

If Yes, When

Been convicted of a serious traffic violation, such as careless or reckless driving or willful reckless driving, ect.?

YN

If Yes, When

Been convicted of, found not guilty by reason of insanity, or imprisoned for, a felony (as defined by any U.S. or state law) at any time during the ten years before the date of this application?

 YN

Are you wanted or under indictment for a felony (as defined by any U.S. or state law)?

 YN

Have you, within the two (2) years preceding the date of application:

(1) Undergone an alcohol test in which a concentration of 0.04 or greater has been indicated?

 YN

(2) Undergone a controlled substance test in which a positive result has been verified?

YN

(3) Refused to undergo either an alcohol or drug test or had an adulterated or substituted drug test verified?

YN

(4) Had any other violations of Federal Motor Carrier Safety Administration drug or alcohol testing regulations?

YN

(5) Successfully completed return-to-duty requirements following violation of a DOT drug or alcohol regulation?

YN

How many accidents have you been charged with in the past 3 years?

Do you have a valid Class A, Commercial Driver's License?

 YN

Please check off additional endorsements held:     Tank   Hazardous Materials


Education


Choose the highest grade completed: 10 11 12 More

Spoken Languages: English Spanish Other:

Trade School? Yes No

Other Technical Training:

If Yes, When did you graduate? 

Last School Attended:

Please List Any Certificates, Degrees, Diplomas, Etc:


Recent Employment History


Begin with your present employer and work backward in order, listing ALL your employers, driving school and other training programs, periods of military service, self-employment, and unemployment for at least 10 years. Use supplementary sheet if necessary. Fill in all blanks.
May we contact your present employer to verify your work record?YesNo

Employer Employer
Length of Term From:  /  To: /  Length of Term From:  /  To: / 
Phone Number -- Phone Number --
Address Address
City:  State:  City:  State: 
Position Held: Position Held:
Type of Equipment: Type of Equipment:
Type of Trailer: Type of Trailer:
States Driven In: States Driven In:
Reason for Leaving: Reason for Leaving:


Employer Employer
Length of Term From:  /  To: /  Length of Term From:  /  To: / 
Phone Number -- Phone Number --
Address Address
City:  State:  City:  State: 
Position Held: Position Held:
Type of Equipment: Type of Equipment:
Type of Trailer: Type of Trailer:
States Driven In: States Driven In:
Reason for Leaving: Reason for Leaving:
Total Years of Driving Experience:

I understand that the information in this form will be used and that prior employers will be contacted for purposes of investigation as required by 391.23 of the Motor Carrier Safety Regulations. I authorize release of any information, including all information related to my alcohol and controlled substances testing and training records, by any former employers and hold them harmless of any liability from release of said information.

I agree