Driver Application Form

Pronto Trucking, LLC will consider qualified applicants for the position requested without regard to race, color, religion, sex, national origin, age, marital status, or non-job related disability.

* Required Information

Personal Information

* Date:
* First Name:
* Last Name:
* Social Security:
* Date of Birth:
* Email:
* Phone:
* Street Address:
* City, State, Zip: ,   
* Position Requested:

Previous Employment Record

First Previous Employer
Employer Name:
Position start date:
Position end date:
Phone:
Contact:
Type of Equipment Driven:
May We Call? Yes   No
Employer Address:
Position Held:
Reason for Leaving:
Second Previous Employer
Employer Name:
Position start date:
Position end date:
Phone:
Contact:
Type of Equipment Driven:
May We Call? Yes   No
Employer Address:
Position Held:
Reason for Leaving:

Please answer the following questions:

* Have you worked for Pronto Trucking, LLC before? Yes   No
* Have you ever been denied a license, permit or privilege to operate a motor vehicle? Yes   No
* Have you ever been stopped while intoxicated? Yes   No
* Have you ever been convicted for possession, sale, or use of a narcotic, drug, amphetamine or similar substance? Yes   No
* Have you ever been convicted of a criminal offense?
(A conviction wil not necessarily disqualify you for employment.)
Yes   No

* If you answered yes to any of the above questions, state circumstances and dates below.

Licenses

List all driver's licenses you have held in the past five years.
* State * License Number * Endorsements * Expiration Date

Traffic Convictions

List all for the past five years. If none, write "none".
Date State Charge Penalty

Accident Record

List all involvement with car or truck accidents including property damage for past five years. If none, write "none".
Date Vehicle Type Nature of Accident Preventable? Fatalities? Injuries? Damage $

Additional Information

Please list any additional information you would like us to consider.


Once sent, this information becomes the property of Pronto Trucking, LLC, it is confidential and intended solely for the consideration of the individual submitting the application. Any other use is strictly prohibited.