Garner Trucking Application for Employment

Please fill out all fields below to the best of your ability. If you see a * next to a field, it is required to fill out before submission.

An applicant’s driving experience must be within the last three years from the date of application. If applicant has not had any driving experience within the last three years, it is recommended the applicant complete a refresher course through an acceptable truck driving school.
Select Position You Wish to Apply for		Driver Owner Operator Other
About You
SSN (xxx-xx-xxxx)	*
First Name
Last Name
Address 1
City
State
ZIP
Phone
Cell
Email
Previous Address 1
City
State
ZIP
How long?
Date of Birth (for licensing purposes)	*
Do you have the legal right to work in the US?
Are you currently employed?
If not, how long since last employment?
Military Service
Have you served in the Armed Forces in the last 10 years?
Branch
From
To
Education
Highest Grade Completed
Name of truck driving school
Graduation Date
Employment History
Present or Last employer name
Address 1
City
State
ZIP
Phone
From
To
Position
Reason for Leaving
OK to contact?

Previous employer name
Address 1
City
State
ZIP
Phone
From
To
Position
Reason for leaving

Previous employer name
Address 1
City
State
ZIP
Phone
From
To
Position
Reason for leaving

Previous employer name
Address 1
City
State
ZIP
Phone
From
To
Position
Reason for leaving

Previous Employer
Address 1
City
State
ZIP
Phone
From
To
Position
Reason for leaving
Accountability for lapses in employment history All employment during the preceding 10 (ten) years must be listed to include any time periods you were not employed. If you have time periods you were unemployed, please complete the following: I state I was unemployed...
Unemployed Date From
To
For the following reason

Unemployed Date From
To
For the following reason
Experience and Qualifications
Do you currently hold a valid commercial driver's license issued by the state in which you reside?
Driver's License No.	*
State
Class
Issue Date
Expiration Date
Restrictions

Has your drivers license ever been suspended or revoked?
If yes, Explain
Date From
To
Driving Experience
Type of Equipment
Years of Experience
Dates from
To

Type of Equipment
Dates from
To
List in what states have you driven regularly?

List any special equipment or technical materials you can work with (other than those already listed)
Show any trucking, transportation, or other experience that may help you in your work with this company. (other than those already listed)
List any courses and training. (other than those already listed)
Accident Record
Have you been involved in a traffic accident in the last 5 years?
If so, Date
Nature of accident
Preventable?
Injuries?
Fatalities?

If so, Date
Nature of accident
Preventable?
Injuries?
Fatalities?
Citations and Traffic Convictions
Have you been cited for any traffic convictions in the last 5 years?
If so, Date
City
State
Charge
Penalty

If so, Date
City
State
Charge
Penalty
Criminal Convictions Have you ever been convicted of, or charges currently pending for any of the following:
Felony
If yes, when
Misdemeanor
If yes, when
Driving a vehicle under the influence of alcohol (.02 or more) or controlled substances? (List All)
If yes, when
If yes, when
Careless or reckless driving
If yes, when
Possession, sale or use of controlled substance including marijuana
If yes, when
Have you ever violated any DOT prohibitions on drug or alcohol use? (refused to take a test, used drugs/alcohol during or before work, worked while impaired by alcohol or drugs)
If yes, when
Have you ever tested positive or refused to test on any pre-employement drug or alcohol test given by an employer or contracting company to which you applied for, but did not obtain work?
If yes, when
Is there any reason you might be unable to perform the functions of the job?
If yes, explain
Please Note: A conviction is not an automatic bar to employment. All circumstances will be considered, including:the time since offense, evidence of rehabilitation and the nature of the offense and its relationship to the company's business.
AGREEMENT Please read this Agreement. If you do not understand and agree to these terms, do not select "yes" as that indicates you agree. Contact us for any clarification. It is agree and understood that any misrepresentation of information shall be considered an act of dishonesty. I understand that the information in this application will be used and that past or present employers will be contacted for the purposes of investigation as required by the Federal Department of Transportation Regulations. You are hereby notified of your due process rights as specified in 391.23i(1) of the Federal Motor Carrier Safety Regulations. 1: The right to review information provided by previous employers; 2: The right to have errors in the information corrected by the previous employer and for that previous employer to re-send the corrected information to the prospective employer; 3: The right to have a rebuttal statement attached to the alleged erroneous information, if the previous employer and the driver cannot agree on the accuracy of the information. It is agreed and understood that Garner Transportation Group (GTG) or its Agents may investigate my background to ascertain any and all information of concern to my record, whether that information is of record or not. I further understand that I release all former employers, driving schools, and persons named in the employment record section of this document from all liability for any damage caused by the release of such information. I further understand that as a result of making this application for employment my criminal record may be examined by GTG or its Agents. I hereby authorize GTG or its designated Agents to make any lawful examination of my criminal record. I understand that at anytime in the future, whether actively employed by GTG or not, that upon the request of any party or any surety, GTG may furnish reports and information relative to my record and service with GTG. I agree that this information may be furnished without liability or damages on behalf of GTG. As part of the pre-employment process, a medical examination, including drug testing, will be required after a conditional offer of employment. I further agree to provide access to previous medical records if required. I understand and agree that the DOT physical examination shall include substance screening. I understand and agree that GTG reserves the right to use substance tests 1) at random, 2) for reasonable cause, 3) after any accident. I agree to finish any additional information and complete any examinations that may be required to complete my employment application. Withholding, omitting, or falsifying any information used in the consideration of my application may result in the rejection of my application or the termination of my employment. I understand that during the term of my at-will employment, I will comply with the guidelines set forth in GTG policies, rules, regulations and procedures, which shall be amended from time to time. I also agree that my at-will employment and compensation can be terminated with or without cause and without notice or liability whatsoever, at any time, at the option of either GTG or myself. I understand and agree that this application for employment in no way obligates GTG to employ me. I consent to the procurement of any consumer reports, including reports from DAC Services, Inc., deemed necessary by GTG or its subsidiaries in their consideration of my employment. This application was completed by me, and all entries on it and the information that I have provided in the application are true and complete to the best of my knowledge. Any misrepresentation or omission of any fact in my application, resume or any other materials submitted to GTG or during my interviews (pre- and post-offers of employment) may result in denial of employment or discharge. I have read and I understand all of this Agreement. Do you agree? (drop down selection at top of agreement)
Provide the following for your digital signature (application will be signed in-person upon interview)
Name
SSN (xxx-xx-xxxx)	*
Today's Date

About You

Military Service

Education

Employment History

Accountability for lapses in employment history

Experience and Qualifications

Driving Experience

Accident Record

Citations and Traffic Convictions

Criminal Convictions

AGREEMENT Please read this Agreement. If you do not understand and agree to these terms, do not select "yes" as that indicates you agree. Contact us for any clarification.

AGREEMENT
Please read this Agreement.
If you do not understand and agree to these terms, do not select "yes" as that indicates you agree.
Contact us for any clarification.