TDF Enterprises, LLC Job Application
TDF Enterprises, LLC
Employment Application
Position Applying for:
Personal Information
First Name:
Middle Name:
Last Name:
Street Address:
City, State, Zip Code:
Phone Number:
E-mail address:
Social Security Number
Date of Birth
Are you a US Citizen or do you have a qualifying legal status for employment in the US? YESNO
Have you been convicted of, or pleaded no-contest to, a felony within the last 10 years? (NOTE: Felony convictions are not an automatic disqualifier for employment) YESNO
If yes, please describe the nature of the crime(s), when and where convicted, and the disposition/final settlement of the case:
Have you ever applied to / worked for TDF Enterprises before? YesNo
If yes, please explain (include dates):
Do you have any friends or relatives, working for TDF Enterprises? YESNO
If yes, state name & relationship:
License Information
State:
License Number:
CDL Class: ABCD
Passenger Endorsement: YESNO
Air Brake Endorsement (No restriction): YESNO
Have you had a CDL for at least 1 year: YESNO
Have you ever been denied a license, permit, or privilege to operate a motor vehicle? YESNO
Has any license, permit, or privilege ever been suspended or revoked? YESNO
If you answered YES to either of the 2 above questions, please provide detail:
Please describe your driving experience (type of vehicle and number of years and approximate mileage:
Please provide information about any accidents going back 5 years, regardless of at-fault or in a personal/commercial vehicle. Provide dates and any details including fatalities and injuries:
Please provide information about any traffic violations and license revocations going back 5 years. You may omit parking violations. Provide dates, type of violation, date, and any penalty assigned:
Availability
Are you subject to USDOT FMCSA Hours of Service restrictions in any other employment or capacity? YESNO
Please list your general hours of availability for work.
Any other comments or information regarding availability?
Do you have an Android or Apple (iPhone) smart phone and data plan for using the company time-clock and scheduling app? YESNO
Employment History - Please go back 10 years.
Are you currently employed? YESNO
For each employer going back 10 years, please provide: - Name of Employer - Phone Number - Email address (if applicable) - Business Type - Complete Address - Dates of Employment
References
Please provide 3 (non-family member) professional references. For each, please provide: - First & Last Name - Phone number - Email address - Complete Address
Emergency Contacts
Contact:
Relationship:
Phone number(s):
Certification
(i) The right to review information provided by previous employers;(ii) 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 (iii) 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.
Documents
Please upload a photo of the front of your drivers license:
Please upload a photo of the back of your drivers license:
Please upload a photo of either your social security card or passport ID page:
Please upload a photo of your medical certificate:
Leave this empty:
Your legal name
Your email address
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Document Name: TDF Enterprises, LLC Job Application
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