Truck Driving Job Application

Company Driver Job Application

Owner Operator Job Application

Mercer Transportation Secure Online Application - Company Specific


Fields marked with * are required

Personal / Contact Information

* First Name:
* Last Name:
* Date of Birth:
* Social Security Number:
* Telephone Number:
- -
* Best Time to Call:
* Address:
* City:
* State:
* ZIP:
E-mail:

Driving Information

Driver School Graduate:
Yes No
* I Am Now A:
Owner Operator Company Driver Student
Owner Operators How Many Trucks:
* Years Driving Experience:
Are you interested in a lease/purchase program?
Yes      No
Commercial Driver License Number:
State of Issue:
Expiration Date:
Class:
A B C
Endorsements:
Hazmat Tanker Double/Triple
Experienced Driving:
(check all that apply)
HHG
Tanker
Auto Carrier
Van
Reefer
Specialized
Flatbed
Hazmat
Double/Triple
I Will Run:
(check all that apply)
Southeast
Southwest
Midwest
Northeast
Northwest
Local
I Will Pull:
(check all that apply)
HHG
Tanker
Flatbed
Van
Reefer
Specialized
Auto Carrier
Hazmat
Double/Triple
Run As:
(check all that apply)
Single Team
How many moving violations in the last 3 years?
How many chargeable and non-chargeable accidents in the last 3 years?

Employment Information     **Better job offers made when you list past employers**

Present Employer- Fill out this section only if currently employed as a professional driver

Start Date:
Company Name:
Company Phone:
Reason for leaving
Company Address:
Company City:
Company State:
Company ZIP:

Previous Employer 1

Start Date:
End Date:
Company Name:
Company Phone:
Reason for leaving
Company Address:
Company City:
Company State:
Company ZIP:

Previous Employer 2

Start Date:
End Date:
Company Name:
Company Phone:
Reason for leaving
Company Address:
Company City:
Company State:
Company ZIP:

Previous Employer 3

Start Date:
End Date:
Company Name:
Company Phone:
Reason for leaving
Company Address:
Company City:
Company State:
Company ZIP:

Criminal Record Information - If Any

Have you ever been convicted of a felony?
Yes No    Date:
Have you ever been convicted of a DUI / DWI (driving under the influence)?
Yes No    Date:
Have you ever been denied a license, permit or privilege to operate a motor vehicle?
Yes No    Date:
Has any license, permit or privilege ever been suspended or revoked?
Yes No    Date:
Have you ever been convicted, or are any charges pending, for reckless or careless operation of a motor vehicle?
Yes No    Date:
Have you ever been convicted, or are any charges pending, for possession, sale or use of a narcotic drug, amphetamines, or derivatives thereof?
Yes No    Date:
Have you ever been refused any type of insurance or been denied bonding?
Yes No    Date:
Have you ever been discharged or suspended?
Yes No    Date:

Comments

Terms, Conditions, HireRight/DAC and PSP Release

I have read and agree with the terms, conditions and use of information I am providing, and I give permission to obtain consumer reports about me from HireRight/DAC as well as obtaining information about my driving record from the FMCSA and/or the Pre-employment Screening Program (PSP).
Yes   |   No
Click below to send resumé.
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Satisfied Drivers

Helpful Free Service

"This was so helpful I wanted to write you and tell you thanks. I needed to get a higher paying driver job and that’s what happened here. I looked around and finally applied and then my cell phone was ringing like crazy. It let me listen to what they all had to say and make up my mind. Thanks again."

-Cairo, OH - Bradley J.

New Start!

"I was wondering how good the job offers would be when I applied and I’m very glad I did because the companies that called me were all needing me right away and had better pay and good equipment. Thanks."

-Walnut Hill, IL - Christopher H.

Shopping Better Offers

"I been driving for 4 years with one company, got a bad deal, I decided to look around. After applying on best driver jobs I got saw how bad my deal was. Now, I’m making good money with better benefits and steady freight. Thanks much."

-Sausalito, CA - Randy C.

So Much Easier!

"Thank you for sending my application out for me! It made my job search a lot easier because I wasn’t chasing after a company, they were chasing after me! HAHA! Funny how that works and thanks again!"

-Kennesaw, GA - Cindy Mc.