SUPER TRANSPORT INTERNATIONAL L.T.D.
13519 MERCURY DR. LAREDO, TX ZIP CODE 78045
PHONE (956) 791-9002 FAX (956) 791-9021
www.sti-laredo.com
Driver Application
Personal Information
Last Name
Last Name
First Name
First Name
M.I.
M.I.
Street Addess
Address
State
full name
City
City
ZIP
Postal Code
Phone
Phone
Social Security
SSN
Date of Birth
DOB
Driver License #
DL Num
Refered By
Ref
Yrs of Experience
Terminal
Terminal
Dallas, TX
Belleville, MI
Laredo, TX
LaVergne,TN
Position Applying for
Driver/OTR
Driver/Local-Regional
Dry Van
Flatbed
Can you Legally be employed in the United States?
Yes
No
Have you ever been employed by this company before?
Yes
No
Date of employment
Please upload a copy of your Driver's License
UPLOAD FILE
Driving History
Endorsements
Select One
Yes
No
Select Endorsements
TWIC
Canada
Hazmat
Convicted, plead guilty, or plead nolo contendere for careless or reckless driving?
In the last 10 Years
Select One
Yes
No
Date
Of incident
have you had any accidents?
in the last 3 years
Select One
Yes
No
Number of accidents?
in the last 3 years
Have you had any Traffic Violation convictions, guilty pleas, or nolo contendere pleas?
in the last 3 years
Select One
Yes
No
How Many?
in the last 3 years
Convicted, plead guilty, or plead nolo contendere for DWI or DUI?
In the last 10 years
Select One
Yes
No
License suspended or revoked?
in the last 10 years
Select One
Yes
No
Employment History
1. Dates of Employment:
From
From date
To
To date
Company Name
Cmpyname
Company Address
cmpyadd
City
Ccity
State
Cstate
Phone
Cphone
Fax
Cfax
Title/Position
Ctitle
Type of Trailer
Trailer type
Reason For Leaving
leaveRea
Other
Cother
Add another Reference?
Select One
Yes
No
From
From date2
To
To date2
Company Name
Cmpyname
Company Address
cmpyadd
City
Ccity
State
Cstate
Phone
Cphone
Fax
Cfax
Title/Position
Ctitle
Type of Trailer
Trailer type
Reason For Leaving
leaveRea
Other
Cother
Add another Reference?
Select One
Yes
No
From
From date
To
To date2
Company Name
Cmpyname
Company Address
cmpyadd
City
Ccity
State
Cstate
Phone
Cphone
Fax
Cfax
Title/Position
Ctitle
Type of Trailer
Trailer type
Reason For Leaving
leaveRea
Other
Cother
Add another Reference?
Select One
Yes
No
From
From date
To
To date2
Company Name
Cmpyname
Company Address
cmpyadd
City
Ccity
State
Cstate
Phone
Cphone
Fax
Cfax
Title/Position
Ctitle
Type of Trailer
Trailer type
Reason For Leaving
leaveRea
Other
Cother
Criminal Background Questionnaire
If hired, can you present evidence of your U.S. Citizenship or proof of your legal right to live and work in this country?
Yes
No
Have you been convicted, plead guilty, nolo contendere, or are any charges pending for possession or selling of alcohol, a narcotic drug, amphetamines or derivatives thereof in the past 10 years?
Yes
No
Have you ever used any illegal drugs?
Yes
No
Have you ever been denied a license, permit or privilege to operate a motor vehicle?
Yes
No
Has any license, permit or privilege ever been suspended or revoked?
Yes
No
Have you ever been refused any type of insurance or been denied bonding?
Yes
No
Have you ever tested positive or refused a test for drugs or alcohol?
Yes
No
Have you ever abandoned your equipment?
Yes
No
Have you ever been stopped while intoxicated?
Yes
No
** If you answered yes for question 2 thru 9, please explain in the comments box below.**
Acknowledgements
Selecting "No" to any of the following may be grounds for dismissal of your application
I hereby certify that the information contained in this application is true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any misrepresentation, falsification or omission of information on this application or on any document used to secure employment shall be grounds for rejection of this application or immediate discharge if I am employed, regardless of the time elapsed before discovery.
Yes
No
I hereby authorize Super Transport International,LTD. to thoroughly investigate the information on my application, my references, work record, education and other matters related to my suitability for employment and, further, authorize the references I have listed to disclose to Super Transport International,LTD. all letters, reports and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release the Super Transport International,LTD., my former employers and all other persons or entities form any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosures.
Yes
No
Super Transport International,LTD. adheres to a policy of at-will employment which recognizes that each employee and the Company each retain the right to terminate the employment relationship and that the Company retains the right to modify an employees position or compensation at any time, with or without cause or notice. No one other than the President has the authority to make any binding promise or enter into any agreement inconsistent with the Companys at-will policy and any such agreement must be in writing and signed by both parties to be effective.
Yes
No
By typing my full name below, I hereby certify, that I have read and agree with the terms of these acknowledgements.
Enter your full Name
I authorize without reservation, any party or agency contacted by Super Transport International, LTD. to furnish the above mentioned information. I hereby authorize procuremnet of consumer reports. If hired, (or contracted), this authorization shall remain on file and shall serve as ongoing authorization for you to procure consumer reports at any time during my employment (or contract) period. In compliance with FMCSA 391.23 part (i) (1) You have certain rights regarding the investigative information that will be provided by previous information to prospective employers. You have the the right to review information provided by previous employers to prospective employers. You have 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. (2) Drivers who have previous DOT regulated employment history in the preceding three years and wish to review previous employer proved investigative information must submit a written request to prospective employers. This may be done at any time, including when applying, or as late as 30 days after being employed or being notified of denial of employment. Prospective employers must provide this information within five business days of receiving the written request. If prospective employers have not yet received the requested information from the previous employer, then the five-day deadline will begin when once the requested safety performance history information is received. If you have not arranged to pick up or receive the requested records within 30 days of prospective employers making them available, prospective employers may consider you as having waived your request to review the records.
Yes
No
I authorize STI, Ltd. To access the FMCSA (MVR)/ Pre-employment Screening Program (PSP) System to seek information regarding my safety inspection history.
Yes
No
I hereby authorize procurement of consumer report(s). If hired( or Contracted), this authorization shall remain on file and shall serve as ongoing authorization for STI, Ltd. to procure consumer reports at any time during my employment ( or Contract) period.
Yes
No
By typing my full name below, I hereby certify, that I have read and agree with the terms of these acknowledgements.
Enter your Full Name
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