Core Carrier Corporation

Commercial Driver - Application for Employment

Please complete the following information as accurately as possible. Include all employers worked for in the last three years, and include all commercial driving employers worked for in the last ten years.

Please note: Pets are not allowed

By entering my name here I authorize the release of any information, including all information related to my alcohol and controlled substances testing and training records, by any past or current employers, to Core Carrier Corp. I hereby release all such persons from any liability or damages.

Personal Information
First Name:
Middle Initial:
Last Name:
Social Security #:
Email:
Date of Birth:
Telephone #:
Alternative Phone #:
Address:
City:
State:
Zip:
How did you hear about us?
Professional Information
CDL #:
State:
Have you ever been convicted of a felony?	YesNo
If so, give date and details:
Have you ever been convicted of a DUI/DWI?	YesNo
If so, give date and details:
Do you have at least one year of over-the-road, Class A, tractor-trailer driving experience?	YesNo
How many moving violations have you been convicted of in the last three years?:
Were any of those moving violations convictions for speeding 15 miles or more over the posted limit?	YesNo
How many preventable accidents have you had in the last three years?
Give dates, locations, and brief descriptions of any preventable accidents (if applicable):
In the three years prior to the date of this application, have you ever tested positive for a controlled substance, tested at .04 or above on an alcohol test, or refused to submit to a required drug/alcohol test?	YesNo
Work History
Current/Most Recent Employer:
Location(City, State):
Telephone #:
Start Date(Month/Year):
End Date(Month/Year):
Positoins Held:
Supervisor:
You May Contact this Employer	YesNo
Vehicle Driven:
Length of Trailer:
2nd Most Recent Employer:
Location(City, State):
Telephone #:
Start Date(Month/Year):
End Date(Month/Year):
Positoins Held:
Supervisor:
You May Contact this Employer	YesNo
Vehicle Driven:
Length of Trailer:
3rd Most Recent Employer:
Location(City, State):
Telephone #:
Start Date(Month/Year):
End Date(Month/Year):
Positoins Held:
Supervisor:
You May Contact this Employer	YesNo
Vehicle Driven:
Length of Trailer:
4th Most Recent Employer:
Location(City, State):
Telephone #:
Start Date(Month/Year):
End Date(Month/Year):
Positoins Held:
Supervisor:
You May Contact this Employer	YesNo
Vehicle Driven:
Length of Trailer:
5th Most Recent Employer:
Location(City, State):
Telephone #:
Start Date(Month/Year):
End Date(Month/Year):
Positoins Held:
Supervisor:
You May Contact this Employer	YesNo
Vehicle Driven:
Length of Trailer:
6th Most Recent Employer:
Location(City, State):
Telephone #:
Start Date(Month/Year):
End Date(Month/Year):
Positoins Held:
Supervisor:
You May Contact this Employer	YesNo
Vehicle Driven:
Length of Trailer:
7th Most Recent Employer:
Location(City, State):
Telephone #:
Start Date(Month/Year):
End Date(Month/Year):
Positoins Held:
Supervisor:
You May Contact this Employer	YesNo
Vehicle Driven:
Length of Trailer:
8th Most Recent Employer:
Location(City, State):
Telephone #:
Start Date(Month/Year):
End Date(Month/Year):
Positoins Held:
Supervisor:
You May Contact this Employer	YesNo
Vehicle Driven:
Length of Trailer:
9th Most Recent Employer:
Location(City, State):
Telephone #:
Start Date(Month/Year):
End Date(Month/Year):
Positoins Held:
Supervisor:
You May Contact this Employer	YesNo
Vehicle Driven:
Length of Trailer:
10th Most Recent Employer:
Location(City, State):
Telephone #:
Start Date(Month/Year):
End Date(Month/Year):
Positoins Held:
Supervisor:
You May Contact this Employer	YesNo
Vehicle Driven:
Length of Trailer:

Please sign below with your mouse and click "Save" before submitting application.

Authorization To Inquire Into Current and Past Employment

By completing this application and depressing the "Submit" button, I hereby authorize Core Carrier Corporation and its affiliates to contact my current and previous employers, as well as USIS/DAC Services in order to obtain consumer reports regarding my Motor Vehicle Record, as well as employment history. I also authorize my previous employers to release all records of my employment to include, but not limited to, nature of employment, dates of employment, character and fitness reports, results of any drug/alcohol tests performed by the employer, including any refusals to be tested, to Core Carrier Corporation and its affiliates. I agree to release Core Carrier Corporation, it's affiliated companies, my previous employers, and HireRight PSP of any and all claims of liability that may result from the released information.


	If you want to work for a working company. No thrills, no frills, just a good pay check and good working people to be a part of. They are a financially strong company that has been in business 21 years.

Core Carrier Corporation

1020 Sunshine Road, Kansas City, KS 66115
Main Office: 800-279-4402, Recruiting Hotline: 888-454-2673

Local Recruiting: 913-748-3104

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