Join Petra Transport’s Team Build your future with a trusted leader in Sheridan’s cargo transport industry. Build Your Career in Freight Operations "*" indicates required fields Complete in Full or It Will Not Be ConsideredFull Name* First Middle Last Phone*Email* Date* MM slash DD slash YYYY Date of Application* MM slash DD slash YYYY Position Applied For*Date Available for Work* MM slash DD slash YYYY Do You Have Legal Rights to Work in the United States ?* Yes No Driving ExperienceClass of Equipment*Type of Equipment (Van, Tank, Flat, Etc)*Date From* MM slash DD slash YYYY Date To* MM slash DD slash YYYY Approx # of Miles (Total)*Accident Record for the Past 3 YearsDate (List Most Recent First)* MM slash DD slash YYYY Nature of Accident (Head-on, Rear-end, Upset, Etc.)*Fatalities*Injuries*Chemical Spills (Y/n)* Yes No Traffic Convictions and Forfeitures for the Past 3 Years (Other Than Parking Violations)Date Convicted (Month/year)* MM slash DD slash YYYY Violation*Penalty (Forfeited Bond, Collateral and/or Points)*Have You Ever Been Denied A License, Permit, Or Privilege To Operate A Motor Vehicle?* Yes No If Yes, ExplainHas Any License, Permit, or Privilege Ever Been Suspended or Revoked ?* Yes No If Yes, ExplainEmployment History Current (Most Recent) EmployerEmployer Name*Phone*Position Held*From (M/Y)* MM slash DD slash YYYY To (M/Y)* MM slash DD slash YYYY Reason for Leaving*Explain Any Gaps in Employment (Include MO/YR & Reason)*While Employed There, Were You Subject to the Federal Motor Carrier Safety Regulations?* Yes No Was the Job Designated as a Safety-sensitive Function in Any Department of Transportation-regulated Mode Subject to Alcohol and Controlled Substances Testing as Required by 49 Cfr, Part 40?* Yes No Second (Most Recent) EmployerEmployer Name*Phone*Position Held*From (M/Y)* MM slash DD slash YYYY To (M/Y)* MM slash DD slash YYYY Reason for Leaving*Explain Any Gaps in Employment (Include MO/YR & Reason)*While Employed There, Were You Subject to the Federal Motor Carrier Safety Regulations?* Yes No Was the Job Designated as a Safety-sensitive Function in Any Department of Transportation-regulated Mode Subject to Alcohol and Controlled Substances Testing as Required by 49 Cfr, Part 40?* Yes No Third (Most Recent) EmployerEmployer Name*Phone*Position Held*From (M/Y)* MM slash DD slash YYYY To (M/Y)* MM slash DD slash YYYY Reason for Leaving*Explain Any Gaps in Employment (Include MO/YR & Reason)*While Employed There, Were You Subject to the Federal Motor Carrier Safety Regulations?* Yes No Was the Job Designated as a Safety-sensitive Function in Any Department of Transportation-regulated Mode Subject to Alcohol and Controlled Substances Testing as Required by 49 Cfr, Part 40?* Yes No Other QualificationsPlease List Any Other Qualifications That You Have And Which You Believe Should Be Considered*Have You Been Convicted of a Crime in the Past 10 Years? If So, Please Explain (Attach Separate Page if Necessary)* Yes No If Yes, Explain*To Be Read and Signed by ApplicantI authorize you to make investigations (including contacting current and prior employers) into my personal, employment, financial, medical history, and other related matters as may be necessary in arriving at an employment decision. I hereby release employers, schools, health care providers, and other persons from all liability in responding to inquiries and releasing information in connection with my application. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I also understand that I am required to abide by all rules and regulations of the Company. I understand that the information I provide regarding my current and/or prior employers may be used, and those employer(s) will be contacted for the purpose of investigating my safety perfomance history as required by 49 CFR 391.23. I understand that I have the right to: Review information provided by current/previous employers; Have errors in the information corrected by previous employers, and for those previous employers to resend the corrected information to the prospective employer; and Have a rebuttal statement attached to the alleged erroneous information, if the previous employer(s) and I cannot agree on the accuracy of the information. This certifies that I completed this application, and that all entries on it and information in it are true and complete to the best of my knowledge. Note: A motor carrier may require an applicant to provide more information than that required by the Federal Motor Carrier Safety Regulations.Applicant Name (Printed)*Applicant Signature*Date* MM slash DD slash YYYY NameThis field is for validation purposes and should be left unchanged. Δ Join Our Growing Team Driver Employment Application
