Join Our Team of Trucking Specialists Today

WORK WITH US

With service in the Southern California area and the twelve southern States, Global Transporters Inc. is made up of friendly staff and a carefully selected team of trucking professionals. If you also adhere to our core values of experience, reliability, accountability, and value, submit an application. We have the skills, experience, and resources to help you grow your career.

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Global Transporters Inc

786 N Garey Avenue
Pomona Ca 917674
(909) 461-6544

COMMERCIAL DRIVER APPLICATION
FILL IN ALL BLANKS & PROVIDE ALL INFORMATION REQUESTED--PRINT OR TYPE

Date:

Name:

First Middle Last

Address:

Street Address City State ZIP

Home telephone:

Cellular telephone:

Date of Birth:

Social Security Number:

If your above address is less than 3 years continue listing them below to cover the previous 3 vear period:

1.

Street City State ZIP

Dates:

From

Street City State ZIP

Dates:

From

Street City State ZIP

Dates:

From

Driver's License Information: all licenses held within last 3 vears:

State

Number

Expiration Date

State

Number

Expiration Date

State

Number

Expiration Date

Experience:

Type of vehicle driven

To Dates

Approximate mileage driven

Type of vehicle driven

To Dates

Approximate mileage driven

Type of vehicle driven

To Dates

Approximate mileage driven

All Accidents. last 3 years: (If none, write NONE)

Date

Describe

Fatalities

Injuries

Date

Describe

Fatalities

Injuries

Date

Describe

Fatalities

Injuries

Revised date 6/22

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As a prospective driver employee, you have the right to review information provided by previous employers. You have the right to have errors in the information corrected by the previous employer(s) and for that previous employer(s) to re-send the corrected information to the prospective employer; 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. Driver employees who have previous Department of Transportation regulated employment history in the preceding three years, and wish to review previous employer provided investigative information, must submit a written request to the prospective employer, which may be done at anytime, including when applying or as late as thirty (30) days after being employed or being notified of denial of employment. The prospective employer must provide this information to the applicant within five (5) business days of receiving the written request. If the prospective employer has not yet received the requested information from the previous employer(s), then the five (5) business day deadlines will begin when the prospective employer receives the requested safety performance history information. If the driver has not arranged to pick up or receive the requested records within thirty (30) days of the prospective employer making them available, the prospective motor carrier may consider the driver to have waived their request to review the records.

Certification

“I certify that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge.”

Applicant's Signature

Date Signed

Application reviewed for completeness by:

TO BE COMPLETED BY THE EMPLOYER:

Application received by:

Name

Title

Date

Name

Title

Date

SIGNIFICANT DATES:

Date of Hire:

Time & Date of Pre-Employment CST:

Time & Date of Pre-Employment CST Results Received:

Date First Used in Safety Sensitive Position:

Date of Termination:

revised date 6/22

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Global Transporters Inc

786 N Garey Avenue
Pomona Ca 917674
(909) 461-6544

COMMERCIAL VEHICLE DRIVER APPLICANT
Controlled Substance and Alcohol Questionnaire
Pursuant to 49 CFR part 40.25(j)

Application Date

Name

First Middle Last

Address City State ZIP

Home Telephone

Cell Telephone

Date of Birth

Social Security Number

49 CFR 40.25(j)

Have you ever tested positive, or refused to test, on any pre-employment drug or alcohol test administered by an employer to which you applied for, but did not obtain, safety-sensitive transportation work covered by DOT agency drug and alcohol testing rules during the past two years?

Yes

If YES — Have you successfully completed the return-to-duty process?

Yes

If YES — Documentation MUST BE PROVIDED before any safety-sensitive transportation function is performed.

Applicant's Signature

Date Signed

TO BE COMPLETED BY EMPLOYER:
Received by:

Title

Date

Reviewed by:

Title

Date

revised date 6/22

Page 7

Global Transporters Inc.
786 N. Garey Avenue
Pomona, Ca.91767
909-461-6544

Driver's Name

Driver's Operators Lic. No.

Driver's Social Sec. No.

Dear

The above listed individual has made application with us for employment as a driver. Applicant has indicated that the above numbered operator‘s license or permit has been issued by your State to applicant and that it is in good standing.

In accordance with Section 391.23(a)(1) and (b) of the Federal Motor Carrier Safety Regulations, we are required to make inquiry into the driving record during the preceding 3 years of every State in which an applicant-driver has held a motor vehicle operator's license or permit during those 3 years.

Therefore, please certify to us what the individual's driving record is for the preceding 3 years, or certify that no record exists if that be the case.

In the event that this inquiry does not satisfy your requirements for making such inquiries, please send us such forms of yours as are necessary for us to complete our inquiry into the driving record of this individual.

Respectfully yours,

(printed) name of person making inquiry

Title of person making inquiry

Motor Carrier Name

Street

City

State

Zip

revised date 6/22

Phone

This field is for validation purposes and should be left unchanged.