Roadready Transfer Service
    
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Roadready Transfer Online Application

We're happy that you have chosen to explore employment opportunities with Roadready Transfer Service. Please fill in the application below as thouroughly as possible and someone from our human resources department will contact.

Personal Information
Contact Information
*Full Name:
*Address:
*City:
*State: *Zip:
*Day Phone:    
*Night Phone:    
Email: *Best time to call:
*SSN:
Date of Birth #:    
CDL Information
CDL Number:
Issue State: Expiration Date:
Check all that apply to your current CDL:
Class A Class B Class C Hazmat
Tanker Double
Driver Information
*I am a ... (Check all that apply. One field must be chosen):
Company Driver Owner Operator Student
Check any teaming preference that applies:
Single Team Husband and Wife
Check all that apply:
I am interested in a lease/purchase?
I am a Driving School Graduate
Experience and Preference
Total OTR years:
Trailer Type Experience and Preference
TRAILER TYPE EXPERIENCE PREFERS
Flatbed
Van
Tanker
Reefer
Hazmat
Car Hauler
Specialized
Double/Triple
Regional Driving Preference
Check all that apply:
North West Midwest North East
South West     South East
Employment History
Current Employer
Employer name :
Address Phone
City State Zip
Start date
 
 
Previous Employer#1
Employer name :
Address Phone
City State Zip
Start date
End date
Previous Employer#2
Employer name :
Address Phone
City State Zip
Start date
End date
Previous Employer#3
Employer name :
Address Phone
City State Zip
Start date
End date
Owner Operator
(Not an Owner Operator? Please skip this section)
Tractor
Do you own your tractor?    Yes   No
Driving History
Accidents
Number of accidents (last 3 years)
Tickets
Number of tickets received (last 3 years)
Have you ever received a ticket for reckless driving? Yes   No
Criminal Record
If so, when...
Have you ever been convicted of a felony? Yes   No
Have you ever been convicted, or are any charges pending, for driving while under the influence of alcohol, a narcotic drug, amphetamines or derivatives thereof? 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 on a drug screen? Yes   No
Comments
By submitting this application, I certify that I personally completed this application and that all of the information is true and correct. In connection with my application for employment with Roadready Transfer Service I understand that a consumer report which may contain public record information may be requested from DAC Services, Tulsa, Oklahoma and/or other driving record sources. These reports may include the following types of information: names and dates of previous employers, reason for termination of employment, work experience, accident, etc. I further understand that such reports may contain public record information concerning my driving record, workers’ compensation claims, credit, bankruptcy proceedings, criminal records, etc., from DAC concerning previous driving record requests made by others from such state agencies, and state provided driving record.

I AUTHORIZE, WITHOUT RESERVATION, ANY PARTY OR AGENCY CONTACTED BY DAC AND/OR OTHER DRIVING RECORD SOURCES TO FURNISH THE ABOVE MENTIONED INFORMATION.

I have the right to make a request to DAC and/or other driving sources, upon proper identification, to request the nature and substance of all information in its files on me at the time of my request, including the sources of information; and the recipients of any reports on me which DAC and/or other driving sources, has previously furnished within the two year period preceding my request. I hereby consent toRoadready Transfer Service obtaining the above information from DAC, and I agree that such information which DAC and/or other driving record sources have to obtain, and my employment history with Roadready Transfer Service if I am hired, will be supplied by DAC to other companies which subscribe to DAC Services.

I hereby authorize procurement of consumer report(s). If hired, this authorization for information shall remain on file and shall serve as an ongoing authorization forRoadready Transfer Service to procure consumer reports at anytime during my employment period.
I have read the above release and I give permission to obtain consumer reports about me from DAC.
Yes   No

  

Roadready Transfer Service is an equal opportunity employer. Qualified applicants are considered without regard to color, religion, sex, national origin, age, marital status or disability.

800.346.7691
1205 West Street  |  Wausau, WI 54401-5339
Phone: 715.848.5183  |  Fax: 715.842.4907  |  info@roadreadytransfer.com