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Driver Employment Application

Complete the application below to join the All Points Transit team. Fields marked required must be filled in. When you submit, our team is notified right away.

Applicant Information
First Name*
Middle Name
Last Name*
Phone*
Email Address*
Date of Birth*
MM slash DD slash YYYY
Social Security Number*
Date of Application
MM slash DD slash YYYY
Position Applied For
Date Available to Start
MM slash DD slash YYYY
Are you legally eligible to work in the United States?*
- Yes
- No
Address History (Past 3 Years)
List your current address and any previous addresses covering the past three years.
Address 1 (Current)
Street Address 1*
City 1*
State 1*
ZIP 1*
Years at Address 1*
Address 2
Street Address 2
City 2
State 2
ZIP 2
Years at Address 2
Address 3
Street Address 3
City 3
State 3
ZIP 3
Years at Address 3
Address 4
Street Address 4
City 4
State 4
ZIP 4
Years at Address 4
Address 5
Street Address 5
City 5
State 5
ZIP 5
Years at Address 5
Driver’s License Information
License 1
License 1 State*
License 1 Number*
License 1 Type/Class*
License 1 Endorsements
License 1 Expiration*
MM slash DD slash YYYY
License 2
License 2 State
License 2 Number
License 2 Type/Class
License 2 Endorsements
License 2 Expiration
MM slash DD slash YYYY
License 3
License 3 State
License 3 Number
License 3 Type/Class
License 3 Endorsements
License 3 Expiration
MM slash DD slash YYYY
Driving Experience
Experience 1
Equipment/Class of Vehicle 1
From (Date) 1
To (Date) 1
Approx. Total Miles 1
Experience 2
Equipment/Class of Vehicle 2
From (Date) 2
To (Date) 2
Approx. Total Miles 2
Experience 3
Equipment/Class of Vehicle 3
From (Date) 3
To (Date) 3
Approx. Total Miles 3
Experience 4
Equipment/Class of Vehicle 4
From (Date) 4
To (Date) 4
Approx. Total Miles 4
Experience 5
Equipment/Class of Vehicle 5
From (Date) 5
To (Date) 5
Approx. Total Miles 5
Accident Record (Past 3 Years)
Have you been involved in any accidents in the past 3 years?*
- Yes
- No
Accident 1
Accident 1 Date
MM slash DD slash YYYY
Accident 1 Nature
Accident 1 # Fatalities
Accident 1 # Injuries
Accident 1 Chemical Spills
Accident 2
Accident 2 Date
MM slash DD slash YYYY
Accident 2 Nature
Accident 2 # Fatalities
Accident 2 # Injuries
Accident 2 Chemical Spills
Accident 3
Accident 3 Date
MM slash DD slash YYYY
Accident 3 Nature
Accident 3 # Fatalities
Accident 3 # Injuries
Accident 3 Chemical Spills
Traffic Convictions (Past 12 Months)
Have you had any traffic convictions or forfeitures in the past 12 months?*
- Yes
- No
Violation 1
Violation 1 Date
MM slash DD slash YYYY
Violation 1 Charge
Violation 1 State
Violation 1 Penalty
Violation 2
Violation 2 Date
MM slash DD slash YYYY
Violation 2 Charge
Violation 2 State
Violation 2 Penalty
Violation 3
Violation 3 Date
MM slash DD slash YYYY
Violation 3 Charge
Violation 3 State
Violation 3 Penalty
License History
Have you ever been denied a license, permit, or privilege to operate a motor vehicle?*
- Yes
- No
If yes, please explain
Has any license, permit, or privilege ever been suspended or revoked?*
- Yes
- No
If yes, please explain
Employment History (Past 3 Employers)
Employer 1
Employer 1 Name*
Employer 1 Phone
Employer 1 Address
Employer 1 Position Held*
Employer 1 From
Employer 1 To
Employer 1 Reason for Leaving
Employer 1 Salary/Wage
Employer 1 Explain Employment Gaps
Employer 1: Were you subject to the FMCSRs while employed?
- Yes
- No
Employer 1: Was your job DOT safety-sensitive (subject to drug/alcohol testing)?
- Yes
- No
Employer 2
Employer 2 Name
Employer 2 Phone
Employer 2 Address
Employer 2 Position Held
Employer 2 From
Employer 2 To
Employer 2 Reason for Leaving
Employer 2 Salary/Wage
Employer 2 Explain Employment Gaps
Employer 2: Were you subject to the FMCSRs while employed?
- Yes
- No
Employer 2: Was your job DOT safety-sensitive (subject to drug/alcohol testing)?
- Yes
- No
Employer 3
Employer 3 Name
Employer 3 Phone
Employer 3 Address
Employer 3 Position Held
Employer 3 From
Employer 3 To
Employer 3 Reason for Leaving
Employer 3 Salary/Wage
Employer 3 Explain Employment Gaps
Employer 3: Were you subject to the FMCSRs while employed?
- Yes
- No
Employer 3: Was your job DOT safety-sensitive (subject to drug/alcohol testing)?
- Yes
- No
Education
School 1
School 1 Name & Location
School 1 Course of Study
School 1 Years Completed
School 1: Did you graduate?
- Yes
- No
School 1 Details/Degree
School 2
School 2 Name & Location
School 2 Course of Study
School 2 Years Completed
School 2: Did you graduate?
- Yes
- No
School 2 Details/Degree
School 3
School 3 Name & Location
School 3 Course of Study
School 3 Years Completed
School 3: Did you graduate?
- Yes
- No
School 3 Details/Degree
Additional Information
Other qualifications, skills, or certifications
Certification & Signature
I certify that all information provided in this application is true and complete to the best of my knowledge. I understand that any false statement or omission may disqualify me from employment or result in dismissal.
Certification*
- I certify that the information provided is true and complete.
Applicant Signature (type your full legal name)*
Signature Date*
MM slash DD slash YYYY
Printed Name*

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