Skyline Transportation
131 W. Quincy Ave.
Knoxville, TN 37917
Toll Free: 800.245.4933
Phone: 865.524.3661
Fax: 865.524.4375

Driver's Application

Applicant's Name:
Social Security #:
Position(s) Applied for:
List residency addresses for past three years
Current Address (Street Address, City, State, Zip):
How Long?
Previous Address (Street Address, City, State, Zip):
How Long?
Previous Address (Street Address, City, State, Zip):
How Long?
Do you have the legal right to work in the United States:
DOB (required for Commercial Drivers):
Can you provide proof of age?
Have you worked for Skyline before?
Where:
Dates:
Reason for Leaving:
Are you now employed:
If not, how long since last employment?
Who referred you?
Rate of Pay Expected:
Have you ever been bonded (Answer only if a job requirement):
Name of bonding company:
Have you ever been convicted of a felony?
If yes, please explain fully:
Is there any reason you might be unable to perform the functions of the job for which you have applied?
If yes, explain if you wish:
Employment History  
Employer 1:
Name:
Address:
City, State, Zip:
Contact Person:
Phone:
Time Employed:
Salary/Wage:
Reason for Leaving:
Were you subject to the FMCRs while employed?
Was your job designated as a safety function in any dot-regulated mode subject to the drug and alcohol testing requirements of 49 CFR part 40?
Employer 2:
Name:
Address:
City, State, Zip:
Contact Person:
Phone:
Time Employed:
Salary/Wage:
Reason for Leaving:
Were you subject to the FMCRs while employed?
Was your job designated as a safety function in any dot-regulated mode subject to the drug and alcohol testing requirements of 49 CFR part 40?
Employer 3:
Name:
Address:
City, State, Zip:
Contact Person:
Phone:
Time Employed:
Salary/Wage:
Reason for Leaving:
Were you subject to the FMCRs while employed?
Was your job designated as a safety function in any dot-regulated mode subject to the drug and alcohol testing requirements of 49 CFR part 40?
Employee 4:
Name:
Address:
City, State, Zip:
Contact Person:
Phone:
Time Employed:
Salary/Wage:
Reason for Leaving:
Were you subject to the FMCRs while employed?
Was your job designated as a safety function in any dot-regulated mode subject to the drug and alcohol testing requirements of 49 CFR part 40?
Employer 5:
Name:
Address:
City, State, Zip:
Contact Person:
Phone:
Time Employed:
Salary/Wage:
Reason for Leaving:
Were you subject to the FMCRs while employed?
Was your job designated as a safety function in any dot-regulated mode subject to the drug and alcohol testing requirements of 49 CFR part 40?
Accident Record (for past 3 years or more) If none, fill in "none":
  Date Nature Fatalities Injuries Hazardous Spill
Acci.1:
Acci.2:
Acci.3:

Traffic Convictions & Forfeitures for the past 3 years (other than parking violations. If none, fill in "none"
  Date Location Charge Penalty
Convi.1:
Convi.2:
Convi.3:

Experience/Qualifications-Driver: List all driver licenses or permits held in the past 3 years.
  State License No. Type Expires
Lic.1:
Lici.2:
Lic.3:
A. Have you ever been denied a license, permit or privilege to operate a motor vehicle?
B. Has any license, permit or privilege ever been suspended or revoked?
If yes to A or B, give details:

Driving Experience

  

Class of Equipment

Equipment Type

 Dates Approx. No. of Miles

List states operated in for last five years:
Special Courses or Training that will help you as a driver:
Experience & Qualifications - Other
Trucking, transportation or other experience that may help you in your work for this company:
Courses & training other than shown elsewhere in this application:
Special equipment or technical materials you can work with (other than those already shown):
Education:  
Highest grade completed:
Last School Attended:

I certify that I personally completed this form and that all of the information is true and correct. I authorize Skyline Transportation, Inc. to conduct a thorough background investigation in accordance with state and federal law and authorize my previous employers to release any information requested by Skyline Transportation, Inc. and hold them harmless of all liability from the release of said information. Also, in accordance with the provisions of 49 CFR Part 382.405 and 382.413, I hereby authorize and require my previous and/or current employers specifically listed by me on this application to release the results (including any refusal to test) of all drug and alcohol tests taken by me pursuant to the provisions of 49 CFR while in their employment to Skyline Transportation, Inc., Inc. by whatever means is most expedient.