[Tenpoint Expediting Services, Inc] Driver's Application

Section 1 of 7 in this document

Thank you for your interest in Tenpoint Expediting Services, Inc. To apply for a driving opportunity, please complete our online application for qualification.

To complete this form, you will need to know the following:

Social Security Number
Home address history for the past 3 years
Current driver license number and driver license history for the past 3 years
Employment history up to 10 years History of traffic accidents, violations and/or convictions from the last 3 years (including DUI or reckless driving conviction and license suspension)

If you encounter any errors during this process and cannot continue, please contact us at 517-325-9969 x 3.

Section 2 of 7 in this document

Driver's Application

Tenpoint Expediting Services, Inc

3030 Sanders Road

Suite 6

Lansing, MI 48917

Full Name

First *

Middle *

Last *

SSN

Has this been your residence for the last three years?

No Yes

Please list prior residences in the field below

Primary Phone Number

Cell Phone Number

Preferred method of contact

Section 3 of 7 in this document

What position are you applying for?

How many years of verifiable commercial driving experience do you have?

Are you able to legally work in the United States?

Yes

Are you currently employed?

Yes

Do you read, write, and speak English?

Yes

Do you have any pending moving violations?

Yes

Who referred you?

Driving Experience

Section 4 of 7 in this document

Equipment (Owner Operators only)

Type:

Year:

Make:

Model:

Color:

VIN:

Mileage:

Section 5 of 7 in this document

License Information

Drivers License Number

License State/Province

Country

License class

Section 6 of 7 in this document

Previous Work History

DOT regulations require us to obtain the names and addresses of all your employers/contractors for the past 3 years. For the 7 years preceding that 3 years, we need the name and address of the employers/contractors for which you were the operator of a commercial motor vehicle, including employers/contractors where you only attended orientation. For each employer/contractor provided under both these requirements, we must have the dates of employment/contract and the reason for leaving.

Employer

Dates worked

Reason for leaving

Employer

Dates worked

Reason for leaving

Employer

Dates worked

Reason for leaving

Employer

Dates worked

Reason for leaving

Employer

Dates worked

Reason for leaving

TO BE READ AND SIGNED BY APPLICANT

This certifies 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. I authorize Tenpoint Expediting Services, Inc to make such investigations and inquiries of my personal, employment, financial or medical history and other related matters as may be necessary in arriving at an employment decision. (Generally, inquiries regarding medical history will be made only if any after a conditional offer of employment has been extended.) 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 interviedw(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the company.

Sign Here

First Name

Last Name

Choose how to sign

Draw Type

I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.