Driver Application

Download PDFDownload PDF version

Employment Requirements

Only a high quality and high qualified staff can service the interest of our customers. All of our trucks are GVW 26,000 PD's or less so no CDL is required for employment. An applicant will be required to pass a D.O.T. physical.

Below is a list of general qualifications for employment. If you would like more information on driver opportunities, please call (913)782-2289.

  • Friendly and have a positive can-do attitude
  • Have a clean Driver's MVR
  • Have a valid Driver's License
  • No accident’s within 3 years
  • Steady work history
  • No felony convictions
If you meet the criteria, please fill out our online application.

Required fields are marked in red

Applicant Information

Are you 18 years or older?
Are you a U.S. citizen?
If no, are you authorized to work in the U.S.?
Have you ever worked for this company?
Have you ever been convicted of a felony?

Address History

Provide your address history for the past three years.
Previous Residence #1
Previous Residence #2
Previous Residence #3

Experience and Qualifications

Driver License
Experience
Accident History
Provide your accident record for the past three years.
Have you had any accidents within the past 3 years?
Violations
Provide traffic convictions and forfeitures for the past three years (other than parking violations).
Have you had any traffic convictions or forfeitures within the past 3 years?

Previous Employment

DOT requires that employment for the last three years and/or Commercial Driving Experience (if operating a vehicle of 26,001 lbs. or more) for the past ten years be shown. Please answer ALL questions. If not complete, we cannot process your application.
Current/Most Recent Employer
May we contact this supervisor/employer?
Were you subject to the Federal Motor Carrier Safety Regulations (FMCSRs) while employed?
Was this job designated as a safety sensitive function subject to the drug and alcohol testing requirements of 49 CFR Part 40?
Next Previous Employer
May we contact this supervisor/employer?
Were you subject to the Federal Motor Carrier Safety Regulations (FMCSRs) while employed?
Was this job designated as a safety sensitive function subject to the drug and alcohol testing requirements of 49 CFR Part 40?
Next Previous Employer
May we contact this supervisor/employer?
Were you subject to the Federal Motor Carrier Safety Regulations (FMCSRs) while employed?
Was this job designated as a safety sensitive function subject to the drug and alcohol testing requirements of 49 CFR Part 40?
Next Previous Employer
May we contact this supervisor/employer?
Were you subject to the Federal Motor Carrier Safety Regulations (FMCSRs) while employed?
Was this job designated as a safety sensitive function subject to the drug and alcohol testing requirements of 49 CFR Part 40?
Next Previous Employer
May we contact this supervisor/employer?
Were you subject to the Federal Motor Carrier Safety Regulations (FMCSRs) while employed?
Was this job designated as a safety sensitive function subject to the drug and alcohol testing requirements of 49 CFR Part 40?
Have you ever been denied a license, permit or privilege to operate a motor vehicle?
Has any license, permit or privilege ever been suspended or revoked?
In the previous three years, have you tested positive, or refused to take a pre-employment drug and/or alcohol test administered by a prospective employer regardless of if you were hired or not?

References

Please provide three professional references.
Reference #1
Reference #2
Reference #3

Disclaimer and Signature

I hereby authorize any and all schools, former employers, references, motor vehicle reports, courts and any others who have information about me to provide such information about me to provide such information to Dale's Tow Service and/or any of its representatives, agents, or vendors. I release all parties involved from any and all liability for any and all damage that may result from providing such information.

This certifies that I have read in its entirety and completed this application, and that all entries on it and information in it are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Due Process Rights

As a driver applicant, you have the right to:

  • Review information provided by previous employers (CFR 391.23(i)(2));
  • Have errors in the information corrected by the previous employer, and for that previous employer to re-send the corrected information to the prospective employer (CFR 391.23(j)(1)(3)); and
  • 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 (CFR 391.23(j)(3)).

This certifies that I have read the driver applicant Due Process Right.

Message Key