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  1. New Driver Application

Application for Authorization to Drive for NPS Express, Inc.

Step 1 of 5

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  • In compliance with Federal and State equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status, or non-job related disability.

  • Date Format: MM slash DD slash YYYY
  • List your addresses of residency for the last 3 years.

  • Employent History for Past 10 Years

  • All driver applicants to drive in interstate commerce must provide the following information on all employers during the preceding 3 years. List complete mailing address, street number, city, state and zip code.

    Applicants to drive a commercial motor vehicle in intrastate or interstate commerce shall also provide an additional 7 years’ information on those employers for whom the applicant operated such a vehicle.

    Please begin with your most recent employment history.

  • Employer 2

  • Employer 3

  • Any additional employers you might have will be asked for at a later date.

  • Accident Record

    Select that which applies to you. If "Yes", let us know about the most recent incident.
  • Traffic Convictions

    Select that which applies to you. If "Yes", let us know about the most recent incident.
  • Driving Experience

    Select "Yes" if you have experience with any of the following & fill out any details that appear.
  • If any others, please list here.
  • This certifies that this application was completed by me, and that all entries on it and information on it are true and complete to the best of my knowledge. I authorize you 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, inquires regarding medical history will be made only if and 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 inquires and releasing information in connection with my application.

    In event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand also, that I am required to abide by all rules and regulations of the Company. I understand that information I provide regarding current and/or previous employers may be used, and those employer(s) will be contacted, for the purpose of investigating my safety performance history as required by 49 CFR 391.23(d) and (e). I understand that I have the right to:

    • Review information provided by current previous employers.
    • Have errors in the information corrected by previous employers and for those previous employers to re-send the corrected information in the prospective employer; and
    • Have a rebuttal statement attached to the alleged erroneous information, if the previous employer(s) and I cannot agree on the accuracy of the information.*
  • PREVIOUS PRE EMPLOYMENT EMPLOYEE ALCOHOL AND DRUG TEST STATEMENT

  • Date Format: MM slash DD slash YYYY

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