Driver's Employment Application

Solicitud de Empleo para Conductores CDL

The full CDL packet, filled in and signed here. Each consent form below is the official document, shown exactly as it is on paper. It saves as you go.

1You
2Licence
3Driving record
4Employment
5Education
6Payroll notice
7Clearinghouse
8Drug records
9Background check

About you

Sobre usted

Position applied for

Location Lugar

Last name Apellido(s)

First name Nombre(s)

Middle initial Inicial

Nickname Apodo

Phone Teléfono

Cell Celular

Email Correo electrónico

Current address Dirección actual

City

State

ZIP

How long at this address? ¿Cuánto tiempo?

All addresses for the past three yearsTodas las direcciones de los últimos tres años — DOT lo requiere

Are you 18 years or older?¿Tiene 18 años o más? Yes / Sí No

Are you legally authorized to work in the United States?¿Está autorizado legalmente para trabajar en EE. UU.? Yes / Sí No

Date available to start Fecha disponible

Pay desired Salario deseado

Are you currently employed?¿Está empleado actualmente? Yes / Sí No

May we contact your present employer?¿Podemos contactar a su patrón actual? Yes / Sí No

Resume — attach if you have oneCurrículum — adjunte si tiene uno

A photo of a paper resume is fine.

Photo of your driver licenceFoto de su licencia de conducir

The packet asks for a copy. Photograph the front with your phone.Fotografíe el frente con su teléfono.

Driver qualifications

Calificaciones del conductor

Your licence number, date of birth and Social Security number are not collected here. Bring the licence itself when you come in, or attach the photo on the previous step.El número de licencia, la fecha de nacimiento y el número de Seguro Social no se recogen aquí.

Licence state Estado

Class Clase

Expiry date Vencimiento

Endorsements and restrictions Endosos y restricciones

Have you ever been denied a licence, permit or privilege to operate a motor vehicle?¿Le han negado alguna vez una licencia o permiso? Yes / Sí No

Has any licence, permit or privilege ever been suspended or revoked?¿Alguna licencia ha sido suspendida o revocada? Yes / Sí No

If yes to either, give details Si contestó sí, dé detalles

Driver certification. As a commercial vehicle driver I may not possess more than one Motor Vehicle Operator's Licence. I am also aware that I am required to notify my employer thenext business day of any revocation or suspension of my driver's licence. In addition, I am aware that should I receive a state or local traffic violation I must report it to my employer. I certify I have read and understand the above requirements.

Como conductor comercial no puedo poseer más de una licencia de operador. Debo notificar a mi empleador el siguiente día hábil de cualquier revocación o suspensión de mi licencia, y debo reportar cualquier infracción de tránsito estatal o local. Certifico que he leído y entiendo estos requisitos.

I have read and understand the driver certification above.He leído y entiendo la certificación anterior.

Driving experience & record

Experiencia y antecedentes de conducción

Straight truck

Type of equipment Tipo — mixer, tanque, plataforma, vacío

Approximate total miles Millas aproximadas

Started Desde

Ended Hasta

Tractor & semi-trailer

Type of equipment Tipo — mixer, tanque, plataforma, vacío

Approximate total miles Millas aproximadas

Started Desde

Ended Hasta

Tractor & two trailers

Type of equipment Tipo — mixer, tanque, plataforma, vacío

Approximate total miles Millas aproximadas

Started Desde

Ended Hasta

Other

Type of equipment Tipo — mixer, tanque, plataforma, vacío

Approximate total miles Millas aproximadas

Started Desde

Ended Hasta

Accident record — past 3 years or more Accidentes — últimos 3 años

Most recent

Date Fecha

Nature of accident Head-on, rear-end, upset, etc.

No. of vehicles Vehículos

Fatalities / injuries Muertes / heridos

Next previous

Date Fecha

Nature of accident Head-on, rear-end, upset, etc.

No. of vehicles Vehículos

Fatalities / injuries Muertes / heridos

Next previous

Date Fecha

Nature of accident Head-on, rear-end, upset, etc.

No. of vehicles Vehículos

Fatalities / injuries Muertes / heridos

Traffic convictions & forfeitures, past 3 years, other than parkingCondenas de tránsito, últimos 3 años, excepto estacionamiento — lugar, fecha, cargo, pena

Have you ever been convicted of a crime or pled No Contest to any criminal offense?¿Ha sido condenado por un delito? — Una respuesta afirmativa no lo descalifica automáticamente Yes / Sí No

If yes, explain: number of convictions, nature, dates, sentences and rehabilitationSi contestó sí, explique

A YES response does not automatically disqualify your application.

Employment record

Historial de empleo

DOT requires employment for at least 3 years, and commercial driving experience for the past 10 years.El DOT requiere 3 años de empleo y 10 años de experiencia de conducción comercial.

Employer 1 — most recent / más reciente

Employer Empleador

Address Dirección

Phone

Position held Puesto

Dates Fechas

Salary Salario

Reason for leaving Razón de irse

Employer 2

Employer Empleador

Address Dirección

Phone

Position held Puesto

Dates Fechas

Salary Salario

Reason for leaving Razón de irse

Employer 3

Employer Empleador

Address Dirección

Phone

Position held Puesto

Dates Fechas

Salary Salario

Reason for leaving Razón de irse

Employer 4

Employer Empleador

Address Dirección

Phone

Position held Puesto

Dates Fechas

Salary Salario

Reason for leaving Razón de irse

Employer 5

Employer Empleador

Address Dirección

Phone

Position held Puesto

Dates Fechas

Salary Salario

Reason for leaving Razón de irse

Which of these jobs did you like best? ¿Cuál le gustó más?

Why? ¿Por qué?

Education & special questions

Educación y preguntas especiales

Highest grade completed Grado más alto terminado

College / business / trade — years Universidad o escuela técnica — años

Last school attended Última escuela

Special courses or training that will help you as a driverCursos o capacitación que le ayudarán como conductor

Safe driving awards you hold, and from whomPremios de conducción segura

U.S. military or naval service Servicio militar

Rank Rango

National guard or reserves Guardia nacional o reserva

I am aware that Buena Vista Turf Farm performs pre-employment drug testing.Sé que Buena Vista Turf Farm realiza pruebas de drogas antes del empleo.

Notification of possible payroll deduction

Notificación de posible deducción de nómina

In short: the background check, MVR check and drug test are mandatory for CDL drivers. If you leave before your 90-day probation period is up, $125.00 total is deducted to cover them.En resumen: si deja el empleo antes de los 90 días de prueba, se deducen $125.00 en total.

I have read and understand this notice.He leído y entiendo esta notificación.

Signature Firma

Sign above with your finger or mouse. Firme arriba con el dedo o el ratón.

Type your full legal name Escriba su nombre legal completo

I agree that typing my name and signing above is my electronic signature, with the same effect as signing on paper.Acepto que escribir mi nombre y firmar arriba constituye mi firma electrónica, con el mismo efecto que firmar en papel.

FMCSA Drug & Alcohol Clearinghouse

Consentimiento general para consultas limitadas

Read the consent below. The four-page FMCSA brochure explaining the Clearinghouse follows it.

General consent for limited queries of the FMCSA Drug and Alcohol Clearinghouse

I give consent for Buena Vista Texas Turf Farm, LLC to conduct limited queries of the FMCSA Drug and Alcohol Clearinghouse, as described above.Doy mi consentimiento para consultas limitadas del Clearinghouse de la FMCSA.

Employee signature Firma del empleado

Sign above with your finger or mouse. Firme arriba con el dedo o el ratón.

Type your full legal name Escriba su nombre legal completo

Read the FMCSA Clearinghouse brochure (4 pages)

Release of drug & alcohol testing records

Divulgación de registros de pruebas de drogas y alcohol

The U.S. Department of Transportation release form (49 CFR Part 40), shown exactly as it is on paper.

ODAPC release of information form, page 1

ODAPC release of information form, page 2

ODAPC release of information form, page 3

I authorize the release of the drug and alcohol testing records described in this form.Autorizo la divulgación de los registros descritos en este formulario.

Signature Firma

Sign above with your finger or mouse. Firme arriba con el dedo o el ratón.

Type your full legal name Escriba su nombre legal completo

Background check

Verificación de antecedentes

Read this disclosure first. It stands on its own, as the Fair Credit Reporting Act requires.Lea primero esta divulgación.

A Summary of Your Rights Under the Fair Credit Reporting Act, and notices under state law (4 pages)

Summary of your rights under the Fair Credit Reporting Act, page 1

Summary of your rights under the Fair Credit Reporting Act, page 2

Summary of your rights under the Fair Credit Reporting Act, page 3

Summary of your rights under the Fair Credit Reporting Act, page 4

Authorization.

I received and read the disclosure and the summary of my rights above.Recibí y leí la divulgación y el resumen de mis derechos.I authorize Buena Vista Texas Turf Farm, LLC and Trend to obtain the consumer reports and investigative consumer reports described above, including a motor vehicle report.Autorizo la obtención de los informes descritos, incluido el informe de vehículos motorizados.

Your Social Security number, date of birth and licence number are not collected here. TrendHR takes those directly when the check is actually run.Esos datos no se recogen aquí; TrendHR los toma directamente.

Name as it should appear Nombre como debe aparecer

Maiden or former name, if any Apellido de soltera

Signature Firma

Sign above with your finger or mouse. Firme arriba con el dedo o el ratón.

Type your full legal name Escriba su nombre legal completo

Prefer paper? Download the full packetand bring it in instead.¿Prefiere papel? Descargue el paquete completo y tráigalo.