We're looking for great Drivers
If you're looking to join our Sel-Ex Group LLC as a Driver, please provide us with details on your background. All spaces need to be filled out to be considered.
APPLICANT INFORMATION (Complete in full or it will not be considered)
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First Name*
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Last Name*
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Email*
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Phone number*
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Date of Birth (MM/DD/YY)*
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Social Security #*
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Position Applied for:
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Date available for Work:
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Do you have a legal right to work in the United States?*
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PREVIOUS THREE YEARS RESIDENCY
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Address
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City
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State
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Zip Code
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# Years at this address
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Previous Address (Street, City, State, Zip Code)
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Previous Address (Street, City, State, Zip Code)
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LICENSE INFORMATION
No person who operates a commercial motor vehicle shall at any time have more than one driver’s license (49 CRF 383.21). I certify that I do not have more than one motor vehicle license, the information for which is listed below. Include all licenses held for the past 3 years; attach additional information if needed
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State
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License # (Current)
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Type/Class
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Endorsements
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Expiration date
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Previously Held Licenses
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Previously Held Licenses
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DRIVING EXPERIENCE
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Class of equipment
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Describe your experience (Date From, Date to, Miles accomplished)
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ACCIDENT RECORD FOR THE PAST 3 YEARS
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Describe dates (List most recent first). Nature of accident, # Fatalities, # Injuries, Chemical Spills?
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TRAFFIC CONVICTIONS AND FORFEITURES FOR THE PAST 3 YEARS (OTHER THAN PARKING VIOLATIONS)
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Include Date Convicted (Month/Year), Violation, State of Violation, Penalty
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Has any License, permit, or privilege ever been suspended or revoked?
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Have you ever been denied a license, permit, or privilege to operate a motor vehicle??
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If yes, Explain
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If yes, Explain
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Attach file
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Would you like to print out the application and fill it out manually? Please Download it from the following button and send it back via email to david@selexexpress.com