Online Application

Prestera Trucking

Application for Driver Employment

Please complete the application below to begin the application process. Your application will be delivered to a driver recruitment team member. The member will contact you with any questions or comments. All blanks must be completed. Thank you for your interest in our company.

Personal Information

Last Name First Name MI

Social Security Number Date of Birth Mo Day Year

Phone Number Email Address

Street Address

City State Zip Code

License/Driving Data

Class A Driver License Number State of Issuance

List any states where you have held a CDL license (abbreviations)

Do you have your hazmat endorsement? Yes No

How many moving violations have you had in the last 5 years?

Have you had any chargeable accidents in the last 5 years? No Yes If yes, how many?

Has your license ever been suspended, revoked or denied? If yes, please explain.

Have you ever failed or refused a drug screen?

Have you ever been convicted of a felony?

Have you ever worked or applied at Prestera Trucking?

Employment History

(Start with most recent employment)

Employer 1

Employer

Address

City State Zip Code Phone Number

Start Date End Date

Position Type of Equiment Operated

Employer 2

Employer

Address

City State Zip Code Phone Number

Start Date End Date

Position Type of Equiment Operated

Employer 3

Employer

Address

City State Zip Code Phone Number

Start Date End Date

Position Type of Equiment Operated

Employer 4

Employer

Address

City State Zip Code Phone Number

Start Date End Date

Position Type of Equiment Operated

I, , hereby attest that the information provided above is true and accurate.

I authorize Prestera Trucking, Inc., to investigate the information that I have provided and driver information records from Transportation Information Services, Inc., dba DAC Servies, a consumer reporting agency. I understand the information Prestera Trucking, Inc. will gather may include, but not be limited to: names and dates of previous employment, reason for termination of employment, work experience, accidents and criminal records.

Agree Disagree