Application

Driver Application

Spirit Express, LLC
2024 Polymer Dr
Chattanooga, TN

Welcome! We are excited that you are considering joining our team. From proactive safety measures, to our top of the line technology, we are committed to excellence and delivering our products on time, every time.

FMCSA Notification of Driver Rights

In compliance with 49 CFR Part 40 ยง391.23 you have certain rights regarding the safety performance history information that will be provided to prospective employers. I) You have the right to review information provided by previous employers. II) You have the right to have errors in the information corrected by the previous employer and for that previous employer to re-send the corrected information to prospective employers. III) You have the right to 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. (2) Drivers who have previous DOT regulated employment history in the preceding three years and wish to review previous employer-provided investigative information must submit a written request to prospective employers. This may be done at any time, including when applying, or as late as 30 days after being employed or being notified of denial of employment. Prospective employers must provide this information within five business days of receiving the written request. If prospective employers have not yet received the requested information from the previous employer, then the five day deadline will begin when the requested safety performance history information is received. If you have not arranged to pick up or receive the requested records within 30 days of prospective employers making them available, the prospective employers may consider you to have waived your request to review the record.

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

PERSONAL



(mm/dd/yyyy)






PHYSICAL ADDRESS *Please provide your address for past 3 years (no P.O. boxes)









EDUCATION
High School



College/Trade School



Other



RECORD

Yes No



Yes No


Yes No

LICENSE
*Section 383.21 FMCSR states "No person who operates a commercial motor vehicle shall at anytime have more than one driver's license."
I certify that I do not have more than one motor vehicle license, the information for which is listed below.
Yes No



Hazardous Materials
Tank Vehicles
DRIVING RECORD
Yes No

Yes No


Yes No


Yes No


Yes No

D.O.T. REPORTABLE ACCIDENT RECORD (past 3 years)
DATE
(month/year)
NATURE OF ACCIDENT
(head-on, rear-end, side-swipe, etc)
# OF INJURIES # OF FATALITIES SPILL
Yes No
Yes No
Yes No
DRIVING EXPERIENCE
CLASS OF EQUIPMENT TYPE OF EQUIPMENT
(van, tank, flat, etc)
EXPERIENCE
Straight Truck # of years
Tractor & Semi Trailer # of years
Tractor & Double Trailer # of years
Other # of years
PREVIOUS EMPLOYMENT
All driver applicants to drive in interstate commerce must provide the following information on all employers for the preceding 10 years.
List complete mailing address, street number, city, state, and zip code.
1.











Yes No


Yes No

Yes No

2.












Yes No

Yes No

3.












Yes No

Yes No

4.












Yes No

Yes No

5.












Yes No

Yes No


REFERENCES
Please list 2 references that are not relatives










Certify and Sign

I certify that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge. I authorize Spirit Express, LLC to make such investigations and inquiries of my personal, employment, criminal histories and other related matters. I have the full understanding that Spirit Express, LLC reserves the right to arrive at a decision based on any information obtained from such inquiries and investigations. I understand that false or misleading information given in my application or interview(s) may result in termination of contract. I understand that I am required to abide by all of the policies and procedures of Spirit Express, LLC and regulations set forth by the Federal Motor Carrier Safety Administration.

Background Report Disclosure


Please click on the links below to review the release documents:

Link to Previous Employment Release

Link to PSP Release

  By checking the box to the left, I acknowledge that I have read each of the above releases and agree that my electronic signature will be applied to each of the documents.*

This certifies that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge.
If you accept this Release Statement, please use your mouse to sign in the box below.

On a phone or tablet use your finger to sign your name in the rectangle above.
On a computer click inside the rectangle and use your cursor to sign your name.
Entire signature must be in box
Retry by hitting the clear button on the top right.