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    In compliance with Federal a 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.

    PLEASE COMPLETE AND SUBMIT THIS APPLICATION WITH AS MUCH INFORMATION AS POSSIBLE, ANY INCOMPLETE DATA MIGHT DELAY THE PROCESS. IF YOU HAVE ANY QUESTIONS OR PREFER TO COMPLETE THIS APPLICATION IN PERSON, PLEASE CONTACT US AND WE WILL BE HAPPY TO GUIDE YOU. WE LOOK FORWARD TO HEARING FROM YOU.

    DMK EXPRESS INC
    6601 South Menard Ave
    Bedford Park IL, 60638
    PHONE: 708-546-0508
    FAX: 708-546-0758

    HOW MUCH TRUCK DRIVING EXPERIENCE DO YOU HAVE?

    DO YOU HAVE ANY EXPERIENCE WITH INTERMODAL / RAIL YARDS?

    HOW DID YOU HEAR ABOUT US?

    Date

    Date of Birth

    Your Phone Number

    Your adress





    HOW LONG AT CURRENT ADDRESS?

    DO YOU HAVE A LEGAL RIGHT TO WORK IN THE UNITED STATES?

    SOCIAL SECURITY NUMBER

    HAVE YOU WORKED FOR DMK BEFORE?

    IF YES, WHAT DATE DID YOU LAST WORK AT DMK?

    WHAT WAS YOUR POSITION AT DMK?

    WHAT WERE YOUR REASONS FOR LEAVING?

    ARE YOU CURRENTLY EMPLOYED?

    IF NOT CURRENTLY EMPLOYED, HOW LONG SINCE LAST EMPLOYMENT?

    CURRENT EMPLOYMENT

    EMPLOYER NAME:

    EMPLOYER ADDRESS:

    START DATE

    END DATE

    POSITION HELD

    REASONS FOR LEAVING

    WERE YOU SUBJECT TO THE FMCSR'S WHILE EMPLOYED?

    WAS YOUR JOB DESIGNATED AS A SAFETY -SENSITIVE FUNCTION IN ANY DOT REGULATED MODE SUBJECT TO THE DRUG AND ALCOHOL TESTING REQUIREMENTS OF 49 CFR PART?

    MINIMUM 3 YEARS OF EMPLOYMENT HISTORY IS REQUIRED, IF ADDITIONAL SPACE IS NEEDED PLEASE COMPLETE ON SEPERATE SHEET AND ATTACH BELOW.

    ADDITIONAL EMPLOYMENT HISTORY

    IS THERE ANY REASON YOU MIGHT BE UNABLE TO PERFORM THE FUNCTIONS OF THE JOB FOR WHICH YOU ARE APPLYING?

    IF YES, PLEASE EXPLAIN.

    ANY ACCIDENTS IN THE PAST 3 YEARS?

    DO YOU HAVE ANY TRAFFIC CONVICTIONS AND FORFEITURES IN THE LAST 3 YEARS? (DO NOT NEED TO INCLUDE PARKING VIOLATIONS)?

    HAVE YOU EVER HAD YOUR LICENSE , PERMIT OR PRIVILEGE SUSPENDED, REVOKED OR DENIED?

    IF "YES" PLEASE EXPLAIN.

    LIST THE TYPE OF EQUIPMENT YOU HAVE DRIVEN AND AMOUNT OF TIME.

    LIST ANY STATES IN WHICH YOU HAVE OPERATED IN THE LAST 5 YEARS.

    LIST ANY SPECIAL COURSES TAKEN WHICH HELP YOU IN YOUR JOB AS A DRIVER.

    EDUCATION

    HIGHEST EDUCATION LEVEL COMPLETED

    LAST SCHOOL ATTENDED

    ANYTHING ELSE YOU WOULD LIKE US TO KNOW THAT WAS NOT INCLUDED ABOVE?

    FORMER EMPLOYEE INFORMATION AND RELEASE


    Motor Vehicles Driver’s
    CERTIFICATION OF COMPLIANCE WITH DRIVER LICENSE REQUIREMENTS
    MOTOR CARRIER INSTRUCTIONS: The requirements in Part 383 apply to every driver who operates in intrastate, interstate, or foreign commerce and operates a vehicle weighing 26,001 pounds or more, can transport more than 15 people, or transports hazardous materials that require placarding.
    The requirements in Part 391 apply to every driver who operates in interstate commerce and operates a vehicle weighing 10,001 pounds or more, can transport more than 15 people, or transports hazardous materials that require placarding.
    DRIVER REQUIREMENTS: Parts 383 and 391 of the Federal Motor Carrier Safety Regulations contain some requirements that you as a driver must comply with. These requirements are in effect as of July 1, 1987. They are as follows:


    1. POSSESS ONLY ONE LICENSE:

    You, as a commercial vehicle driver, may not possess more than one motor vehicle operator’s license. If you have more than one license, keep the license from your state of residence and return the additional licenses to the states that issued them. DESTROYING a license does not close the record in the state that issued it; you must notify the state. If a multiple license has been lost, stolen, or destroyed, close your record by notifying the state of issuance that you no longer want to be licensed by that state.


    2. NOTIFICATION OF LICENSE SUSPENSION, REVOCATION OR CANCELLATION:

    Sections 392.42 and 383.33 of the Federal Motor Carrier Safety Regulations require that you notify your employer the NEXT BUSINESS DAY of any revocation or suspension of your driver’s license. In addition, Section 383.31 requires that any time you violate a state or local traffic law (other than parking), you must report it to your employing motor carrier, and the state that issued your license within 30 days.


    IMPORTANT DISCLOSURE
    REGARDING BACKGROUND REPORTS FROM THE PSP Online Service
    In connection with your application for employment with DMK EXPRESS INC (“Prospective Employer”), Prospective Employer, its employees, agents or contractors may obtain one or more reports regarding your driving, and safety inspection history from the Federal Motor Carrier Safety Administration (FMCSA). When the application for employment is submitted in person, if the Prospective Employer uses any information it obtains from FMCSA in a decision to not hire you or to make any other adverse employment decision regarding you, the Prospective Employer will provide you with a copy of the report upon which its decision was based and a written summary of your rights under the Fair Credit Reporting Act before taking any final adverse action. If any final adverse action is taken against you based upon your driving history or safety report, the Prospective Employer will notify you that the action has been taken and that the action was based in part or in whole on this report. When the application for employment is submitted by mail, telephone, computer, or other similar means, if the Prospective Employer uses any information it obtains from FMCSA in a decision to not hire you or to make any other adverse employment decision regarding you, the Prospective Employer must provide you within three business days of taking adverse action oral, written or electronic notification: that adverse action has been taken based in whole or in part on information obtained from FMCSA; the name, address, and the toll free telephone number of FMCSA; that the FMCSA did not make the decision to take the adverse action and is unable to provide you the specific reasons why the adverse action was taken; and that you may, upon providing proper identification, request a free copy of the report and may dispute with the FMCSA the accuracy or completeness of any information or report. If you request a copy of a driver record from the Prospective Employer who procured the report, then, within 3 business days of receiving your request, together with proper identification, the Prospective Employer must send or provide to you a copy of your report and a summary of your rights under the Fair Credit Reporting Act. Neither the Prospective Employer nor the FMCSA contractor supplying the crash and safety information has the capability to correct any safety data that appears to be incorrect. You may challenge the accuracy of the data by submitting a request to https://dataqs.fmcsa.dot.gov. If you challenge crash or inspection information reported by a State, FMCSA cannot change or correct this data. Your request will be forwarded by the DataQs system to the appropriate State for adjudication. Any crash or inspection in which you were involved will display on your PSP report. Since the PSP report does not report, or assign, or imply fault, it will include all Commercial Motor Vehicle (CMV) crashes where you were a driver or co-driver and where those crashes were reported to FMCSA, regardless of fault. Similarly, all inspections, with or without violations, appear on the PSP report. State citations associated with Federal Motor Carrier Safety Regulations (FMCSR) violations that have been adjudicated by a court of law will also appear, and remain, on a PSP report. The Prospective Employer cannot obtain background reports from FMCSA without your authorization.


    AUTHORIZATION



    General Consent for Limited Queries of the Federal Motor Carrier Safety Administration (FMCSA) Drug and Alcohol Clearinghouse


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