Apply Now Please enable JavaScript in your browser to complete this form. - Step 1 of 7DRIVER INFORMATIONDriver Name *FirstMiddleLastAddress *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Mobile *Email *Social Security Number *Date / Time *DateTimeHow did you find out about this position? *WebsiteCurrent EmployeeSearch EngineSocial MediaCraigslistOtherIf otherPrevious Addresses Last Three (3) Years *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePrevious Addresses Last Three (3) Years (Continued)Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePrevious Addresses Last Three (3) Years (Continued)Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeNextEMPLOYMENT HISTORYNOTE: COMPANY POLICY STATES THAT THE APPLICANT MUST PROVIDE A COMPLETE 10 YEAR WORK HISTORY AND ACCOUNT FOR ALL GAPS IN EMPLOYMENT BETWEEN JOBS BEFORE EMPLOYMENT CONSIDERATION WILL BE MADE.Last Employer Name *Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmployer PhoneEmployment Start Date *Employment End Date *Position Held *Supervisor Name *Was this job designated as a safety sensitive function in any DOT regulated mode subject to controlled substances and alcohol testing specified by 49 CFR Part 40? *YESNOWas this job subject to FMCSA Regulations? *YESNOReason for Leaving *Second Last Employer NameAddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmployer PhoneEmployment Start DateEmployment End DatePosition HeldSupervisor NameWas this job designated as a safety sensitive function in any DOT regulated mode subject to controlled substances and alcohol testing specified by 49 CFR Part 40?YESNOWas this job subject to FMCSA Regulations?YESNOReason for LeavingThird Last Employer NameAddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmployer PhoneEmployment Start DateEmployment End DatePosition HeldSupervisor NameWas this job designated as a safety sensitive function in any DOT regulated mode subject to controlled substances and alcohol testing specified by 49 CFR Part 40?YESNOWas this job subject to FMCSA Regulations?YESNOReason for LeavingNextEMPLOYMENT HISTORY (Continued)Fourth Last Employer NameAddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmployer PhoneEmployment Start DateEmployment End DatePosition HeldSupervisor NameWas this job designated as a safety sensitive function in any DOT regulated mode subject to controlled substances and alcohol testing specified by 49 CFR Part 40?YESNOWas this job subject to FMCSA Regulations?YESNOReason for LeavingFifth Last Employer NameAddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmployer PhoneEmployment Start DateEmployment End DatePosition HeldSupervisor NameWas this job designated as a safety sensitive function in any DOT regulated mode subject to controlled substances and alcohol testing specified by 49 CFR Part 40?YESNOWas this job subject to FMCSA Regulations?YESNOReason for LeavingSixth Last Employer NameAddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmployer PhoneEmployment Start DateEmployment End DatePosition HeldSupervisor NameWas this job designated as a safety sensitive function in any DOT regulated mode subject to controlled substances and alcohol testing specified by 49 CFR Part 40?YESNOWas this job subject to FMCSA Regulations?YESNOReason for LeavingNextEMPLOYMENT HISTORY (Continued)Seventh Last Employer NameAddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmployer PhoneEmployment Start DateEmployment End DatePosition HeldSupervisor NameWas this job designated as a safety sensitive function in any DOT regulated mode subject to controlled substances and alcohol testing specified by 49 CFR Part 40?YESNOWas this job subject to FMCSA Regulations?YESNOReason for LeavingEighth Last Employer NameAddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmployer PhoneEmployment Start DateEmployment End DatePosition HeldSupervisor NameWas this job designated as a safety sensitive function in any DOT regulated mode subject to controlled substances and alcohol testing specified by 49 CFR Part 40?YESNOWas this job subject to FMCSA Regulations?YESNOReason for LeavingNinth Last Employer NameAddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmployer PhoneEmployment Start DateEmployment End DatePosition HeldSupervisor NameWas this job designated as a safety sensitive function in any DOT regulated mode subject to controlled substances and alcohol testing specified by 49 CFR Part 40?YESNOWas this job subject to FMCSA Regulations?YESNOReason for LeavingNextCOMMERCIAL DRIVER'S LICENSE INFORMATIONDriver's License # *License Type *Type AType BType CState of Issue *BirthdateFormat Month/Day/Year XX/XX/XXXXExpiration Date *Format Month/Day/Year XX/XX/XXXXEndorsements (Check all that Apply.) *Double/Triple TrailersPassenger VehiclesSchool BusTank VehiclesHazardous MaterialsNone of the AboveList any Additional License(s) Held in the Past 3 YearsHAS YOUR PERMIT, CDL, OR PRIVILEGE TO OPERATE A MOTOR VEHICLE EVER BEEN DENIED, SUSPENDED, OR REVOKED? *NOYESIf YES, Please ExplainCOLLISIONSPLEASE LIST ANY AND ALL MOTOR VEHICLE COLLISIONS IN WHICH YOU WERE INVOLVED (BOTH COMMERCIAL AND PERSONAL) IN THE LAST THREE YEARS PRIOR TO THE APPLICATION DATE. IF NONE, WRITE "NONE." INCLUDE, DATE, STATE, NUMBER OF INJURIES/FATALITIES, AND WHETHER OR NOT A HAZARDOUS MATERIALS SPILL OCCURED.Motor Vehicle Collisions *TRAFFIC CONVICTIONS AND FORFEITURESPLEASE LIST ALL TRAFFIC CONVICTIONS AND/OR FORFEITURES (BOTH PERSONAL AND COMMERCIAL) FOR THE LAST THREE YEARS PRIOR TO THIS APPLICATION. (OTHER THAN PARKING). IF NONE, WRITE "NONE" LIST DATE, LOCATION, CHARGE, AND PENALTY.Traffic Violations *DRIVING EXPERIENCEPLEASE LIST EXPERIENCE WITH EQUIPMENT CLASS(ES) STRAIGHT TRUCK, AND/OR TRACTOR & SEMI TRAILER. LIST TYPE OF EQUIPMENT AND APPROXIMATE MILES DRIVEN OR DATES DRIVEN.Driving Experience *NextEDUCATIONHigh School/College/Trade School Name *Please list the highest school completed.Highest Grade Completed *9101112CollegeOtherIf Other, Please SpecifyGENERAL COMPANY INFORMATIONHave You Ever Been A Driver For This Company Before? *YESNOIf YES, When?Is There Any Reason You Might Be Unable To Perform The Functions Of The Job For Which You Are Applying? *YESNOAre You Prevented From Lawfully Becoming Employed In This Country Because Of VISA Or Immigration Status? *YESNOPROOF OF CITIZENSHIP OR IMMIGRATION STATUS WILL BE REQUIRED UPON EMPLOYMENT.Have You Ever Been Convicted For DUI, DWI OR OUI? *YESNOHave You Ever Tested Positive Or Refused A DOT Drug Or Alcohol Test? *YESNOIn Case Of Emergency Contact: *Name - Phone Number - RelationshipAdditional Information (Optional)Upload your resume Click or drag a file to this area to upload. Upload a cover letter Click or drag a file to this area to upload. Additional InformationNextEXTREME TRANSPORTATION, INC.MUST BE READ AND SIGNED BY THE APPLICANTAgreement MUST BE READ AND SIGNED BY THE APPLICANTIt is agreed and understood that the employer or its agents may investigate the applicant's background to ascertain any and all information of concern to applicant's record whether same is of record or not, and applicant releases employers and persons named herein from all liability for any damages on account of furnishing such information. In accordance with the provision so Section 604(b)(2)(a) of the Fair Credit Reporting Act Public Law 9f-508, as amended by the Consumer Credit Reporting Act of 1996 (Title II. Subtitle D. Chapter 1. of Public Law 104-208), you are being informed that reports verifying your previous employment, previous drug and alcohol test results, and your driving record may be obtained on you for employment purposes. These reports are required by Sections 382.413 and 391.25 of the Federal Motor Carrier Safety Regulations. The applicant agrees to furnish such additional information and complete such examinations as necessary to complete the applicant's employment file. It is agreed and understood that this application for employment in no way obligates the employer to employ the applicant. It is agreed and understood that if hired, the applicant may be on a probationary period during which time applicant may be discharged without recourse. Further, any false statement herein submitted will be deemed sufficient reason for rejection or termination of the applicant's employment, irrespective of time lapsed before discovery. In connection with my application for employment with you, I understand that an investigative consumer report is being requested from Hire Right Services that will include information as to my character, work habits, performance, and experience, along with reasons for termination of past employment obtained from previous employers. Further, I understand that you will be requesting information concerning my driving record and/or information from various state agencies which maintain records concerning traffic offenses, accidents, etc., as well as information from Hire Right Services concerning (1) previous driving record requests made by others from such state agencies and (2) claims involving me in the files of insurance companies. I have a right to make a written request within a reasonable period of time to receive additional detailed information about the nature and scope of this investigation. I hereby consent to your obtaining the above described information from Hire Right Services, and agree that such information which Hire Right Services has or obtains, and my employment history with you, of I am hired, will be supplied by Hire Right Services to other companies which subscribe to Hire Right Services. IF HIRED BY YOU, I FURTHER CONSENT TO YOUR FURNISHING TO HIRE RIGHT SERVICES INFORMATION CONCERNING MY CHARACTER, WORK HABITS, PERFORMANCE DRIVING RECORD AND EXPERIENCE, AS WELL AS ANY REASONS FOR TERMINATION OF MY EMPLOYMENT, AND FURTHER CONSENT TO HIRE RIGHT SERVICES FURNISHING SUCH INFORMATION IN THE FUTURE TO OTHER COMPANIES WHICH SUBSCRIBE TO HIRE RIGHT SERVICES FROM WHICH I MAY BE SEEKING EMPLOYMENT, AND TO INSURANCE COMPANIES OR THEIR AGENTS IN CONNECTION WITH ISSUANCE OR MAINTENANCE OF INSURANCE COVERAGE. The applicant agrees to conform to the rules and regulations of Extreme Transportation Inc./Premium Transportation Group, and understands that employment and compensation can be terminated with or without cause, at any time, at the option of either Extreme Transportation Inc./Premium Transportation Group or the individual. The applicant further understands that no personnel recruiter or interviewer or other representative of Extreme Transportation Inc./Premium Transportation Group other than the President has any authority to enter into any agreement for employment for any specified period of time. If requested to do so, I agree to submit to physical and psychological testing prior to employment, or at any time during my employment, including but not limited to a polygraph and/or urine analysis to test for drugs or alcohol. It is agreed and understood that the answers to the foregoing questions are true and correct, and that any misrepresentations of information given above shall be considered an act of dishonesty. Further, 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.SignatureClear SignatureWebsiteSubmit Don't forget to verify employment Before being considered for a driving position with Extreme Transportation Inc. we will need to verify your previous employment. Just fill out the top portion and sign, we will take care of the rest.