Core Carrier Corporation

Commercial Driver - Application for Employment

Please complete the following information as accurately as possible. Include all employers worked for in the last three years, and include all commercial driving employers worked for in the last ten years.

Personal Information

By entering my name here I authorize the release of any information, including all information related to my alcohol and controlled substances testing and training records, by any past or current employers, to Core Carrier Corp. I hereby release all such persons from any liability or damages.

Last Name:
Middle Initial:
First Name:
Social Security Number:
Date of Birth:

Telephone #:		Alternate Phone #:
E-Mail:
Street Address:

City:		State:	Zip Code:
How did you hear about us?

Professional Information
CDL #:		State:
Have you ever been convicted of a felony? Yes No
If so, give date and details:

Have you ever been convicted of a DUI/DWI? Yes No
If so, give date and details:

Do you have at least one year of over-the-road, Class A, tractor-trailer driving experience? Yes No
How many moving violations have you been convicted of in the last three years?:
Were any of those moving violations convictions for speeding 15 miles or more over the posted limit? Yes No
How many preventable accidents have you had in the last three years?:
Give dates, locations, and brief descriptions of any preventable accidents (if applicable):

In the three years prior to the date of this application, have you ever tested positive for a controlled substance, tested at .04 or above on an alcohol test, or refused to submit to a required drug/alcohol test? Yes No

Work History
Current/Most Recent Employer:
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5th Most Recent Employer:
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6th Most Recent Employer:
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10th Most Recent Employer:
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Authorization To Inquire Into Current and Past Employment

By completing this application, and depressing the "Submit" button, I hereby authorize Core Carrier Corporation and its affiliates to contact my current and previous employers, as well as DAC Services, Tulsa, OK in order to obtain consumer reports regarding my Motor Vehicle Record, as well as employment history. I also authorize my previous employers to release all records of my employment to include, but not limited to, nature of employment, dates of employment, character and fitness reports, results of any drug/alcohol tests performed by the employer, including any refusals to be tested, to Core Carrier Corporation and its affiliates. I agree to release Core Carrier Corporation, it's affiliated companies, my previous employers, and DAC Services of any and all claims of liability that may result from the released information.


	The pay is there, the miles are there. If you want to work for a working company. No thrills, no frills, just a good pay check and good working people to be a part of. They are a financially strong company that has been in business 18 years.

Core Carrier Corporation

1020 Sunshine Road, Kansas City, KS 66115
Main Office: 800-279-4402, Recruiting Hotline: 888-454-2673

Local: 913-748-3105

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