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Driver Recruiting Process - Online Application                                     Application Date: Nov 19, 2008

  
GENERAL INFORMATION
First Name:   Last Name:
Address: City:
State: Zip Code:
Phone: Fax:
Cell Phone:
E-mail:
SSN: Birthdate:
Gender: Race:
 
Personal Reference 1 (non-family member)   Personal Reference 2 (non-family member)
Name: Name:
Address: Address:
Phone: Phone:
Relationship: Relationship:
 
PRE-HIRE QUESTIONNAIRE
Yes  No
Have you lived at your current address for at least 3 years?
List the previous addresses you have lived at during the last 3 years:
Previous Address 1:   Previous Address 2:
Address: Address:
City: City:
State: State:
Zip Code: Zip Code:
Yes  No
Have you ever applied for a driving job with Swift Transportation?
When did you apply?
Yes  No
Are you able to perform the job functions as contained in the job description?
Yes  No
Do you have a High School Diploma or GED?
Select the highest grade you have completed:

Elementary School / Middle School     High School College
1 2 3 4 5 6 7 8 		     1 2 3 4     1 2 3 4

Other specialty training or schools:
Yes  No
Has your license ever been suspended or revoked?
Suspension 1:
Suspension 2:
Yes  No
Have you ever been convicted of a DUI?
Date 1:
Date 2:
Yes  No
Have you ever used any illegal drug (including marijuana)?
When was the last time you used the drug?
Yes  No
Have you ever been convicted for possession, sale, or use of narcotic drugs?
Date 1:
Date 2:
Yes  No 		Have you ever been convicted of a misdemeanor?
Date Charge
Yes  No 		Have you ever been convicted of a felony?
Date Charge
Yes  No
Have you served in the armed forces?
What Branch?     Honorable Discharge:
 
DRIVING INFORMATION
Yes  No
Do you have a valid US drivers license?
License Number:    License Type:

State Issued:     Expiration Date:
Yes  No
Have you had a drivers licenses in any other State within the last 5 years?
License Number:    License Type:

State Issued:     Expiration Date:
Yes  No 		Do you have a Class A CDL?
Cass A driving experience:    Endorsements:
List all States in which you have operated a Class A vehicle within past 5 years
Yes  No
Have you had any moving violations in the last 5 years?
Date Charge
Yes  No
Have you had any traffic accidents in the last 5 years?
Date At fault? Fatalities Injuries