Avalon Food Service

Driver Application

 

 

 

Personal Information

Current Address:

Next most Recent Address:

Next most Recent Address:

Next most Recent Address:

Yes:
No:
Yes:
No:
Yes:
No:
Yes:
No:
Yes:
No:
Yes:
No:
Yes:
No:
Please fill out the following form
Overnight Runs:
Irregular Start Times:
On-Call Shifts:
None:
1/mo.:
2/mo.:
3/mo.:
all:
Yes:
No:
Yes:
No:
hrs
hrs
days on average
days
yrs.
mo.
Yes:
No:
The following are essential job requirements, respond to each.
Which are you capable of performing?
Yes:
No:
Yes:
No:
Yes:
No:
Yes:
No:
Yes:
No:
Yes:
No:
Yes:
No:
Yes:
No:
Yes:
No:
Yes:
No:
Yes:
No:
Yes:
No:

Do you have experience with:

Yes:
No:
Yes:
No:
Yes:
No:
Yes:
No:
Employment History
All driver applicants to drive in interstate commerce must provide the following information on all emplooyers during the preceding 3 years. List complete mailing address, street number, city, state an zip code. Applicants to drive a commercial motor vehicle* in intrastate or interstate commerce shall also provide an additional 7 years' information on those employers for whom the applicant operated such vehicle. (NOTE: list employers in reverse order starting with the most recent.)

Employer #1

/
/
Yes:
No:
Yes:
No:

Employer #2

/
/
Yes:
No:
Yes:
No:

Employer #3

/
/
Yes:
No:
Yes:
No:

Employer #4

/
/
Yes:
No:
Yes:
No:

Employer #5

/
/
Yes:
No:
Yes:
No:

Employer #6

/
/
Accident Record for past 3 years or more
If none, write none

Last Accident

Yes:
No:
Yes:
No:
Yes:
No:

Next Previous

Yes:
No:
Yes:
No:
Yes:
No:

Next Previous

Yes:
No:
Yes:
No:
Yes:
No:
Traffic Convictions and forfeitures for the past 3 years (other than parking violations) If none, write none.

Traffic Conviction #1

Traffic Conviction #2

Traffic Conviction #3

Experience and Qualifications - Driver

List all driver licenses or permits held in the past 3 years

License #1

License #2

License #3

Other License Related Information

Yes:
No:
Yes:
No:
Driving Experience

Straight Truck

Yes:
No:
Van:
Tank:
Flat:
Dump:
Refer:
/
/

Tractor & Semi-Trailer

Yes:
No:
Van:
Tank:
Flat:
Dump:
Refer:
/
/

Tractor - Two Trailers

Yes:
No:
Van:
Tank:
Flat:
Dump:
Refer:
/
/

Tractor - Three Trailers

Yes:
No:
Van:
Tank:
Flat:
Dump:
Refer:
/
/

Motorcoach - School bus (More than 8 passengers)

Yes:
No:
/
/

Motorcoach - School bus (More than 15 passengers)

Yes:
No:
/
/

Other

/
/

Additional Experience

Experience and Qualifications - Other
Education
Select the highest grade completed
1:
2:
3:
4:
5:
6:
7:
8:
1:
2:
3:
4:
1:
2:
3:
4:
To be read and agreed upon by applicant
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