» driver application

 GENERAL INFORMATION 
   
First Name: 
Last Name: 
Date of Birth:  (MM/DD/YYYY)
Social Security #: 
Address: 
City: 
State: 
Zip: 
Telephone #: 
Best time to be reached: 
Email Address: 
   
Are you a:  Driver Student No Experience
Type of Experience:  Van Flatbed Feed None
   
LICENSE INFORMATION
   
Driver's License #: 
State: 
Class: 
# of accidents in the last 3 years: 
# of tickets in the last 3 years: 
License ever been suspended?  No Yes/Date
Ever been cited for DUI or DWI?  No Yes/Date
Ever been convicted of a felony?  No Yes/Date
   
 1st PAST EMPLOYER 
   
Company: 
Beginning Work Date:  (MM/DD/YYYY)
Edning Work Date :  (MM/DD/YYYY)
Address: 
City: 
State: 
Telephone #: 
Type of Trailer: 
# of States: 
Reason for leaving: 
   
2nd PAST EMPLOYER 
   
Company: 
Beginning Work Date:  (MM/DD/YYYY)
Edning Work Date :  (MM/DD/YYYY)
Address: 
City: 
State: 
Telephone #: 
Type of Trailer: 
# of States: 
Reason for leaving: 
   
 3rd PAST EMPLOYER 
   
Company: 
Beginning Work Date:  (MM/DD/YYYY)
Edning Work Date :  (MM/DD/YYYY)
Address: 
City: 
State: 
Telephone #: 
Type of Trailer: 
# of States: 
Reason for leaving:
1000 characters 
   
Additional Comments :
2000 characters 
By clicking 'Submit', I hereby certify that all information on this driver application form is complete and correct to the best of my knowledge. I also authorize Seward Motor Freight, Inc. to do a complete background information investigation in accordance with state and federal laws. I hereby release all such persons from legal liability and/or damages for providing such information regarding my employment record. I have completed this application of my own free will and hold Seward Motor Freight, Inc. and my previous employers harmless of any and all liability. I hereby authorize the company/employer/school named above to release to Seward Motor Freight, Inc. by mail, fax or telephone, the information requested above. I further agree to release and hold harmless the company/employer/school named above and its directors, officers, employees and agents for any information provided for past employment verification and drug testing results. Seward Motor Freight, Inc. is an Equal Opportunity Employer.