OPPORTUNITIES WITHIN TRIPS – Trips Logistics & Transport, LLC.

Join Our Team of Winners!

TRIPS Logistics & Transport is an essential business that requires manpower of like minds, those wanting to exceed the expectation and provide the example. We're on a mission to set the standard, and establish a higher bar. If you feel you'd like to assist in our ongoing journey towards meeting excellence. We encourage you to share your interest by submitting your interest.

TRIPS "DRIVER" Application

- Step 1 of 4

Applicant Information

Complete In Full Or Application Will Not Be Considered

Name *

First

Middle

Last

Phone *

Email *

Date of Birth *

Social Security # *

Date / Time of Application *

Date

Time

Position Applying For *

Please Select the position of interest from the options available

Date Available for Work *

Please Indicate the Soonest Date of Availability to Begin Work

Previous Three Years Residency

Attach additional sheet if more space is needed

"Current" Address *

Address Line 1

Address Line 2

City

State

Zip Code

"Mailing" Address

Address Line 1

Address Line 2

City

State

Zip Code

Leave Blank If same as Current Address

Previous Address

Address Line 1

Address Line 2

City

State

Zip Code

Previous Address

Address Line 1

Address Line 2

City

State

Zip Code

License Information

No person who operates a commercial motor vehicle shall at any time have more than one driver's license (49 CFR 383.21). I certify that I do not have more than one motor vehicle license, the information for which is listed below. Include all licenses held for the past 3 years; attach additional sheets if needed.

Issuing State *

Please indicate the State License was Issued

License # *

Please insert license number as assigned by state locality

Type/Class *

Select the License Classification Held

CDL Class Endorsements

Please Select the Specific Endorsement Types that are Relevant to You

Expiration Date *

Please indicate the expiration date as stated on your license

Driving Experience

Please share your Equipment Experience Level

Straight Truck *

Indicate Number of Years of Experience (if applicable)

Type of Equipment (Straight Truck)

Specify the type, size, etc.

Approximate # of Miles (Total)

Indicate the approx. amount of miles driven for above indicated experience

Tractor & Semi Trailer *

Indicate Number of Years of Experience (if applicable)

Type of Equipment (Tractor & Semi Trailer)

Specify the type, size, etc.

Approximate # of Miles (Total)

Indicate the approx. amount of miles driven for above indicated experience

Tractor & 2 Trailers *

Indicate Number of Years of Experience (if applicable)

Type of Equipment (Tractor & Trailers)

Specify the type, size, etc.

Approximate # of Miles (Total)

Indicate the approx. amount of miles driven for above indicated experience

Tractor & Tanker *

Indicate Number of Years of Experience (if applicable)

Type of Equipment (Tractor & Tanker)

Specify the type, size, etc.

Approximate # of Miles (Total)

Indicate the approx. amount of miles driven for above indicated experience

Other

Specify the type, size, etc. of other equipment you have direct experience with

Accident Record for the Past 3 Years

Attach additional sheet if more space is needed. Check the below box if none.

No Accidents to Report within 3 years

None

List of Accidents

Below please indicate the Accidents Listed on Driving Record (Order from Most Recent and On)

1.) Nature of Accident

Describe the nature of the accident (Head-on, rear-end, upset, etc.)

Date of Accident (Month/Year)

Indicate Date of Accident

State of Accident

Indicate the State in which accident occurred.

Number of Fatalities

Please select if any fatalities occurred associated with this Accident

Injuries

Please indicate by selection whether or not there were injuries associated with this accident.

Chemical Spills

Please indicate if there was a chemical spill associated with this accident.

2.) Nature of Accident

Describe the nature of the accident (Head-on, rear-end, upset, etc.)

Date of Accident (Month/Year)

Indicate Date of Accident

State of Accident

Indicate the State in which accident occurred.

Number of Fatalities

Please select if any fatalities occurred associated with this Accident

Injuries

Please indicate by selection whether or not there were injuries associated with this accident.

Chemical Spills

Please indicate if there was a chemical spill associated with this accident.

3.) Nature of Accident

Describe the nature of the accident (Head-on, rear-end, upset, etc.)

Date of Accident (Month/Year)

Indicate Date of Accident

State of Accident

Indicate the State in which accident occurred.

Number of Fatalities

Please select if any fatalities occurred associated with this Accident

Injuries

Please indicate by selection whether or not there were injuries associated with this accident.

Chemical Spills

Please indicate if there was a chemical spill associated with this accident.

Traffic Convictions and Forfeitures for the Past 3 Years (Other than Parking Violations)

Attach additional sheet if more space is needed. Check below box if none.

No Traffic Convictions to Report within 3 years

None

List of Traffic Convictions

Below Please List All Relevant Traffic Convictions

1.) Nature of Violation

Describe the nature of the traffic violation/conviction.

Date of Traffic Conviction (Month/Year)

Indicate Date of Traffic Conviction

State of Conviction

Indicate the State in which violation/traffic conviction occurred.

Penalty

Select the penalty received following conviction of traffic violation/conviction.

Have you ever been denied a license, permit, or privilege to operate a motor vehicle?

If yes, please explain...

Has any license, permit, or privilege ever been suspended or revoked?

If yes, please explain...

Employment History

The Federal Motor Carrier Safety Regulations (49 CFR 391.21) require that all applicants wishing to drive a commercial vehicle list all employment for the last three (3) years. In addition, if you have driven a commercial vehicle previously, you must provide employment history for an additional seven (7) years (for a total of ten (10) years). Any gaps in employment in excess of one (1) month must be explained. Start with the last or current position, including any military experience, and work backwards (attach separate sheets if necessary). You are required to list the complete mailing address, including street number, city, state, zip; and complete all other information.

Current (Most Recent) Employer

Name of (Most Recent) Employer *

Phone *

Please Enter Employer's Contact Number

Address

Address Line 1

Address Line 2

City

State

Zip Code

Position Held/Job Title *

From Date

When did you begin this position?

To Date

When did you end your work for this position?

Reason For Leaving?

Please explain your reason for leaving this position.

Hourly or Salary Wage

Explain Any Gaps in Employment (Include month/year and reason)

While employed here, were you subject to the Federal Motor Carrier Safety Regulations?

Was the job designated as a safety-sensitive function in any Department of Transportation-regulated mode subject to alcohol and controlled substances testing as required by 49 CFR, part 40?

Second (Most Recent) Employer

Name of (Second Most Recent) Employer *

Phone *

Please Enter Employer's Contact Number

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Employer's Address

Position Held/Job Title *

From Date

When did you begin this position?

To Date

When did you end your work for this position?

Reason For Leaving?

Please explain your reason for leaving this position.

Hourly or Salary Wage

Explain Any Gaps in Employment (Include month/year and reason)

While employed here, were you subject to the Federal Motor Carrier Safety Regulations?

Was the job designated as a safety-sensitive function in any Department of Transportation-regulated mode subject to alcohol and controlled substances testing as required by 49 CFR, part 40?

Third (Most Recent) Employer

Name of (Third Most Recent) Employer *

Phone *

Please Enter Employer's Contact Number

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Employer's Address

Position Held/Job Title *

From Date

When did you begin this position?

To Date

When did you end your work for this position?

Reason For Leaving?

Please explain your reason for leaving this position.

Hourly or Salary Wage

Explain Any Gaps in Employment (Include month/year and reason)

While employed here, were you subject to the Federal Motor Carrier Safety Regulations?

Was the job designated as a safety-sensitive function in any Department of Transportation-regulated mode subject to alcohol and controlled substances testing as required by 49 CFR, part 40?

Education

High School

Please Indicate the Name of the High School Attended

Address? *

Address Line 1

Address Line 2

City

State

Zip Code

Above Please Indicate the Address of the High School Attended

Course of Study?

What Area of Curriculum did You Practice

Years Completed? *

Did you Graduate?

College

Please Indicate the Name of the College Attended (if applicable)

Address? *

Address Line 1

Address Line 2

City

State

Zip Code

Above Please Indicate the Address of the College Attended

Course of Study?

What Did You Major In?

Years Completed? *

Did you Graduate?

Other Qualifications

Please list any other qualifications that you have and which you believe should be considered.

Additional Qualifications that I'd like to have considered, are...

To Be Read And Signed By Applicant

I authorize you to make investigations (including contacting current and prior employers) into my personal, employment, financial, medical history, and other related matters as may be necessary in arriving at an employment decision. I hereby release employers, schools, health care providers, and other persons from all liability in responding to inquiries and releasing information in connection with my application. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I also understand that I am required to abide by all rules and regulations of the Company. I understand that the information I provide regarding my current and/or prior employers may be used, and those employer(s) will be contacted for the purpose of investigating my safety performance history as required by 49 CFR 391.23. I understand that I have the right to: 1) Review information provided by current/previous employers; 2) Have errors in the information corrected by previous employers, and for those previous employers to resend the corrected information to the prospective employer; and 3) Have a rebuttal statement attached to the alleged erroneous information, if the previous employer(s) and I cannot agree on the accuracy of the information. This certifies that I completed this application, and that all entries on it and information in it are true and complete to the best of my knowledge. Note: A motor carrier may require an applicant to provide more information than that required by the Federal Motor Carrier Safety Regulations.

Applicant Name (printed) *

Applicant Signature *

Date *