Qualifications  |  Application  |  Benefits
Application

All fields are required!
Personal Information:
Name:
Address:
City:
County you reside in:
State:     Zip:   (Five Digit Only)

E-mail:
Phone:
Mobile Phone:
Position Applying For:

Owner-Operator   Company Driver   Owner's Driver
Where do you currently work?
How much total over-the-road driving experience do you have in a tractor trailer?
Has any of this experience involved tank trucks?

Yes   No
If you have tank experience, what type of products have you pulled?
Has your driver's License ever been suspended?

Yes   No
Have you had any past DUI convictions?

Yes   No
Have you ever been convicted of a felony?

Yes   No
What state is your CDL issued in: (must be class A)
 
Driver's License Information:
What endorsements do you have?
What is your CDL number?
What is the expiration date?
Social Security Number
Birthday: (MM/DD/YYYY)
 
Training:
Have you had any special training that will help you as a driver for this company?

Yes   No
If yes, what have you done?
Have you ever attended truck driving school?

Yes   No
If you have, where did you attend and how long was it?
Do you understand that if you have no tank experience that you will have to go through Usher Transport's tank training program with a driver trainer?

Yes   No

This training may take up to 2 full weeks or longer depending on your abilities and may be done entirely at our Louisville location.

In addition to the inquiry to past employers for the previous 10 years, Usher Transport, Inc. Safety Department will also conduct a thorough background investigation including a Criminal History search. Failure to complete the requested information will result in your application NOT being processed for qualification as a company driver, employee or independant contractor for Usher Transport, Inc.
I understand and give my permission for Usher Transport, Inc to conduct a criminal background check.

Yes   No
Are there any items you wish to disclose prior to a criminal history being conducted?
 
Accidents & Traffic Violations:
Please list all accidents & violations you've had for the past three years. Please be truthful...we will check.
List the Location, date, offense and penalty.
 
Current Employment History:
Please account for the past 10 years of past employment. If you have periods of unemployment, please list the as well. Please be sure to include correct addresses and phone numbers for your past employers. Lack of this information may result in your background or experience not being able to be verified.
Current Employer:
Full Mailing Address:
Position There:
Why are you leaving?
Phone #:
Ask For:
Dates you have been employed here (MM/YYYY - MM/YYYY):

To:
 
Past Employment:
Past Employer:
Full Mailing Address:
Position There:
Why are you leaving?
Phone #:
Ask For:
Dates you have been employed here (MM/YYYY - MM/YYYY):

To: