Application - Hot Shot Expedite Inc

Terms and conditions

Thank you for your interest in Hot Shot Expedite Inc. . To apply for a driving position, please complete our online application for employment. Incomplete information will delay the processing of your application or prevent it from being submitted.

In compliance with Federal and State equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status, veteran status, non-job related disability, or any other protected group status.

To fill out this form, you will need to know the following:

Social Security Number;

Home address history for the past 3 years;

Current drivers license number and drivers license history for the past 3 years;

Employment history up to 10 years;

History of traffic accidents, violations, and / or convictions from the last 3 years (including DUI or reckless driving convictions and license suspensions);

Criminal history (Criminal history shall be considered within the guidelines promulgated by applicable EEOC & Title VII review criteria regulations);

I agree with the terms and conditions*:

Yes

Safety Management Services Company Sample Driver Hiring Guidelines

1. Minimum age of 23;

2. No more than three moving violations combined in the past three years as listed on the MVR/PSP;

3. No serious violations in the past three years as listed on the MVR/PSP.

Serious violations include:

Excessive speeding -15 mph over limit;
improper or erratic lane change;
following too close;
a violation arising in connection with a fatal accident;
driving a CMV without a CDL;
driving a CMV without a CDL in the drivers possession;
driving a CMV without the proper class of CDL and/or endorsements for the specific vehicle being operated;
violating a State or local law or ordinance on motor vehicle traffic control prohibiting texting and/or prohibiting the use of a hand-held mobile telephone while driving a CMV;

5. No DWIs, drug or alcohol convictions and/or reckless driving violations in the past five years as listed on the MVR/PSP.

6. No more than three preventable accidents in the past three years as listed on the PSP; MVR and/or driver application;

7. No serious preventable crashes in the past three years as listed on the PSP; MVR and/or driver application. Serious crashes include: at fault rear-end collision;rollover; jackknife; head-on collision; etc

I agree with the terms and conditions: *

Yes

APPLICATION FOR EMPLOYMENT

Your name *

Address *

SOCIAL SECURITY *

Phone *

E-mail *

THE LAST 3 YEARS OF RESIDENCY

Current

Want to add another recidency ?

Yes

Previous (1)

Want to add another recidency ?

Yes

Previous (2)

LICENSE INFORMATION

"Section 383.21 FMCSR" - No person who operates a commercial motor vehicle shall at any time have more than one do not have more than one drivers license".

I certify that l do not have more than one motor vehicle license, the information for which is listed below:

STATE *

LICENCE NO. *

CLASS A *

Yes

No

EXPIRATION DATE *

DRIVING EXPERIENCE

TRACTOR AND SEMI-TRAILER *

MILLES *

From *

To *

TRACTOR - TWO TRAILERS

MILLES

From

To

OTHER

MILLES

From

To

EMPLOYMENT RECORD

Applicants that desire to drive in intrastate/interstate commerce must provide the following information on all employers during the previous 3 (three) years .
You must give the same information for all employers you have driven a commercial motor vehicle for the seven years prior to the initial three years (total of 10 (ten) years employment record).
Must list the complete mailing address: street number and name, city, state and zip code.

Did you worked as driver in USA till now? *If you checked yes, please complete next sections.

Yes

No

Last Employer

From Date

To Date

Reason for leaving:

Was the previous job position designated as a safety sensitive function in any DOT regulated mode, subject to alcohol and controlled substances testing requirements as required by 49 CFR Part 40? :*

Were you subject to the Federal Motor Carrier Safety Regulations (FMCSRs) while employed by the previous employer?:*

Second Last Employer

From Date

To Date

Reason for leaving:

Was the previous job position designated as a safety sensitive function in any DOT regulated mode, subject to alcohol and controlled substances testing requirements as required by 49 CFR Part 40? *

Were you subject to the Federal Motor Carrier Safety Regulations (FMCSRs) while employed by the previous employer? *

Third Last Employer

From Date

To Date

Reason for leaving

Was the previous job position designated as a safety sensitive function in any DOT regulated mode, subject to alcohol and controlled substances testing requirements as required by 49 CFR Part 40? *

Were you subject to the Federal Motor Carrier Safety Regulations (FMCSRs) while employed by the previous employer? *

PREVIOUS EMPLOYMENT RECORD CHECK AUTORIZATION

I authorize Hot Shot Expedite Inc. to contact my previous employers for contracting purposes and obtain reports regarding previous drug and alcohol test results, driving records and to verify my previous employment.

Your signature

TO BE READ AND CONFIRMED BY APPLICANT

I authorize you to make sure investigations and inquiries to my personal, employment, financial or medical history and other related matters as may be necessary in arriving at an employment decision. (Generally, inquiries regarding medical history will be made only if and after a conditional offer of employment has been extended.)

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 understand, also, that I am required to abide by all rules and regulations of the Hot Shot Expedite Inc. .

I understand that information I provide regarding current and/or previous employers may be used, and those employees) will be contacted, for the purpose of investigating my safety performance history as required by 49 CFR 391.23(d) and (e).

I understand that I have the right to:

Review information provided by current/previous employers;
Have errors in the information corrected by previous employers and for those previous employers to re-send the corrected information to the prospective employer;
Have a rebuttal statement attached to the alleged erroneous information, if the previous employees) and I cannot agree on the accuracy of the information.

Note: A motor carrier may require an applicant to provide information in addition to the information required by the Federal Motor Carrier Safety Regulations.

Date *

This certifies that I completed this application, and that all entries on it and information in it are true and completed to the best of my knowledge. *

Yes

THE BELLOW DISCLOSURE AND AUTHORIZATION LANGUAGE IS FOR MANDATORY USE BY ALL ACCOUNT HOLDERS

IMPORTANT DISCLOSURE REGARDING BACKGROUND REPORTS FROM THE PSP Online Service

In connection with your application for employment with Hot Shot Expedite Inc. ("Prospective Employer"), Prospective Employer, its employees, agents or contractors may obtain one or more reports regarding your driving, and safety inspection history from the Federal Motor Carrier Safety Administration (FMCSA).

When the application for employment is submitted in person, if the Prospective Employer uses any information it obtains from FMCSA in a decision to not hire you or to make any other adverse employment decision regarding you, the Prospective Employer will provide you with a copy of the report upon which its decision was based and a written summary of your rights under the Fair Credit Reporting Act before taking any final adverse action. If any final adverse action is taken against you based upon your driving history or safety report, the Prospective Employer will notify you that the action has been taken and that the action was based in part or in whole on this report.

When the application for employment is submitted by mail, telephone, computer, or other similar means, if the Prospective Employer uses any information it obtains from FMCSA in a decision to not hire you or to make any other adverse employment decision regarding you, the Prospective Employer must provide you within three business days of taking adverse action oral, written or electronic notification: that adverse action has been taken based in whole or in part on information obtained from FMCSA; the name, address, and the toll free telephone number of FMCSA; that the FMCSA did not make the decision to take the adverse action and is unable to provide you the specific reasons why the adverse action was taken; and that you may, upon providing proper identification, request a free copy of the report and may dispute with the FMCSA the accuracy or completeness of any information or report. If you request a copy of a driver record from the Prospective Employer who procured the report, then, within 3 business days of receiving your request, together with proper identification, the Prospective Employer must send or provide to you a copy of your report and a summary of your rights under the Fair Credit Reporting Act.

Neither the Prospective Employer nor the FMCSA contractor supplying the crash and safety information has the capability to correct any safety data that appears to be incorrect. You may challenge the accuracy of the data by submitting a request to https://dataqs.fmcsa.dot.gov . If you challenge crash or inspection information reported by a State, FMCSA cannot change or correct this data. Your request will be forwarded by the DataQs system to the appropriate State for adjudication.

Any crash or inspection in which you were involved will display on your PSP report. Since the PSP report does not report, or assign, or imply fault, it will include all Commercial Motor Vehicle (CMV) crashes where you were a driver or co-driver and where those crashes were reported to FMCSA, regardless of fault. Similarly, all inspections, with or without violations, appear on the PSP report. State citations associated with Federal Motor Carrier Safety Regulations (FMCSR) violations that have been adjudicated by a court of law will also appear, and remain, on a PSP report.

The Prospective Employer cannot obtain background reports from FMCSA without your authorization.

I agree with the terms and conditions:*

Yes

AUTHORIZATION

If you agree that the Prospective Employer may obtain such background reports, please read the following and sign below:
I authorize Hot Shot Expedite Inc.. (""Prospective Employer"") to access the FMCSA Pre-Employment Screening Program (PSP) system to seek information regarding my commercial driving safety record and information regarding my safety inspection history.

I understand that I am authorizing the release of safety performance information including crash data from the previous five (5) years and inspection history from the previous three (3) years.

I understand and acknowledge that this release of information may assist the Prospective Employer to make a determination regarding my suitability as an employee.

I further understand that neither the Prospective Employer nor the FMCSA contractor supplying the crash and safety information has the capability to correct any safety data that appears to be incorrect.

I understand I may challenge the accuracy of the data by submitting a request to https://dataqs.fmcsa.dot.gov. If I challenge crash or inspection information reported by a State, FMCSA cannot change or correct this data.

I understand my request will be forwarded by the DataQs system to the appropriate State for adjudication.

I understand that any crash or inspection in which I was involved will display on my PSP report. Since the PSP report does not report, or assign, or imply fault, I acknowledge it will include all CMV crashes where I was a driver or co-driver and where those crashes were reported to FMCSA, regardless of fault.

Similarly, I understand all inspections, with or without violations, will appear on my PSP report, and State citations associated with FMCSR violations that have been adjudicated by a court of law will also appear, and remain, on my PSP report.

I have read the above Disclosure Regarding Background Reports provided to me by Prospective Employer and I understand that if I sign this Disclosure and Authorization, Prospective Employer may obtain a report of my crash and inspection history.

I hereby authorize Prospective Employer and its employees, authorized agents, and/or affiliates to obtain the information authorized above.

I agree with the terms and conditions. *

Yes