Drivers Application

Drivers Application

We are not currently hiring drivers. However, we are always interested in connecting with experienced CDL drivers who have a passion for the Green Industry and a commitment to customer service.

If you would like to be considered for future driving opportunities, please fill out, print, and send the Drivers Application to the right and/or submit your resume to our contact information below.

*If the Drivers Application PDF does not open in your browser, you might need to upgrade to the most recent version of Adobe Acrobat.

Phone: 727-572-4546 | Fax: 727-572-4334
Email: info@aboutamplex.com
Home Office : 13100 34th Street North, Clearwater, FL 33762

Drivers Application

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Applicant Information

Name

Current Address

Company Address

Mailing Address

Address
Do you have previous residency address?

License Information

Do you have Prevoiusly Held Licenses?

Driving Experience

Accident Record For The Past 3 Years

Chemical Spills (Y/n)

Traffic Convictions And Forfeitures For The Past 3 Years (Other Than Parking Violations)

Have you ever been denied a license, permit, or privilege to operate a motor vehicle? If yes, explain
Has any license, permit, or privilege ever been suspended or revoked? If yes, explain

Employment History

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?
Explain Any Gaps In Employment (Include Month/year & Reason)

Education

Details
Other Qualifications
Graduate Y N

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:

  • Review information provided by current/previous employers;
  • Have errors in the information corrected by previous employers, and for those previous employers to resend the
    corrected information to the prospective employer; and
  • 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.