Careers

Applicant Name *

First

Last

Current Address *

Address Line 1

Address Line 2

City

State

Zip Code

How long have you lived at this current address? *

Home Phone

Cell Phone

Email *

Date of Birth *

MM/DD/YYYY

Social Security Number *

XXX-XXX-XXXX

Residence History

Please list your residences for the past 3 years.

Address #1

Address Line 1

Address Line 2

City

State

Zip Code

How long did you live at this address (#1)?

Address #2

Address Line 1

Address Line 2

City

State

Zip Code

How long did you live at this address (#2)?

Address #3

Address Line 1

Address Line 2

City

State

Zip Code

How long did you live at this address (#3)?

Experience and Qualifications

UPLOAD A COPY OF YOUR DRIVERS LICENSE AND MEDICAL CERTIFICATE!!! *

Click or drag files to this area to upload. You can upload up to 10 files.

State Issued *

Licence Number *

Expiration Date *

Class A, B, C *

Endorsements

Driving Experience

Have you ever driven a sedan?

If so, what were the dates of your sedan driving experience?

From Date - To Date.

What are the approximate number of miles you have driven a sedan?

Have you ever driven an SUV?

If so, what were the dates of your SUV driving experience?

From Date - To Date.

What are the approximate number of miles you have driven an SUV?

Have you ever driven a limousine?

If so, what were the dates of your limousine driving experience?

From Date - To Date.

What are the approximate number of miles you have driven a limousine?

Have you ever driven a mini bus?

If so, what were the dates of your mini bus driving experience?

From Date - To Date.

What are the approximate number of miles you have driven a min bus?

Have you ever driven a passenger van?

If so, what were the dates of your passenger van driving experience?

From Date - To Date.

What are the approximate number of miles you have driven a passenger van?

Have you ever driven a transit/school bus?

If so, what were the dates of your transit/school bus driving experience?

From Date - To Date.

What are the approximate number of miles you have driven a transit/school bus?

Have you ever driven a motor coach?

If so, what were the dates of your motor coach driving experience?

From Date - To Date.

What are the approximate number of miles you have driven a motor coach?

Accident History

Have you had any accidents in the past 3 years or more? *

If yes, please explain.

Date, Nature of Accident (Backing, Head-on, Rollover, Turning), Fatalities Injuries

Traffic Violations History

Have you had any moving traffic convictions and forfeitures in the past 3 years? *

If yes, please explain.

Date of conviction, offense location, type of motor vehicle operated

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

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

If yes, please explain.

This company requires all Drivers who drive Commercial Motor Vehicles (CMV) 1to be controlled substances tested with a negative result prior to driving. Do you consent to such Testing? *

This company requires all Drivers who drive Commercial Motor Vehicles (CMV) to have full background check. Do you consent to such screening? *

As the employer, you must also ask the employee whether he or she has tested positive, or refused to test, on any pre- employment drug or alcohol test administered by an employer to which the employee applied for, but did not obtain, safety- sensitive transportation work covered by DOT agency drug and alcohol testing rules during the past two years. Have you ever tested positive, or refused to test on any pre-employment drug or alcohol test? *

If the employee admits that he or she had a positive test or a refusal to test, you must not use the employee to perform safety- sensitive functions for you, until and unless the employee documents successful completion of the return-to-duty process (see paragraphs (b)(5) and (e) of this section).

Employment History

List all employers for the past 3 years and commercial driving experience for the past 10 years

Employer #1

Name of employer (#1) *

Position held (#1) *

CDL? (#1) *

Employer Address (#1) *

Address Line 1

Address Line 2

City

State

Zip Code

Employer Phone Number (#1) *

Employer Fax Number (#1)

Reason for leaving? (#1) *

Where you subject to the Federal Motor Carrier Safety Regulations FMCSR’s? (#1) *

Was the job position designated as Safety Sensitive in any DOT mode, subject to the alcohol and drug testing rules of 49 CFR Part 40? (#1) *

Employer #2

Name of employer (#2) *

Position held (#2) *

CDL? (#2) *

Employer Address (#2) *

Address Line 1

Address Line 2

City

State

Zip Code

Employer Phone Number (#2) *

Employer Fax Number (#2)

Reason for leaving? (#2) *

Where you subject to the Federal Motor Carrier Safety Regulations FMCSR’s? (#2) *

Was the job position designated as Safety Sensitive in any DOT mode, subject to the alcohol and drug testing rules of 49 CFR Part 40? (#2) *

Employer #3

Name of employer (#3) *

Position held (#3) *

CDL? (#3) *

Employer Address (#3) *

Address Line 1

Address Line 2

City

State

Zip Code

Employer Phone Number (#3) *

Employer Fax Number (#3)

Reason for leaving? (#3) *

Where you subject to the Federal Motor Carrier Safety Regulations FMCSR’s? (#3) *

Was the job position designated as Safety Sensitive in any DOT mode, subject to the alcohol and drug testing rules of 49 CFR Part 40? (#3) *

Employer #4

Name of employer (#4) *

Position held (#4) *

CDL? (#4) *

Employer Address (#4) *

Address Line 1

Address Line 2

City

State

Zip Code

Employer Phone Number (#4) *

Employer Fax Number (#4)

Reason for leaving? (#4) *

Where you subject to the Federal Motor Carrier Safety Regulations FMCSR’s? (#4) *

Was the job position designated as Safety Sensitive in any DOT mode, subject to the alcohol and drug testing rules of 49 CFR Part 40? (#4) *

Divine Chariots Limousines is hiring!

Residence History

Experience and Qualifications

Driving Experience

Accident History

Traffic Violations History

Employment History

Employer #1

Employer #2

Employer #3

Employer #4