Thank you for your interest in UZ Trans, 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 driver license number and driver 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 conviction and license suspension)
  • Criminal history
  • Military history (if applicable)
To qualify with UZ Trans, Inc., you must meet the following criteria:
  • Must be at least 23 years of age
  • Have CDL Class A
  • 2 years of verifiable commercial truck driving experience
  • Have no moving violations in the past 3 years
  • No preventable DOT recordable accidents in 3 years
  • NO felony convictions in the last 7 years
If you encounter any errors during this process and cannot continue, please contact us at 855-898-7267.
 


    Personal information

    Date of birth:
    Residence address for 3 or more years? YesNo

    If No, please list addresses you resided during last years:

    From:
    To:
    Add one more address? YesNo
    From:
    To:
    Add one more address? YesNo
    From:
    To:
    Add one more address? YesNo
    From:
    To:


    General information

    Are you legally eligible for employment in the United States? YesNo
    Are you currently employed? YesNo
    Do you read, write, and speak English? YesNo
    Have you ever worked for this company before? YesNo
    Have you ever been known by any other name? YesNo


    Driving experience

    For each class of equipment, enter type of equipment (van, reefer, tank, etc.), start and end dates, and approximate number of total miles. If no experience in a class, enter "NONE".




    Equipment (OWNER/OPERATORS ONLY)


    Equipment Description (Tractor):




    Education




    Personal references


    List name, address, city, state, phone number, and relationship:




    License Information

    License expiration:
    Physical expiration:
    Is this your current driver license? YesNo
    Is this a commercial driver license? YesNo
    Endorsements: NoneOtherTankerDoubles / TriplesX EndorsementHazMat

    If you had any commercial license during last 3 years, please list below.




    Employment


    Please list your employers for last ten years starting with most recent / current employer, including the companies you had orientation and drug testing done.

    Start date:
    End date:
    Were you terminated/discharged/laid off? YesNo
    Is this your current employer? YesNo
    May we contact this employer at this time? YesNo
    Did you operate a commercial motor vehicle? YesNo

    If yes, please, share following information:

    Were you subject to the Federal Motor Carrier or Transport Canada Safety Regulations while employed/contracted by this employer/contractor? YesNo
    Did you perform any safety sensitive functions in this job, regulated by DOT, and subject to drug and alcohol testing? YesNo
    Add one more employer? YesNo
    Start date:
    End date:
    Were you terminated/discharged/laid off? YesNo
    Is this your current employer? YesNo
    May we contact this employer at this time? YesNo
    Did you operate a commercial motor vehicle? YesNo

    If yes, please, share following information:

    Were you subject to the Federal Motor Carrier or Transport Canada Safety Regulations while employed/contracted by this employer/contractor? YesNo
    Did you perform any safety sensitive functions in this job, regulated by DOT, and subject to drug and alcohol testing? YesNo
    Add one more employer? YesNo
    Start date:
    End date:
    Were you terminated/discharged/laid off? YesNo
    Is this your current employer? YesNo
    May we contact this employer at this time? YesNo
    Did you operate a commercial motor vehicle? YesNo

    If yes, please, share following information:

    Were you subject to the Federal Motor Carrier or Transport Canada Safety Regulations while employed/contracted by this employer/contractor? YesNo
    Did you perform any safety sensitive functions in this job, regulated by DOT, and subject to drug and alcohol testing? YesNo
    Add one more employer? YesNo
    Start date:
    End date:
    Were you terminated/discharged/laid off? YesNo
    Is this your current employer? YesNo
    May we contact this employer at this time? YesNo
    Did you operate a commercial motor vehicle? YesNo

    If yes, please, share following information:

    Were you subject to the Federal Motor Carrier or Transport Canada Safety Regulations while employed/contracted by this employer/contractor? YesNo
    Did you perform any safety sensitive functions in this job, regulated by DOT, and subject to drug and alcohol testing? YesNo
    Add one more employer? YesNo
    Start date:
    End date:
    Were you terminated/discharged/laid off? YesNo
    Is this your current employer? YesNo
    May we contact this employer at this time? YesNo
    Did you operate a commercial motor vehicle? YesNo

    If yes, please, share following information:

    Were you subject to the Federal Motor Carrier or Transport Canada Safety Regulations while employed/contracted by this employer/contractor? YesNo
    Did you perform any safety sensitive functions in this job, regulated by DOT, and subject to drug and alcohol testing? YesNo
    Add one more employer? YesNo
    Start date:
    End date:
    Were you terminated/discharged/laid off? YesNo
    Is this your current employer? YesNo
    May we contact this employer at this time? YesNo
    Did you operate a commercial motor vehicle? YesNo

    If yes, please, share following information:

    Were you subject to the Federal Motor Carrier or Transport Canada Safety Regulations while employed/contracted by this employer/contractor? YesNo
    Did you perform any safety sensitive functions in this job, regulated by DOT, and subject to drug and alcohol testing? YesNo
    Add one more employer? YesNo
    Start date:
    End date:
    Were you terminated/discharged/laid off? YesNo
    Is this your current employer? YesNo
    May we contact this employer at this time? YesNo
    Did you operate a commercial motor vehicle? YesNo

    If yes, please, share following information:

    Were you subject to the Federal Motor Carrier or Transport Canada Safety Regulations while employed/contracted by this employer/contractor? YesNo
    Did you perform any safety sensitive functions in this job, regulated by DOT, and subject to drug and alcohol testing? YesNo
    Add one more employer? YesNo
    Start date:
    End date:
    Were you terminated/discharged/laid off? YesNo
    Is this your current employer? YesNo
    May we contact this employer at this time? YesNo
    Did you operate a commercial motor vehicle? YesNo

    If yes, please, share following information:

    Were you subject to the Federal Motor Carrier or Transport Canada Safety Regulations while employed/contracted by this employer/contractor? YesNo
    Did you perform any safety sensitive functions in this job, regulated by DOT, and subject to drug and alcohol testing? YesNo
    Add one more employer? YesNo
    Start date:
    End date:
    Were you terminated/discharged/laid off? YesNo
    Is this your current employer? YesNo
    May we contact this employer at this time? YesNo
    Did you operate a commercial motor vehicle? YesNo

    If yes, please, share following information:

    Were you subject to the Federal Motor Carrier or Transport Canada Safety Regulations while employed/contracted by this employer/contractor? YesNo
    Did you perform any safety sensitive functions in this job, regulated by DOT, and subject to drug and alcohol testing? YesNo
    Add one more employer? YesNo
    Start date:
    End date:
    Were you terminated/discharged/laid off? YesNo
    Is this your current employer? YesNo
    May we contact this employer at this time? YesNo
    Did you operate a commercial motor vehicle? YesNo

    If yes, please, share following information:

    Were you subject to the Federal Motor Carrier or Transport Canada Safety Regulations while employed/contracted by this employer/contractor? YesNo
    Did you perform any safety sensitive functions in this job, regulated by DOT, and subject to drug and alcohol testing? YesNo
    Add one more employer? YesNo
    Start date:
    End date:
    Were you terminated/discharged/laid off? YesNo
    Is this your current employer? YesNo
    May we contact this employer at this time? YesNo
    Did you operate a commercial motor vehicle? YesNo

    If yes, please, share following information:

    Were you subject to the Federal Motor Carrier or Transport Canada Safety Regulations while employed/contracted by this employer/contractor? YesNo
    Did you perform any safety sensitive functions in this job, regulated by DOT, and subject to drug and alcohol testing? YesNo
    Add one more employer? YesNo
    Start date:
    End date:
    Were you terminated/discharged/laid off? YesNo
    Is this your current employer? YesNo
    May we contact this employer at this time? YesNo
    Did you operate a commercial motor vehicle? YesNo

    If yes, please, share following information:

    Were you subject to the Federal Motor Carrier or Transport Canada Safety Regulations while employed/contracted by this employer/contractor? YesNo
    Did you perform any safety sensitive functions in this job, regulated by DOT, and subject to drug and alcohol testing? YesNo
    Add one more employer? YesNo
    Start date:
    End date:
    Were you terminated/discharged/laid off? YesNo
    Is this your current employer? YesNo
    May we contact this employer at this time? YesNo
    Did you operate a commercial motor vehicle? YesNo

    If yes, please, share following information:

    Were you subject to the Federal Motor Carrier or Transport Canada Safety Regulations while employed/contracted by this employer/contractor? YesNo
    Did you perform any safety sensitive functions in this job, regulated by DOT, and subject to drug and alcohol testing? YesNo
    Add one more employer? YesNo
    Start date:
    End date:
    Were you terminated/discharged/laid off? YesNo
    Is this your current employer? YesNo
    May we contact this employer at this time? YesNo
    Did you operate a commercial motor vehicle? YesNo

    If yes, please, share following information:

    Were you subject to the Federal Motor Carrier or Transport Canada Safety Regulations while employed/contracted by this employer/contractor? YesNo
    Did you perform any safety sensitive functions in this job, regulated by DOT, and subject to drug and alcohol testing? YesNo
    Add one more employer? YesNo
    Start date:
    End date:
    Were you terminated/discharged/laid off? YesNo
    Is this your current employer? YesNo
    May we contact this employer at this time? YesNo
    Did you operate a commercial motor vehicle? YesNo

    If yes, please, share following information:

    Were you subject to the Federal Motor Carrier or Transport Canada Safety Regulations while employed/contracted by this employer/contractor? YesNo
    Did you perform any safety sensitive functions in this job, regulated by DOT, and subject to drug and alcohol testing? YesNo


    Have you attended a Driver Training school? YesNo

    If yes, please share details:

    Start date:
    End date:
    Did you graduate? YesNo
    Were you subject to the Federal Motor Carrier or Transport Canada Safety Regulations while attending this truck school? YesNo
    Did you perform any safety sensitive functions at this truck school, regulated by DOT, and subject to drug and alcohol testing? YesNo

    Have you attended a school (not related to truck driving) in the last 3 Years? YesNo

    If yes, please share details:


    Have you been unemployed at any time within the last 3 years? YesNo

    If yes, please share details:

    Start date:
    End date:


    Motor Vehicle Record

    Has any license, permit or privilege ever been denied, suspended or revoked for any reason? YesNo
    Have you ever been convicted of driving during license suspension or revocation, or driving without a valid license or an expired license, or are any charges pending? YesNo
    Have you ever been convicted for any alcohol or controlled substance related offense while operating a motor vehicle, or are any charges pending? YesNo
    Have you ever been convicted for possession, sale or transfer of an illegal substance (including but not limited to, marijuana, amphetamines, or derivatives thereof) while on duty, or are any charges pending? YesNo
    Have you ever been convicted of reckless driving, careless driving or careless operation of a motor vehicle, or are any charges pending? YesNo
    Have you ever been convicted of reckless driving, careless driving or careless operation of a motor vehicle, or are any charges pending? YesNo

    Have you had any moving violations or traffic convictions in the past 3 Years? YesNo

    If yes, please share details:

    Violation date:
    Were you in a Commercial Vehicle? YesNo
    Penalty / Fine (Check all that apply) FineSuspensionRevocationCommunity serviceOther


    Accident history

    Were you involved in any accidents/incidents with any vehicle in the last 3 years (even if not at fault)? YesNo

    If yes, please enter detailed information about this accident below, whether the accident was chargeable, recordable, reportable, or your fault:

    Violation date:
    Hazmat Accident / Incident YesNo
    Was the vehicle towed away? YesNo
    Were you in a commercial vehicle? YesNo
    Was this a Department of Transportation recordable accident? YesNo
    Were you at fault? YesNo
    Were you ticketed? YesNo


    Criminal record

    Have you ever been convicted of a crime? YesNo
    Do you have any deferred prosecutions? YesNo
    Do you have criminal charges pending? YesNo
    Have you ever pled "guilty" to, been convicted of, or pled "no contest" to a felony? YesNo
    If you have any felony convictions, do you currently hold a minister's permit to enter or exit Canada? YesNo
    Have you, within the last five years, pled "guilty" to, been convicted of, had prosecution deferred in connection with, or pled "no contest" to a misdemeanor? YesNo

    I acknowledge that I have read and understand the Summary of Rights.
    I acknowledge that I have read and understand the above Important Notice of Rights.
    I acknowledge that I have read and understand the above Important Notice of Rights.
    I represent that I understand and agree to the above and that I intend to execute this document by electronic signature in checking this box


    DOT EMPLOYMENT, SAFETY AND DRUG/ALCOHOL VERIFICATION REQUEST


    Please list all DOT-regulated employers you have applied with and/or worked for in a safety-sensitive function during the previous three years.

    I represent that I understand and agree to the above and that I intend to execute this document by electronic signature in checking this box

    This certifies that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge.

    Please use your mouse to sign your name in the rectangle below (by clicking the left mouse button in the rectangle and dragging the mouse while holding the button down). Click Submit when finished.