Let’s get set up
If you’d like to become a part of our big and friendly family, please fill out this online application to the best of your knowledge
Company Name Street Address Apt/Suite
Date of Birth
Driver’s License Type---RegularCDL-BCDL-A Driver’s License State---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Driver’s License # Gender---MaleFemaleGender Neutral Are you authorized/can you legally work in the U.S.?---YesNo
Unfortunately, based on the following answer you are not qualified to Join Our Team.
Email Address Confirm Email Address Cell Phone
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* Do you have any Endorsements---YesNo
* Do you have Expediting Experience?---YesNo
* If you get approved, how soon would you be willing to start?
* Will you be able to get to our office in MN?---YesNo
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* Driving Experience---0-1 years1-3 years3+ years
* Have you had any tickets or accidents in the last 5 years?---YesNo
* Has your license ever been suspended or revoked? If YES, when?---YesNo
* Have you ever received a DWI/DUI? If YES, when? ---YesNo
* Have you ever been convicted of a felony? If YES, when? ---YesNo
Comments
DISCLOSURE AND AUTHORIZATION FOR RELEASE OF MOTOR VEHICLE RECORD (MVR) INFORMATION
I authorize DKP GROUP, LLC (or prospective employer) and its designated agents and representatives, including but not limited to the company’s legal representative to obtain and review my motor vehicle record (MVR) information. I voluntarily supply the information necessary to obtain driver license information from any state in which I have been licensed to drive a motor vehicle. I have the right, upon written request, to a complete and accurate disclosure of the nature and scope of the report and a copy of my Consumer Rights under the Fair Credit Reporting Act. This authorization shall be valid in original, fax or copy form and shall sere as an ongoing authorization to procure MVR information on an ongoing basis during my employment membership or contract period.
Fill out the information below so your MVR information can be obtained
Address *
State---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
Driver License No. *
Have you ever held a driver license in any other state other than the above mentioned issuing state? * ---YesNo
In the past 5 years have you ever been convicted of a traffic offense (not including parking tickets) in any other state other than the above mentioned issuing state? * ---YesNo
ATTACH A LEGIBLE PHOTOCOPY OF DRIVER’S LICENSE TO THIS SIGNED FORM(".jpg" & ".png" format types are allowed only) *
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