STATE TRUCK DRIVING CHAMPIONSHIPS PASSENGER CARRIER DRIVING CHAMPIONSHIPS FORKLIFT OPERATOR CHALLENGE MOTOR CARRIER BOSS CHALLENGE

Size: px
Start display at page:

Download "STATE TRUCK DRIVING CHAMPIONSHIPS PASSENGER CARRIER DRIVING CHAMPIONSHIPS FORKLIFT OPERATOR CHALLENGE MOTOR CARRIER BOSS CHALLENGE"

Transcription

1 STATE TRUCK DRIVING CHAMPIONSHIPS PASSENGER CARRIER DRIVING CHAMPIONSHIPS FORKLIFT OPERATOR CHALLENGE MOTOR CARRIER BOSS CHALLENGE All events take place on Saturday, June 14, 2014 at the Leeward Community College upper parking area. Truck Driving Championships: Passenger Championships: Forklift Operator Challenge: Boss Challenge: Check in at PS building restroom (upper level) at 6:00 a.m., written test begins at 6:15 a.m. Check in at PS building restroom (upper level) at 6:00 a.m., written test begins at 6:15 a.m. Check in at PS building restroom (upper level) at 8:00 a.m. Check in at PS building restroom (upper level) at 10:00 a.m. Truck Driving & Step Van Driving Championships Complete attached Truck Driving Championships & Step Van Driving Championships Entry & Release Form, and Truck Driving Championships & Step Van Driving Championships Driver Information Form Also submit photocopy of driver s license and current Driver History Record Select class: Straight Truck; 5 Axle Tractor Semi-Trailer; 5 Axle Tank Semi-trailer; Step Van Passenger Carrier Driving Championships Complete Application and Driver Information Form. Ensure Eligibility Rules are complied with. Also submit photocopy of driver s license and medical certificate Select class: Motor Coach; School Bus; Mini Bus; Special Needs Forklift Operator Challenge Complete Application and Driver Information Form. Ensure Eligibility Rules are complied with. Contestants may select one of both of: Counter balanced forklift; Piggyback 3-wheel forklift Also submit photocopy of forklift certification card Motor Carrier Boss Challenge Must have a contestant in any of the above events to qualify. Includes supervisors, trainers, owners. Contestants may select one or both of: Type 3 P Van; Motor coach Also submit photocopy of drivers license Registration fee is $25 for each Class of Competition through June 6, $50 thereafter. Payment is required with Application and Driver Information Sheet: include check (made to Hawaii Transportation Association ) or include credit card authorization form (attached) Send Applications / Driver Information Forms / checks / credit card authorization to: Hawaii Transportation Association PO Box Honolulu, Hawaii 96820

2 ELIGIBILITY REQUIREMENTS FOR PASSENGER CARRIER CHAMPIONSHIPS 1. Every contestant entering the championships shall have an accident-free record for 12 months prior to entry and participation. The only accidents which need not be counted against the contestant s criteria are those in which: The contestant s vehicle was legally and properly parked. The contestant s vehicle was stopped in traffic in compliance with a traffic sign or signal or at the direction of a police officer. Waived by the Committee. 2. Every contestant entering the challenge shall meet the medical qualification of the U.S. Department of Transportation as set forth in 49 CFR of the Federal Motor Carrier Safety Regulations. You must submit evidence that you meet the DOT minimum qualifications. 3. Every contestant entering the challenge must hold a valid CDL, with proper endorsements. 4. Every contestant entering the championships must have been continuously employed by the entering company for at least 12 months prior to the entry. Furthermore, contestants shall have driven and performed the regular duties of a professional driver for the entering motor carrier for at least 11 of the 12 months prior to entry. There are only two exceptions to this 11 of the 12 month rule when the contestant s employer goes out of business and when the contestant has been on active military duty for a full term of active duty. 5. To compete, performing the regular duties of a professional driver shall have constituted a minimum of 1200 hours annually and no less than 60% of the contestant s hours worked for the entering motor carrier. The Passenger Carrier Challenge is for professional drivers not for driver trainers, mechanics, vehicle washers, managers, or employees who primarily move vehicles without passengers on board, etc.. 6. Contestants may only participate if occupationally domiciled and holds a CDL in the state of Hawaii. 7. Contestants may enter in only one class of competition.

3 Hawai<i State Passenger Carrier Challenge Driver Information Form Complete this Driver Information Form and return if with your Application and payment Class: (e.g., motor coach, school bus, counterbalance etc.) Name: Home Address: Home Phone: Company: Home Terminal: (island or location of terminal) Years with Company: Years in Industry: Years without Accident: Lifetime Safe Driving Miles: Participated in the Hawaii Passenger Carrier Driving Championship before? Yes No If yes, when did you last participate (year)? Married? No Yes Spouse s Name: Children s name(s) Age School Describe an unusual experience you have had while driving, any aid to motorists, or any awards received.

4 APPLICATION FORM Hawai<i Passenger Carrier Championships Forklift Operator Challenge Boss Challenge Enter the name of each contestant and indicate the class of competition. Submit additional sheets if needed. Driver Name Motor Coach School Bus Mini Bus Special Needs Boss P Van Boss Coach Fork Fork Cont Bal 3 wheel Company: Employer Certification: I certify that I am aware of the Hawai%i Passenger Carrier Driving Championships Eligibility Rules and that each contestant named herein is eligible to compete under these rules. Signature of Authorized Company Employee Date Registration fee is $25 for each Class of Competition through June 6, $50 thereafter. Number of contestants = X $25 / $50 = $ Check enclosed for $ Credit card authorization enclosed for $ Payment is required with Application and Driver Information Sheet. Include check (made to Hawaii Transportation Association ) or include credit card authorization form (attached) and send to: Hawaii Transportation Association PO Box Honolulu, Hawaii 96820

5

6

7 CREDIT CARD AUTHORIZATION FORM Name of card holder as it appears on the card Billing address of card holder City / State / Zip code Card type: Master card Visa American Express Amount of transaction authorized: $ Credit card # Expiration date 3/4 digit CID (back of card) ( ) Phone Signature HTA OFFICE USE ONLY Order taken by Order # Accounts Receivable: Inventory #s Safety Materials Class Month Forklift Class/Eval Convention Haz Mat Class Golf DIP Class Other Pre-Trip Date of Authorization CDL Training Authorization code Denied

PASSENGER CARRIER DRIVING CHAMPIONSHIPS FORKLIFT OPERATOR CHALLENGE

PASSENGER CARRIER DRIVING CHAMPIONSHIPS FORKLIFT OPERATOR CHALLENGE PASSENGER CARRIER DRIVING CHAMPIONSHIPS FORKLIFT OPERATOR CHALLENGE All events take place on Saturday, June 13, 2014 at the Leeward Community College upper parking area. Passenger Championships: Forklift

More information

Arkansas Truck driving Championship

Arkansas Truck driving Championship 2016 Arkansas Truck driving Championship July 15-16, 2016 John Q. Hammons Convention Center Rogers, Ar You are invited to participate in the 2016 Arkansas Truck Driving Championship. This year s competition

More information

Listed Below are the changes that will be in effect for the 2018 Kansas Truck Driving Championships and Step Van Truck Driving Championships.

Listed Below are the changes that will be in effect for the 2018 Kansas Truck Driving Championships and Step Van Truck Driving Championships. 2018 Kansas Truck Driving Championships Changes and Reminders Listed Below are the changes that will be in effect for the 2018 Kansas Truck Driving Championships and Step Van Truck Driving Championships.

More information

Listed Below are the changes that will be in effect for the 2018 Kansas Truck Driving Championships and Step Van Truck Driving Championships.

Listed Below are the changes that will be in effect for the 2018 Kansas Truck Driving Championships and Step Van Truck Driving Championships. 2018 Kansas Truck Driving Championships Changes and Reminders Listed Below are the changes that will be in effect for the 2018 Kansas Truck Driving Championships and Step Van Truck Driving Championships.

More information

COMMERCIAL DRIVER APPLICATION

COMMERCIAL DRIVER APPLICATION Date: COMMERCIAL DRIVER APPLICATION Professional Transportation Services, Inc PO Box 2368 541-826-7645 tel 541-826-8921 fax Name: First Middle Last Address Home telephone: City State Zip Cellular telephone:

More information

Application for Independent Contractor Owner-Operator

Application for Independent Contractor Owner-Operator 3720 River Rd. Suite 100 Franklin Park, IL 60131 (847) 260-4151 phone (847) 789-8684 fax www.rmtrucking.com email: hr@rmtrucking.com 5120 S. International Drive Cudahy, WI 53110 (414) 294-5800 phone (414)

More information

2017 Trucking Driving Championship Quick Facts

2017 Trucking Driving Championship Quick Facts 2017 Trucking Driving Championship Quick Facts Date: June 17, 2017 Start time: Registration begins at 9:00 a.m. Location: Winjean Trucking Company, 183 Airport Road, Buckhannon. Directions to Winjean Trucking:

More information

DOT EMPLOYMENT APPLICATION (49CFR ) Answer ALL questions please print

DOT EMPLOYMENT APPLICATION (49CFR ) Answer ALL questions please print DOT EMPLOYMENT APPLICATION (49CFR 391.21) Answer ALL questions please print Gore Nitrogen Pumping Service LLC P.O. Box 65 Seiling OK 73663 We are an Equal Opportunity Employer that does not discriminate

More information

ARKANSAS TRUCK DRIVING

ARKANSAS TRUCK DRIVING You are invited to participate in the 2018 Arkansas Truck Driving Championship! This year s competition is scheduled for Friday and Saturday, July 13 14 at the John Q. Hammons Convention Center in Rogers,

More information

DRIVER S APPLICATION

DRIVER S APPLICATION DRIVER S APPLICATION Applicant Name (print name) Date of Application Company: Hampton Jitney, Inc., 395 County Road 39A, Suite 6, Southampton, NY 11968 Hampton Jitney, Inc., 253 Edwards Avenue, Calverton,

More information

Kunshek Chat & Coal, Inc. 304 Memorial Dr. Pittsburg, KS * Fax

Kunshek Chat & Coal, Inc. 304 Memorial Dr. Pittsburg, KS * Fax ONLINE APPLICATION Kunshek Chat & Coal, Inc. 304 Memorial Dr. Pittsburg, KS 66762 620-231-7280 * 620-231-6247 Fax DRIVER APPLICATION Name: Social Security #: Current Address: Date of Birth: City: State:

More information

Driver's Application For Employment

Driver's Application For Employment Driver's Application For Employment Aviation Express, Inc 3050 E Hwy 316, Citra, FL 32113 Applicant s Full Name In compliance with Federal and State equal employment opportunities laws, we do not discriminate

More information

DRIVER QUALIFICATION FILE CHECKLIST

DRIVER QUALIFICATION FILE CHECKLIST DRIVER QUALIFICATION FILE CHECKLIST 1. DRIVER APPLICATION FOR EMPLOYMENT 391.21 2. INQUIRY TO PREVIOUS EMPLOYERS (3 YEARS) 391.23(a)(2) & (c) 3. INQUIRY TO STATE AGENCIES 391.23(a)(1) & (b) 4. MEDICAL

More information

Minnesota s Truck Driving Championships

Minnesota s Truck Driving Championships Minnesota s Truck Driving Championships June 10 & 11 YRC Freight 12400 Dupont Avenue S Burnsville, MN 55337 2017 MINNESOTA TRUCK DRIVING CHAMPIONSHIPS REGISTRATION INFORMATION DATE: June 10 & 11, 2017

More information

APPLICATION FOR EMPLOYMENT

APPLICATION FOR EMPLOYMENT APPLICATION FOR EMPLOYMENT Applicant Name (Print) Date of Application Company Delco Transport Inc. / The DeLong Co., Inc. Address P. O. Box 552 City Clinton State WI Zip 53525 In compliance with Federal

More information

DRIVER S APPLICATION FOR EMPLOYMENT

DRIVER S APPLICATION FOR EMPLOYMENT DRIVER S APPLICATION FOR EMPLOYMENT APPLICANT NAME OF APPLICATION (please print) BRITTANY TRUCKING COMPANY, INC. 515 Montgomery Avenue, Suite 101 New Castle, PA 16102 Phone: 724-658-6692 / Fax: 724-856-3715

More information

62 Leversee Road, Troy, NY Phone: Fax: PLEASE READ CAREFULLY

62 Leversee Road, Troy, NY Phone: Fax: PLEASE READ CAREFULLY 62 Leversee Road, Troy, NY 12182 Phone: 518-235-5531 Fax: 518-235-1064 PLEASE READ CAREFULLY Warren W. Fane, Inc. is an equal opportunity employer that provides its employees with competitive wages and

More information

AARMAC TRANSPORT, INC nd Ave SW MINOT, ND 58701

AARMAC TRANSPORT, INC nd Ave SW MINOT, ND 58701 AARMAC TRANSPORT, INC. 1509 2nd Ave SW MINOT, ND 58701 Driver Application for Employment You are advised that the information you provide in this application may be used, and your prior employers will

More information

2019 South Carolina Truck Driving Championships

2019 South Carolina Truck Driving Championships 2019 South Carolina Truck Driving Championships May 3 & 4, 2019 Registration Forms ENTRY DEADLINE: APRIL 19, 2019 2019 South Carolina Truck Driving Championships Fact Sheet When: May 3 & 4, 2019 Field

More information

Gilmer ISD Transportation Department

Gilmer ISD Transportation Department Gilmer ISD Transportation Department Requirements to Drive a Bus Welcome to Gilmer ISD. This information is provided to help you in the process and requirements of being able to drive a school bus for

More information

2505 Industrial Park Rd Van Buren, AR Current Address: (Street) (City) (State) (Zip)

2505 Industrial Park Rd Van Buren, AR Current Address: (Street) (City) (State) (Zip) 2505 Industrial Park Rd Van Buren, AR 72956 479-474-5600 Name: ( (First) (Middle) (Last) (Phone) ) Current (Street) (City) (State) (Zip) If at above address for less than three years, list below all residences

More information

PRE-EMPLOYMENT URINALYSIS NOTIFICATION

PRE-EMPLOYMENT URINALYSIS NOTIFICATION PRE-EMPLOYMENT URINALYSIS NOTIFICATION The Federal Motor Carrier Safety Regulations, Section 391.103 pre-employment testing requirements, apply to driver-applicants of this company. 391.103 Pre-employment

More information

#SO518KT. Make your reservation early as rooms sell out quickly, rate is available through May 2.

#SO518KT. Make your reservation early as rooms sell out quickly, rate is available through May 2. Please join KENTUCKY S BEST PROFESSIONAL DRIVERS at Kentucky Motor Speedway & Belterra Casino & Resort for the 2018 Kentucky Truck Driving Championships May 18 & 19 The Risk & Safety Management Council

More information

2019 MTA TRUCK DRIVING CHAMPIONSHIP APRIL 25 - APRIL 27, 2019 THE QUALITY INN, BEST WESTERN INN, & THE HOLIDAY INN AND RENTED SEAWAY ROAD LOT

2019 MTA TRUCK DRIVING CHAMPIONSHIP APRIL 25 - APRIL 27, 2019 THE QUALITY INN, BEST WESTERN INN, & THE HOLIDAY INN AND RENTED SEAWAY ROAD LOT 2019 MTA TRUCK DRIVING CHAMPIONSHIP APRIL 25 - APRIL 27, 2019 THE QUALITY INN, BEST WESTERN INN, & THE HOLIDAY INN AND RENTED SEAWAY ROAD LOT GULFPORT, MISSISSIPPI The Annual MS Truck Driving Championship

More information

Possess a valid CDL with proper endorsements for the vehicle being driven;

Possess a valid CDL with proper endorsements for the vehicle being driven; 581-053-0220 School Bus Driver s Permit and Certificate (1) No person shall transport pupils in a school bus or a vehicle that has a capacity of more than 20 passengers and not subject to regulations promulgated

More information

CSC Transportation LLC Job Description Semi Tractor-Trailer Driver

CSC Transportation LLC Job Description Semi Tractor-Trailer Driver CSC Transportation LLC Job Description Semi Tractor-Trailer Driver Job Title: Driver of Semi Tractor-Trailer Terminal Reports to: Terminal Manager/Dispatcher/Operations Supervisor General Duties: Pick

More information

DRIVER APPLICATION FOR EMPLOYMENT

DRIVER APPLICATION FOR EMPLOYMENT DRIVER APPLICATION FOR EMPLOYMENT PERSONAL DATA NAME LAST FIRST MIDDLE APPLICATION DATE CURRENT STREET UNIT # CITY STATE ZIP CODE HOW LONG: (IF AT THE CURRENT LESS THAN THREE YEARS, PROVIDE ADDITIONAL

More information

APPLICATION FOR DRIVER S QUALIFICATION

APPLICATION FOR DRIVER S QUALIFICATION F-1.04.01 APPLICATION FOR DRIVER S QUALIFICATION 1 APPLICATION FOR DRIVER S QUALIFICATION Liquid Cargo, Inc. P.O. Box 11857, West Palm Beach, FL 33419 Name Date (Please Print) Current : email address:

More information

STORER COACHWAYS DRIVER APPLICATION FOR EMPLOYMENT

STORER COACHWAYS DRIVER APPLICATION FOR EMPLOYMENT STORER COACHWAYS DRIVER APPLICATION FOR EMPLOYMENT Applicant Name Date of Application I am applying for the position of driver at the following location(s) (check all that apply): 3519 McDonald Ave, Modesto,

More information

The Road to Safety and Compliance Starts with You! ISRI DOT Self-Audit Checklist

The Road to Safety and Compliance Starts with You! ISRI DOT Self-Audit Checklist The Road to Safety and Compliance Starts with You! ISRI DOT Self-Audit Checklist ISRI DOT Self-Audit Checklist Disclaimer: The material herein is for informational purposes on and is provided on an as-is

More information

2018 South Carolina Truck Driving Championships

2018 South Carolina Truck Driving Championships 2018 South Carolina Truck Driving Championships April 13 & 14, 2018 Registration Forms ENTRY DEADLINE: APRIL 6, 2018 2018 South Carolina Truck Driving Championships Fact Sheet When: April 13 & 14, 2018

More information

SELF-CERTIFICATION/MEDICAL EXAMINER S CERTIFICATION FACT SHEET

SELF-CERTIFICATION/MEDICAL EXAMINER S CERTIFICATION FACT SHEET April 2017 SELF-CERTIFICATION/MEDICAL EXAMINER S CERTIFICATION FACT SHEET As part of the Motor Carrier Safety Improvement Act, the Federal Motor Carrier Safety Administration (FMCSA) amended the Federal

More information

TSI TRUCKING, LLC 1618 Fabricon Blvd. Jeffersonville, IN DRIVER'S APPLICATION FOR EMPLOYMENT. Applicant name: Date of application

TSI TRUCKING, LLC 1618 Fabricon Blvd. Jeffersonville, IN DRIVER'S APPLICATION FOR EMPLOYMENT. Applicant name: Date of application TSI TRUCKING, LLC 1618 Fabricon Blvd. Jeffersonville, IN 47130 DRIVER'S APPLICATION FOR EMPLOYMENT Applicant name: Date of application In compliance with Federal and State equal employment opportunity

More information

Brown Trucking Company COMPANY DRIVER APPLICATION 6908 Chapman Road Lithonia, GA Fax: (770)

Brown Trucking Company COMPANY DRIVER APPLICATION 6908 Chapman Road Lithonia, GA Fax: (770) Brown Trucking Company COMPANY DRIVER APPLICATION 6908 Chapman Road Lithonia, GA 30058 Fax: (770)408-0821 In compliance with Federal and State Equal Opportunity laws, qualified applicants are considered

More information

Employment Application

Employment Application 750 TECHNOLOGY DRIVE GOLETA, CA 93117 PHONE: (805) 964-7759 FAX: (805) 683-0307 WWW.SBAIRBUS.COM Employment Application To Applicant: We deeply appreciate your interest and assure you that we are sincerely

More information

DRIVER'S APPLICATION FOR EMPLOYMENT

DRIVER'S APPLICATION FOR EMPLOYMENT DRIVER'S APPLICATION FOR EMPLOYMENT Applicant Name Date of Application Application for: Doug Bradley Trucking, Inc. 680 E. Water Well Rd. Salina, KS 67401 In compliance with Federal and State equal employment

More information

Section 12: Record Keeping Requirements. Minnesota Trucking Regulations

Section 12: Record Keeping Requirements. Minnesota Trucking Regulations Section 12: Record Keeping Requirements Minnesota Trucking Regulations 89 Section 12 Record Keeping Requirements 49 CFR Part 390 Motor carriers who are subject to the Federal Motor Carrier Safety Regulations

More information

DRIVER NEW HIRE PROCEDURES

DRIVER NEW HIRE PROCEDURES DRIVER NEW HIRE PROCEDURES 1. Provide the CDL driver a substance testing Chain of Custody testing form and have the driver submit to a pre-employment controlled substances test. The test results will be

More information

2018 MTA TRUCK DRIVING CHAMPIONSHIP THE CLARION INN, THE HOLIDAY INN AND RENTED SEAWAY ROAD LOT GULFPORT, MISSISSIPPI

2018 MTA TRUCK DRIVING CHAMPIONSHIP THE CLARION INN, THE HOLIDAY INN AND RENTED SEAWAY ROAD LOT GULFPORT, MISSISSIPPI MTA TRUCK DRIVING CHAMPIONSHIP THE CLARION INN, THE HOLIDAY INN AND RENTED SEAWAY ROAD LOT GULFPORT, MISSISSIPPI The Annual MISSISSIPPI Truck Driving Championship will be held in GULFPORT Some events will

More information

Please answer all questions. If the answer to any question is "No" or "None", do not leave blank, but write "No" or "None.

Please answer all questions. If the answer to any question is No or None, do not leave blank, but write No or None. Application for Qualification W.&A. Company: W & A Distribution Services Inc. Address: DISTRIBUTION SERVICES, INC. 1618 Summit Dr. Ft. Atkinson, WI. 53538 P.O. BOX 309 FORT ATKINSON, WI 53538 The purpose

More information

Driver Qualification Handbook

Driver Qualification Handbook 1 The Complete Driver Qualification Handbook Your Step-by-Step Guide to Complying with Regulation Part 391 Managing Your Files 1 Contents Introduction 2 The Driver Qualification File (DQF) 3 Safety Performance

More information

DRIVERS. John H. Kooy Trucking, Inc. is looking for qualified drivers with at least two years of trucking experience.

DRIVERS. John H. Kooy Trucking, Inc. is looking for qualified drivers with at least two years of trucking experience. DRIVERS John H. Kooy Trucking, Inc. is looking for qualified drivers with at least two years of trucking experience. John H. Kooy Trucking, Inc. was established in 1971. We are located in Arlington Washington

More information

Arkansas State University - Jonesboro

Arkansas State University - Jonesboro Arkansas State University - Jonesboro Effective Date: 01/12/01 Number: 04-24 Section: Facilities and Services Subject: Facilities - University Vehicles Purpose This procedure is designed to assist ASU

More information

DRIVER APPLICATION FOR EMPLOYMENT

DRIVER APPLICATION FOR EMPLOYMENT DRIVER APPLICATION FOR EMPLOYMENT Applicant Name Date of Application I am applying for the following position(s) (check all that applies): Charter Driver Storer Coachways, 3519 McDonald Ave, Modesto, CA

More information

Application for Drivers. Your application for JED Express Ltd must include the following five items

Application for Drivers. Your application for JED Express Ltd must include the following five items 11060 County Road 3 (Box 164) South Mountain, Ontario K0E 1W0 1-800-387-0504 www.jedexpress.com Application for Drivers Your application for JED Express Ltd must include the following five items 1. Completed

More information

321 Fitzgerald Industrial Drive, Sparta, TN Phone Fax Applicant Name Date of Application (Please Print)

321 Fitzgerald Industrial Drive, Sparta, TN Phone Fax Applicant Name Date of Application (Please Print) 321 Fitzgerald Industrial Drive, Sparta, TN 38583 Phone 931.854.1100 Fax 931.854.1131 Applicant Name Date of Application (Please Print) In compliance with Federal and State equal employment opportunity

More information

Drivers Application for Employment and Qualification Hanson Trucking, Inc. 251 Truck Rt. Columbia Falls, MT

Drivers Application for Employment and Qualification Hanson Trucking, Inc. 251 Truck Rt. Columbia Falls, MT Drivers Application for Employment and Qualification Hanson Trucking, Inc. 251 Truck Rt. Columbia Falls, MT Employment at Hanson Trucking, Inc. is not guaranteed by submitting this application for employment-qualification.

More information

2018 NDE Pupil Transportation Reminders

2018 NDE Pupil Transportation Reminders 2018 NDE Pupil Transportation Reminders Effective January 1, 2019, DMV will no longer issue school bus permits per LB347. At that time, the Nebraska Safety Center will be begin handling the qualification

More information

Greetings from the Central Ontario Regional Truck Driving Championship Committee.

Greetings from the Central Ontario Regional Truck Driving Championship Committee. April 2018 Greetings from the Central Ontario Regional Truck Driving Championship Committee. June is fast approaching, and with it comes the 2018 CORTDC Driving Competition. Last year marked one of the

More information

Any time prior to January 30, 2014 unless You are applying for one of the following drivers license transactions:

Any time prior to January 30, 2014 unless You are applying for one of the following drivers license transactions: To meet the requirements of 49 CFR 383.71, Louisiana began capturing self certifications for all CDL driver's on January 30th, 2012. In order to ensure that the CDL driver has complied with the requirements

More information

Town of Centreville Automated Speed Enforcement Program

Town of Centreville Automated Speed Enforcement Program Frequently Asked Questions: Town of Centreville Automated Speed Enforcement Program What is Automated Speed Enforcement In October 2009 the State of Maryland authorized the use of Automated Speed Monitoring

More information

SANTA ROSA TELEPHONE COOPERATIVE, INC HWY 287 EAST P.O. BOX 2128 VERNON, TX 76385

SANTA ROSA TELEPHONE COOPERATIVE, INC HWY 287 EAST P.O. BOX 2128 VERNON, TX 76385 SANTA ROSA TELEPHONE COOPERATIVE, INC. 7110 HWY 287 EAST P.O. BOX 2128 VERNON, TX 76385 HR USE ONLY EMPLOYEE NO. DATE EMPLOYED APPLICANT MUST COMPLETE ALL INFORMATION REQUESTED PLEASE PRINT In compliance

More information

Applicant Information

Applicant Information Stage 1 Driving Position DRIVER EMPLOYMENT APPLICATION Applications are considered without regard to race, color, religion, sex, national origin, age, marital or veteran status, or the presence of a non-job-related

More information

DOT Medical Cards. What changed?

DOT Medical Cards. What changed? 1 What changed? 2 State driver licensing agencies (SDLAs) will add your medical self-certification status and the information on your medical examiner's certificate to your Commercial driver's license

More information

2018 ATLANTIC DRIVING CHAMPIONSHIPS

2018 ATLANTIC DRIVING CHAMPIONSHIPS 2018 ATLANTIC DRIVING CHAMPIONSHIPS Saturday, June 16 th, 2018 _ Commercial Safety College 11490 Old Highway # 2 Masstown, Nova Scotia Competing Divisions *A minimum of 5 participants per category is required

More information

PO BOX OKC, OK PHONE: FAX: Driver Application

PO BOX OKC, OK PHONE: FAX: Driver Application PO BOX 720899 OKC, OK 73172 : 405-373-4999 FAX: 405-722-2575 Driver Application DRIVER INFORMATION FOR NEW APPLICANT: All applicants for a driving position must fill out an application for employment.

More information

Risk Control at United Fire Group

Risk Control at United Fire Group United Fire Group (UFG) believes the safety of the employee, public and the operations of a company is essential and every attempt must be made to reduce the possibility of accidents. The safety of the

More information

2014 MA Truck Driving Championship FedEx Facility 300 Century Drive West Boylston, MA Sunday June 22, 2014

2014 MA Truck Driving Championship FedEx Facility 300 Century Drive West Boylston, MA Sunday June 22, 2014 Massachusetts Truck Driving Championship Information & Entry Form Date: March 2014 To: Managers / Safety Supervisors / Drivers From: Steve Powers, Chair, 2014 TDC Committee Re: 2014 Massachusetts Professional

More information

How to Prepare for a DOT Audit

How to Prepare for a DOT Audit How to Prepare for a DOT Audit The DOT has just informed you that your transportation operation will be audited. Are you prepared? Do you know what records will be reviewed? Do you comply with the regulations?

More information

Department of Transportation aka. FMCSA

Department of Transportation aka. FMCSA Department of Transportation aka. FMCSA PRESENTED BY SHEAKLEY WORKFORCE MANAGEMENT SERVICES FMCSA / FMCSR The Motor Carrier Safety Improvement Act of 1999 created the Federal Motor Carrier Safety Administration

More information

Independent Contractor Driver Application

Independent Contractor Driver Application Independent Contractor Driver Application ` Parminder S. Bhullar Director 7825 Terri Drive Westland, Mi. 48185 Tel. 734 474 7703 Fax. 734 446 0324 pinder@betlogistics.us www.betlogistics.us INDEPENDENT

More information

EMPLOYMENT APPLICATION

EMPLOYMENT APPLICATION EMPLOYMENT APPLICATION Classic Towing is an equal opportunity employer and as required by law does not discriminate in employment on the basis of race, sex, religion, or age. This application will be given

More information

DRIVER APPLICATION FOR EMPLOYMENT

DRIVER APPLICATION FOR EMPLOYMENT LINQserv, Inc. 1553 Lyell Avenue, Rochester, NY 14606 Website: LINQserv.com Office: 585.723.1322 Fax: 585.723.8318 DRIVER APPLICATION FOR EMPLOYMENT (First) (Middle) (Maiden Name, if any) (Last) (Street)

More information

2015 National Driver of the Year

2015 National Driver of the Year 2015 National Driver of the Year Nomination Workbook Sponsored by Driver s Name Company Nominating State Association Requirements: National Driver of the Year Award 1. Nominations may be made by ATA affiliated

More information

EMPLOYMENT APPLICATION FORM TURK ENTERPRISES LTD.

EMPLOYMENT APPLICATION FORM TURK ENTERPRISES LTD. EMPLOYMENT APPLICATION FORM TURK ENTERPRISES LTD. Application Date: / / Month Day Year Full Name: First Middle Last Current Address: Street City, Province Postal Code How Long? Previous Address: (If less

More information

Commercial Driver s License Drug and Alcohol Clearinghouse Frequently Asked Questions

Commercial Driver s License Drug and Alcohol Clearinghouse Frequently Asked Questions DRUG & ALCOHOL CLEARINGHOUSE Commercial Driver s License Drug and Alcohol Clearinghouse Frequently Asked Questions 1. What is the Drug and Alcohol Clearinghouse (Clearinghouse)? The Clearinghouse will

More information

Driver Application for Employment:

Driver Application for Employment: *This Application must be filled out completely, in Blue or Black ink and in your own handwriting. If an item does not apply to you, please write N/A. Before you complete the application know the information

More information

APPLICATION FOR CLASS A CDL DRIVER

APPLICATION FOR CLASS A CDL DRIVER 1.877.ROMEX.20 www.goromex.com 1.800.925.1553 Fax info@romextransport.com APPLICATION FOR CLASS A CDL DRIVER Date of application: / / Last Name: First Name: MI: Address: How Long? City: State: Zip code:

More information

DTW Transport LLC Driver s Employment Application

DTW Transport LLC Driver s Employment Application DTW Transport LLC Driver s Employment Application Date of Application: Date of Hire: Name Current Address Phone How Long Previous Address 1 Previous Address 2 Previous Address 3 How Long How Long How Long

More information

^=j~å~öéãéåí=póëíéã=ñçê=`çåíêçääáåö=cäééí=içëëéë= FORMS

^=j~å~öéãéåí=póëíéã=ñçê=`çåíêçääáåö=cäééí=içëëéë= FORMS In this section are forms related to the Motor Vehicle Report (MVR) Program and Driver Evaluation Form. Although these forms reference the DOT, they are also applicable to Passenger Car Fleets and light-duty

More information

New York State Department of Motor Vehicles

New York State Department of Motor Vehicles New York State Department of Motor Vehicles CDL Update 64 th Annual School for Highway Superintendents June 3, 2009 Presented by: Peter DePuccio & Dave Malsan 1 Medical Certification Requirements as Part

More information

Employment Application

Employment Application Employment Application For Commercial Drivers 3025 Jones Mill Rd. Norcross, Ga 30071 Please include current 7 year MVR with this application. Applicant Name Date / / Last, First, Middle In compliance with

More information

SAN JACINTO COLLEGE COMMERCIAL TRUCK DRIVING CLASS SCHEDULE

SAN JACINTO COLLEGE COMMERCIAL TRUCK DRIVING CLASS SCHEDULE SAN JACINTO COLLEGE COMMERCIAL TRUCK DRIVING CLASS SCHEDULE CVOP Day Class 2013 Monday through Thursday 7AM to 6PM -6 weeks PTD/DDC Day Defensive Driving Course Schedule January 7 - February 14 February

More information

YES NO 1. Do you have a Valid Class A CDL Texas Drivers License? 2. Have you ever been cited for reckless driving?

YES NO 1. Do you have a Valid Class A CDL Texas Drivers License? 2. Have you ever been cited for reckless driving? DRIVER PRELIMINARY QUALIFICATION SHEET DRIVER S NAME: YES NO 1. Do you have a Valid Class A CDL Texas Drivers License? 2. Have you ever been cited for reckless driving? 3. Have you ever been arrested for

More information

DRIVER APPLICATION. You must answer every question. If a question does not apply to you, answer with Not Applicable (N/A).

DRIVER APPLICATION. You must answer every question. If a question does not apply to you, answer with Not Applicable (N/A). Midwest Companies 275 Sola Drive, Gilberts, IL 60136 P: 847-426-6354/F: 847-426-0146 www.mwcompanies.com DRIVER APPLICATION You must answer every question. If a question does not apply to you, answer with

More information

DRIVER QUALIFICATION FILE CHECK LIST

DRIVER QUALIFICATION FILE CHECK LIST DRIVER QUALIFICATION FILE CHECK LIST DRIVER APPLICATION FOR EMPLOYMENT INQUIRY TO PREVIOUS EMPLOYERS (3 YEARS) INQUIRY TO STATE AGENCIES OR MVR MEDICAL EXAMINER S CERTIFICATE* (MEDICAL WAIVER, IF ISSUED)

More information

This application must be filled out completely and accurately to be considered. EMPLOYMENT APPLICATION FOR CONTRACTOR DRIVERS

This application must be filled out completely and accurately to be considered. EMPLOYMENT APPLICATION FOR CONTRACTOR DRIVERS Please Print Last Here: SYNERGY RV TRANSPORT I N C O R P O R A T E D 2448 E Kercher Rd, Goshen, IN 46526 Recruiting Phone: 574.533.0001 Recruiting Fax: 1.888.270.3693 www.synergyrvtransport.com EMPLOYMENT

More information

2018 WASTE SECTOR (ONTARIO) TRUCK DRIVING CHAMPIONSHIP

2018 WASTE SECTOR (ONTARIO) TRUCK DRIVING CHAMPIONSHIP April 2018 2018 WASTE SECTOR (ONTARIO) TRUCK DRIVING CHAMPIONSHIP Dear Waste Sector Association Member, We are so very excited to announce our 28 th Annual WASTE SECTOR (ONTARIO) TRUCK DRIVING CHAMPIONSHIP

More information

GENERAL EDUCATION EXPERIENCE AND QUALIFICATIONS DRIVING POSITIONS LIST ALL DRIVER'S LICENSES YOU HA VE HELD IN THE PAST THREE (3) YEARS

GENERAL EDUCATION EXPERIENCE AND QUALIFICATIONS DRIVING POSITIONS LIST ALL DRIVER'S LICENSES YOU HA VE HELD IN THE PAST THREE (3) YEARS GENERAL Have you served in the U.S. Armed Forces? Branch from / to / Rank at Discharge----- Date of Discharge or Release Have you ever been bonded? Name of Bonding Company In order for you to drive a company

More information

Recordkeeping Requirements of the Federal Motor Carrier Safety Regulations

Recordkeeping Requirements of the Federal Motor Carrier Safety Regulations Recordkeeping Requirements of the Federal Motor Carrier Safety Regulations The following table summarizes the recordkeeping requirements of the Federal Motor Carrier Safety Regulations under 49 CFR Parts

More information

Bus Use Policy Peace Lutheran Church of Dresser, WI

Bus Use Policy Peace Lutheran Church of Dresser, WI Bus Use Policy Peace Lutheran Church of Dresser, WI Created 6 March 2007 Revised 17 May 2007 Purpose The Youth & Family Ministry of Peace Lutheran Church has purchased and maintains a bus to provide safe,

More information

Keep On Truckin Qualification, Compliance, & ELD s. How Trucking Regulations Apply to Insulation Contractors

Keep On Truckin Qualification, Compliance, & ELD s. How Trucking Regulations Apply to Insulation Contractors Keep On Truckin Qualification, Compliance, & ELD s How Trucking Regulations Apply to Insulation Contractors Agenda Today we ll cover Why should I care about trucking regulations? Who is considered a Motor

More information

APPLICATION FOR EMPLOYMENT

APPLICATION FOR EMPLOYMENT COMPANY RITEWAY EXPRESS APPLICATION FOR EMPLOYMENT CITY, AND ZIP CODE BREVARD, NC 28712 NAME (FIRST) (MIDDLE) (MAIDEN NAME, IF ANY) (LAST) ADDRESS (STREET) (CITY) ( & ZIP CODE) OF BIRTH PREVIOUS THREE

More information

CDL DRIVER S APPLICATION FOR EMPLOYMENT

CDL DRIVER S APPLICATION FOR EMPLOYMENT CDL DRIVER S APPLICATION FOR EMPLOYMENT Applicant Name: Date: 10 Industrial Highway M.S. 61 Lester, PA 19113 Phone: (610) 521-7474 Fax: (610) 521-8507 Driver Acknowledgement I authorize KL Chempak, Inc.

More information

Tillman Insurance Agency, Inc. Driver Safety Manual

Tillman Insurance Agency, Inc. Driver Safety Manual Tillman Insurance Agency, Inc. Driver Safety Manual September 6, 2008 1) Driver Qualifications All drivers must have the proper drivers license for the class of vehicle they are operating. All drivers

More information

Commuter Vanpool Program Scope of Work

Commuter Vanpool Program Scope of Work Commuter Vanpool Program Scope of Work Objective To secure a single vanpool Service Provider to operate and market a county wide commuter vanpool program known as Sun Rideshare Vanpool Program. The goal

More information

Motor Pool Vehicle Use Policy

Motor Pool Vehicle Use Policy Arkansas Tech University Office of Facilities Management Motor Pool Vehicle Use Policy Purpose: This policy is designed to assist ATU students, faculty, and staff in having a safe and convenient trip while

More information

C&J Bus Lines. Driver Employment Application

C&J Bus Lines. Driver Employment Application C&J Bus Lines Driver Employment Application Applicant Name: Driver Application for Employment _ Home Phone Cell Phone Email Address We consider applicants for all positions on the basis of qualifications

More information

2018 MA Truck Driving Championship New England Tractor Trailer Training School 1600 Osgood Street * North Andover, MA Sunday, June 3, 2018

2018 MA Truck Driving Championship New England Tractor Trailer Training School 1600 Osgood Street * North Andover, MA Sunday, June 3, 2018 Massachusetts Truck Driving Championship Information & Entry Form Date: March 2018 To: Managers / Safety Supervisors / Drivers From: Fred Schenk, Chair, 2018 TDC Committee Re: 2018 Massachusetts Professional

More information

79th OREGON LEGISLATIVE ASSEMBLY Regular Session. Enrolled. Senate Bill 36

79th OREGON LEGISLATIVE ASSEMBLY Regular Session. Enrolled. Senate Bill 36 79th OREGON LEGISLATIVE ASSEMBLY--2017 Regular Session Enrolled Senate Bill 36 Printed pursuant to Senate Interim Rule 213.28 by order of the President of the Senate in conformance with presession filing

More information

Monroe County Municipal Waste Hauler Permit Application CALENDAR YEAR 2019

Monroe County Municipal Waste Hauler Permit Application CALENDAR YEAR 2019 Monroe County Municipal Waste Management Authority 183 Commercial Blvd., Blakeslee, PA 18610 Telephone: (570) 643-6100 Fax: (570) 643-6112 www.thewasteauthority.com Monroe County Municipal Waste Hauler

More information

2016 MA Truck Driving Championship NETTTS 1600 Osgood Street N. Andover, MA Sunday, June 5, 2016

2016 MA Truck Driving Championship NETTTS 1600 Osgood Street N. Andover, MA Sunday, June 5, 2016 Massachusetts Truck Driving Championship Information & Entry Form Date: March 2016 To: Managers / Safety Supervisors / Drivers From: Fred Schenk, Chair, 2016 TDC Committee Re: 2016 Massachusetts Professional

More information

PERMANENT TRAILER IDENTIFICATION (PTI) VEHICLE INDUSTRY REGISTRATION PROCEDURES

PERMANENT TRAILER IDENTIFICATION (PTI) VEHICLE INDUSTRY REGISTRATION PROCEDURES PERMANENT TRAILER IDENTIFICATION (PTI) 14 Title Page 14.000 Introduction 14-2 14.005 Trailer Definitions 14-2 14.010 Trailers Excluded from the Permanent Trailer Identification (PTI) Program 14-6 14.015

More information

DRIVER APPLICATION FOR EMPLOYMENT

DRIVER APPLICATION FOR EMPLOYMENT ELITE TRANSPORTATION, LLC 200 W DOUGLAS, SUITE 520 WICHITA, KS 67202 DRIVER APPLICATION FOR EMPLOYMENT Applicant (Print) : Date: TO BE READ AND SIGNED BY APPLICANT I understand the information I provide

More information

SAN JACINTO COLLEGE COMMERCIAL TRUCK DRIVING 2018 CLASS SCHEDULE

SAN JACINTO COLLEGE COMMERCIAL TRUCK DRIVING 2018 CLASS SCHEDULE SAN JACINTO COLLEGE COMMERCIAL TRUCK DRIVING 2018 CLASS SCHEDULE CVOP Day Class 2018 Monday through Thursday 7AM to 6PM -6 weeks PTD/DDC Day Defensive Driving Course Schedule January 2 - February 8 January

More information

Millbrook United Methodist Church. Bus and Van Usage Policy. Established September 9, Amended March 15, 2015

Millbrook United Methodist Church. Bus and Van Usage Policy. Established September 9, Amended March 15, 2015 Bus and Van Usage Policy Established September 9, 2014 Amended March 15, 2015 Bus and Van Usage Guidelines Background: Millbrook United Methodist Church (MUMC) has a long history of mission and service

More information

MUNICIPALITY OF ANCHORAGE TRAFFIC CODE UPDATE MASTER RECOMMENDATION REPORT: 9.48, 9.50, 9.52, 9.54

MUNICIPALITY OF ANCHORAGE TRAFFIC CODE UPDATE MASTER RECOMMENDATION REPORT: 9.48, 9.50, 9.52, 9.54 MUNICIPALITY OF ANCHORAGE TRAFFIC CODE UPDATE MASTER RECOMMENDATION REPORT: 9.48, 9.50, 9.52, 9.54 Please send all recommendations for update to Shane Locke (343-8413, lockesr@muni.org) Report Date: 6/3/2009

More information

Orientation and Administration! Student Introductions!

Orientation and Administration! Student Introductions! 4/18/13 Orientation and Administration! Student Introductions! Name/agency! Career experience! Course expectation! Career path/direction! 1! 2! Course Prerequisites! California Drivers License! Minimum

More information

Richard Carrier Trucking, Inc. P.O. Box 718, Skowhegan, ME

Richard Carrier Trucking, Inc. P.O. Box 718, Skowhegan, ME Richard Carrier Trucking, Inc. P.O. Box 718, Skowhegan, ME 04976 207.474.6293 http://www.carriertrucking.com APPLICATION FOR EMPLOYMENT In compliance with Federal and State equal employment opportunity

More information

HS23PG_Commercial Motor Vehicle Program

HS23PG_Commercial Motor Vehicle Program 2017 HS23PG_Commercial Motor Vehicle Program Occupational Health, Safety and Injury Prevention 1/1/2017 Subject Matter Expert Bill Leonard WL68@cornell.edu (607) 255-5616 Page 2 CONTENTS APPROVALS... 3

More information