Driver's Employment Application - Robertson-Williams Transport

The purpose of this application is to determine whether or not the applicant is qualified to operate motor carrier equipment according to the requirements of the Federal Motor Carrier Safety Regulations and Robertson-Williams Transport, Inc.

You have reached this page because RWT has requested you fill out the full Application form for employment consideration. We recommend you gather your information ahead of time before you begin, including:
- Employer information for the past 6-10 years
- Addresses for the past 3 years
- Mileage for equipment classes in which you have experience
To save and return to the application at a later date, follow these steps:
1. Click Save and Continue at the bottom of the form
2. You will see a link in the result page. COPY and BOOKMARK the link. You will not be able to return to your partial application without this link.
3. Enter your email address into the "email address" field to receive a copy of the link via email. Click SEND LINK.
4. Use the link to complete your application. Click SUBMIT. RWT will not receive your application until you hit SUBMIT.
General Information
Name*
First Last
Email*
Social Security No.*
Date of Birth*
MM slash DD slash YYYY
Cell Phone*
Have you ever been convicted of a felony?*
Explain
Have you ever had your license suspended or revoked?*
For how long?
Have you ever failed or refused to take a pre-employment drug or alcohol test in the previous 2 years?*
When?
Month
Day
Year
Is there any reason you might be unable to perform the function of the driving job for which you have applied?*
Explain
Driver's License Qualifications
State*
License No.*
Expiration Date*
MM slash DD slash YYYY
License Class*
Endorsement*
Have you ever been denied a license, permit, or privilege to operate a motor vehicle?*
Has your license, permit or driving privilege ever been suspended or revoked?*
List Any Trucking, Transportation Or Other Experience That May Help In Your Work For This Company
List Any Other Courses And Training Not Shown Elsewhere In This Application
List Any Other Special Qualifications You May Have
Driving Experience
How Many Years Have You Been Driving?*
Who referred you to RWT?
Class of Equipment: Straight Truck
Type of Equipment (VAN, TANK, FLAT, ETC.)
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Approx. No. Miles
Class of Equipment: Single
Type of Equipment (VAN, TANK, FLAT, ETC.)
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Approx. No. Miles
Class of Equipment: Double
Type of Equipment (VAN, TANK, FLAT, ETC.)
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Approx. No. Miles
Class of Equipment: Triple
Type of Equipment (VAN, TANK, FLAT, ETC.)
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Approx. No. Miles
Class of Equipment: Other
Type of Equipment (VAN, TANK, FLAT, ETC.)
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Approx. No. Miles
Residency
List your addresses of residency for the past 3 Years:
Current Address*
Street Address City State ZIP Code
How Long?*

Example: 2 years, 3 months
Have you lived at current address longer than 3 years?
- Yes
- No
Previous Address
Street Address City State ZIP Code
How Long?

Example: 2 years, 3 months
- Add More
Previous Address
Street Address City State ZIP Code
How Long?

Example: 2 years, 3 months
- Add More
Previous Address
Street Address City State ZIP Code
How Long?

Example: 2 years, 3 months
Employment History
Do you have the legal right to work in the United States?*
Are you currently employed?
List employers in reverse order, starting with the most recent.
Please provide 6-10 years of employment history:
Company #1 (Current or Most Recent Employer)
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Address
Street Address City State / Province / Region ZIP / Postal Code
Contact Person
First Last
Contact's Phone
Were you subject to the FMCSRS* while employed here?
Was your job designated as a safety-sensitive function in any DOT-Regulated mode subject to drug and alcohol testing requirements of 49 CFR part 40?
Reason for leaving:
Company #2
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Address
Street Address City State / Province / Region ZIP / Postal Code
Contact Person
First Last
Contact's Phone
Were you subject to the FMCSRS* while employed here?
Was your job designated as a safety-sensitive function in any DOT-Regulated mode subject to drug and alcohol testing requirements of 49 CFR part 40?
Reason for leaving:
Company #3
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Address
Street Address City State / Province / Region ZIP / Postal Code
Contact Person
First Last
Contact's Phone
Were you subject to the FMCSRS* while employed here?
Was your job designated as a safety-sensitive function in any DOT-Regulated mode subject to drug and alcohol testing requirements of 49 CFR part 40?
Reason for leaving:
Company #4
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Address
Street Address City State / Province / Region ZIP / Postal Code
Contact Person
First Last
Contact's Phone
Were you subject to the FMCSRS* while employed here?
Was your job designated as a safety-sensitive function in any DOT-Regulated mode subject to drug and alcohol testing requirements of 49 CFR part 40?
Reason for leaving:
Company #5
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Address
Street Address City State / Province / Region ZIP / Postal Code
Contact Person
First Last
Contact's Phone
Were you subject to the FMCSRS* while employed here?
Was your job designated as a safety-sensitive function in any DOT-Regulated mode subject to drug and alcohol testing requirements of 49 CFR part 40?
Reason for leaving:
- Add More
Company #6
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Address
Street Address City State / Province / Region ZIP / Postal Code
Contact Person
First Last
Contact's Phone
Were you subject to the FMCSRS* while employed here?
Was your job designated as a safety-sensitive function in any DOT-Regulated mode subject to drug and alcohol testing requirements of 49 CFR part 40?
Reason for leaving:
Company #7
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Address
Street Address City State / Province / Region ZIP / Postal Code
Contact Person
First Last
Contact's Phone
Were you subject to the FMCSRS* while employed here?
Was your job designated as a safety-sensitive function in any DOT-Regulated mode subject to drug and alcohol testing requirements of 49 CFR part 40?
Reason for leaving:
Company #8
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Address
Street Address City State / Province / Region ZIP / Postal Code
Contact Person
First Last
Contact's Phone
Were you subject to the FMCSRS* while employed here?
Was your job designated as a safety-sensitive function in any DOT-Regulated mode subject to drug and alcohol testing requirements of 49 CFR part 40?
Reason for leaving:
Company #9
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Address
Street Address City State / Province / Region ZIP / Postal Code
Contact Person
First Last
Contact's Phone
Were you subject to the FMCSRS* while employed here?
Was your job designated as a safety-sensitive function in any DOT-Regulated mode subject to drug and alcohol testing requirements of 49 CFR part 40?
Reason for leaving:
Company #10
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Address
Street Address City State / Province / Region ZIP / Postal Code
Contact Person
First Last
Contact's Phone
Were you subject to the FMCSRS* while employed here?
Was your job designated as a safety-sensitive function in any DOT-Regulated mode subject to drug and alcohol testing requirements of 49 CFR part 40?
Reason for leaving:
List any additional employers here:
Include same fields as above for each additional employer.

Save and Continue Later

Please also fill out our Employment Survey

Driver’s Employment Application

General Information

Driver's License Qualifications

Driving Experience

Class of Equipment: Straight Truck

Class of Equipment: Single

Class of Equipment: Double

Class of Equipment: Triple

Class of Equipment: Other

Residency

Employment History

List employers in reverse order, starting with the most recent.