Non-DOT Application for Employment Download Driver’s Application Non-DOT Application for Employment American Spotting Companies/Gateway Companies/Q1 Truck & Trailer American Spotting Company of California - American Spotting Company of Missouri - American Spotting Company of Ohio American Spotting Company - Gateway Warehouse of Georgia, Inc. - Gateway Transportation of Georgia, Inc. Q1 Truck & Trailer Repair, Inc. Non-DOT Application for Employment The above-named companies are Equal Opportunity Employers. If applicable to Company, reasonable accommodation under the Americans with Disabilities Act will be provided as required by law.Name* First Middle Last Social Security Number* Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Date of Birth* Month Day Year Position Desired Wage/Salary Desired Full Time / Part Time? Full Time Part Time If hired, can you provide evidence of legal eligibility to work in the U.S.?* Yes No *Any offer of employment is conditioned upon completing form I-9 and providing the appropriate documents for identity and work authorization.Have you ever been convicted of a felony or a misdemeanor involving any violent act, use or possession of a weapon, or act of dishonesty for which the record has been sealed or expunged, or do you have such a case pending? Yes No If Yes, when was the incident? Month Day Year Date you can begin work Month Day Year Are you 18 years of age or older? Yes No If under 18 years of age, you will be required to submit a birth certificate or work certificate as required by federal law.Name of high school attended City & State Did you graduate? Yes No GED? Yes No Name of college or technical school attended City & State Did you graduate? Yes No Degree? Yes No Major/Area of Study ARE YOU APPLYING FOR A DRIVING POSITION*? Yes No Do you presently hold a CDL? Yes No If no, do you presently hold a valid Driver's License? Yes No Date CDL or Driver's License was issued Month Day Year Have you ever had your CDL or Driver's License suspended, revoked, or refused? Yes No If yes, please give date (month/year) and describe the reason.Please list all traffic violations, in a personal or commercial motor vehicle, in the last 36 months. Please list date (month/year) and type of violation:DateType of Violation List all traffic accidents/incidents, while driving a personal or commercial motor vehicle, in the last 36 months. Please list date (month/year). Please indicate if this was an at-fault accident/incident and give a brief description of the accident/incident.DateWas this At Fault (yes/no)Description List any job-related skills or accomplishments, including military serviceAvailabilityMondayFromToTuesdayFromToWednesdayFromToThursdayFromToFridayFromToSaturdayFromToSundayFromToTotal hours per week you are available to work Do you have any special requests or needs for a work schedule?List two references that are not former employers who we may contactName & OccupationHow do you know them, and for how long?Phone Number Employment History: List names of employers with present or last employer listed first, for the last 5 years. Please note if we may not contact your present employer until after you are offered a position. *DO NOT LEAVE ANY GABS IN EMPLOYMENTEmployer Job Title Was this a safety-sensitive position? Yes No Are you subject to FMCSA regulations? Yes No Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Dates of EmploymentFrom (month/year)To (month/year)Were you paid hourly or salary?Hourly or Salary?Starting payEnding paySupervisor Name and Phone Number Reason for leavingEmployer Job Title Was this a safety-sensitive position? Yes No Are you subject to FMCSA regulations? Yes No Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Dates of EmploymentFrom (month/year)To (month/year)Were you paid hourly or salary?Hourly or Salary?Starting payEnding paySupervisor Name and Phone Number Reason for leavingEmployer Job Title Was this a safety-sensitive position? Yes No Are you subject to FMCSA regulations? Yes No Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Dates of EmploymentFrom (month/year)To (month/year)Were you paid hourly or salary?Hourly or Salary?Starting payEnding paySupervisor Name and Phone Number Reason for leavingEmployer Job Title Was this a safety-sensitive position? Yes No Are you subject to FMCSA regulations? Yes No Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Dates of EmploymentFrom (month/year)To (month/year)Were you paid hourly or salary?Hourly or Salary?Starting payEnding paySupervisor Name and Phone Number Reason for leavingCarefully read each statement before signing at the bottom I certify that all of the information provided in the employment application is true and complete to the best of my knowledge, and I authorize investigation of all statements contained in this application, including a criminal background and motor vehicle record report. I understand that any false or incomplete information may disqualify me from further consideration for employment and may result in my immediate discharge if discovered at a later date. I understand and acknowledge that unless otherwise defined by applicable law or written agreement with the companies listed above, any employment relationship is considered "employment at will". This means the Employee may resign at any time and the Employer may discharge the Employee at any time, with or without cause, and with or without advanced notice. I authorize the investigation of any or all statement contained in this application and also authorize any person, school, current employer, past employers, and other organizations to provide information concerning my previous employment and other relevant information that may be useful in making a hiring decision. I release such persons and organizations from any legal liability in making such statements.Consent* I have read, understand and agree to the above statements.Signature* First Last Date Signed* Month Day Year CAPTCHA Want More Information? Get a Quote © 2024 Gateway Advantage | All Rights Reserved | Privacy Policy