LVL Trucking - Driver's Application

Employment Opportunities

To apply for a professional driver opportunity with LV Trucking, please complete the information below. We will contact you shortly.

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, or non-job related disability.

Contact Information

Position(s) applying for (150 char max)
First Name
Middle Initial
Last Name
Social Security #
Current Address 1
Current Address 2
City
State
Zip Code
How long at this address?
Home Phone #
Cell Phone #
E-mail Address
Where did you first learn about our Web site?

List any previous addresses of residency for the past 3 years.

Address Line 1

City

State

Zip Code

How Long

Additional Questions

Date Of Birth (mm/dd/yyyy)

Do you have the legal right to work in the United States?

Yes No

Can you provide proof of age?

Yes No

Have you worked for LV Trucking before?

Yes No

Are you currently employed?

Yes No

Who referred you?

Rate of Pay Expected?

Is there any reason you might be unable to perform the functions of the job for which you have applied?

Yes No

Accident Record Information

Accident Date (mm/dd/yyyy)	Nature of Accident (Head-on, Rear-End, Upset, Etc.)	Fatalities	Injuries

Traffic Convictions and Forfeitures for the Past 3 Years

Other than parking violations. If none, write none.

Location	Date (mm/dd/yyyy)	Charge	Penalty

Have you had any other incidents, other than the accidents listed above, in the last 3 years?

Yes No

Education and Training Information

Enter highest elementary grade completed?
Enter highest high school grade completed?
Enter highest college grade completed?

Enter name of last school attended?
Enter city of last school attended?

Experience and Qualifications — Driver

Driver Licenses	State	License Number	License Type	Expiration Date (mm/dd/yyyy)

Have you ever been denied a license, permit or privilege to operate a motor vehicle?

Yes No

Has any license, permit or privilege ever been suspended or revoked?

Yes No

Driving Experience

If none, write none.

Class of Equipment	Type of Equipment (Van, Tank, Flat, Etc.)	From Date (mm/dd/yyyy)	To Date (mm/dd/yyyy)	Approx. Number of Miles (Total)

List states operated in for last five years
List special courses or training that will help you as a driver.
Which safe driving awards do you hold and from whom?

Employment History

All driver applicants to drive in interstate commerce must provide the following information on all employers during the preceding 3 years. List complete mailing address, city, state and zip code.

Applicants to drive a commercial motor vehicle* in intrastate or interstate commerce shall also provide an additional 7 years' information on those employers for whom the applicant operated such vehicle.

*Includes vehicles having a GVWR of 26,001 lbs. or more, vehicles designed to transport 15 or more passengers, or any size vehicle used to transport hazardous materials in a quantity requiring placarding.

(Note: List employers in reverse order starting with the most recent.

Employer 1
Name
Address
City	State	Zip Code
Contact Person	Contact Number
From Date (mm/yyyy)	To Date (mm/yyyy)
Position Held
Salary/Wage
Reason For Leaving

Experience and Qualifications — Other

List any trucking, transportation or other experience that may help in your work for this company.

List courses and training other than shown elsewhere in this application.

List special equipment or technical materials you can work with (other than those already shown)

Certify Application

By checking this box, I certify 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. I authorize you to make such investigations and inquiries of my personal, employment, financial or medical history and other related matters as may be necessary in arriving at an employment decision. (Generally, inquiries regarding medical history will be made only if and after a conditional offer of employment has been extended.) I hereby release employers, schools, health care providers and other persons from all liability in responding to inquiries and releasing information in connection with my application. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of LV Trucking.

You must check the box in before you can submit your application.

LV Trucking Inc.
2440 Harrison Road
Columbus, OH 43204
Phone: 614-275-4994 Fax: 614-275-3019

LV Logistics Management
2664 Fisher Road
Columbus, OH 43204
Phone: 614-358-0336 Fax: 614-276-1897

Contact Information

Additional Questions

Accident Record Information

Traffic Convictions and Forfeitures for the Past 3 Years

Education and Training Information

Experience and Qualifications — Driver

Driving Experience

Employment History

Employer 1

Employer 2

Employer 3

Employer 4

Employer 5

Employer 6

Employer 7

Experience and Qualifications — Other

Certify Application