DRIVER PRE-APPLICATION

Please complete all fields as applicable. The information you submit will remain confidential with Arctic Express.

When you have completed the pre-application, click on Submit Application. If you need to clear the form to start over, click on Reset Form. We process applications as soon as we can, please call the Recruiting Department the afternoon of the next business day at 1-800-927-0431.

NOTE: * denotes a required field.


* First Name
* Last Name
   Middle initial
* Street address
   Address (cont.)
* City
* State/Province
* Zip/Postal code
   Work Phone
* Home Phone
   E-mail

Social Security Number:
Date of Birth:   (mm/dd/yy)
   Date you will be available for orientation:   (mm/dd/yy)


Driver's License Number:
Driver's License State:
Driver's License Expiration Date: -- mm/dd/yy

CDL? Yes No
HazMat Endorsement? Yes No

Number of Tickets in last 3 years?
Number of Accidents in last 3 years?

Describe the accident damage:

Have you ever been arrested for driving while intoxicated?
Yes No

If yes, explain:

Have you ever had your license suspended or revoked?
Yes No

If yes, explain:


Please list your previous driving jobs:


Present/Most Recent Employer: 1st Previous Employer:
Dates of Employment:
from to
Dates of Employment:
from to
Address: Address:
City:        
State:
City:  
State:
Zip:    Zip:    
Telephone: Telephone:
Type of Trailer:  
Number of States:
Type of Trailer:
Number of States:
May we contact your present employer?


2nd Previous Employer: 3rd Previous Employer:
Dates of Employment:
from to
Dates of Employment: from
to
Address: Address:
City:        
State:
City:  
State:
Zip:    Zip:    
Telephone: Telephone:
Type of Trailer:  
Number of States:
Type of Trailer:
Number of States:


4th Previous Employer:
Dates of Employment: from to
Address:
City:       State:
Zip:
Telephone:
Type of Trailer:   Number of States:



How did you learn about Arctic Express, Inc.?
Internet
Current/Former Arctic Express Employee
Magazine Advertisement
Yellow Pages
Another Transportation Company
Other

If you were referred by a current/former Arctic Express employee, please enter that employee's name:




Please read Disclosure and Release below, and press SUBMIT button at bottom of page if you agree:

Disclosure and Release

As part of our consideration of your application, the DOT requires us to investigate your employment background. As part of this investigation, we may obtain consumer reports about you from DAC Services. DAC is a consumer reporting agency.

Any decision we make not to hire you based on information contained in your consumer report will be our decision alone. DAC does not make any decisions concerning your employment with us and will not know the specific reasons why we may decide not to hire you.

In the event you are not hired based on information contained in your consumer report, we will tell you. We’ll also advise you of your right to obtain a free copy of the consumer report from DAC and your right to dispute the accuracy or completeness of your report.

Your consent for us to obtain the report from DAC is required. Although you have a right to withhold your consent, we will not consider your application if you do. Do we have permission to obtain consumer reports about you from DAC?


For more information about Arctic Express, please contact our recruiting department.
Phone: 800-927-0431
E-Mail