Driver Pre-Application

Minimum Driver Qualification Information
The purpose of this secure online form is to determine whether or not the driver is qualified to operate motor carrier equipment according to the requirements of the Federal Motor Carrier Safety Regulations and C & W Trucking, Inc.

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


Position Applying for
Worked here before?

Personal Information - Section 1 of 6


Current & Three Years Previous Addresses - Section 2 of 6




Education History - Section 3 of 6

Please provide the highest level of completion for each educational division.


Employment History - Section 4 of 6

Give a Complete Record of all employment for the past three years, including any unemployment or self employment. 

Present/Last Employer

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 the drug and alcohol testing requirements of 49 CFR Part 40?

Previous Employer

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 the drug and alcohol testing requirements of 49 CFR Part 40?

Previous Employer

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 the drug and alcohol testing requirements of 49 CFR Part 40?

Previous Employer

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 the drug and alcohol testing requirements of 49 CFR Part 40?

Driver Experience - Section 5 of 6

Give a Complete Record of all commercial driving experience for the past ten years. 


Equipment Type Experience

Straight Truck

Tractor-Two Trailers

Other Equipment

Tractor & Semi-Trailer

Tractor-three trailers


Accident Record for the Past 3 Years




Traffic Convictions & Forfeitures for the Past 3 Years (other than parking)




Driver's License  held in the past 3 years




General Questions

Disclosure of this information does not automatically exclude the driver from consideration.

Have you ever been denied a license, permit or privilege to operate a motor vehicle?
Has any license, permit or privilege ever been suspended or revoked?
Is there any reason you might be unable to perform the functions of the job for which you have applied?
Have you ever been convicted of a felony?

Digitally Sign, Agree, & Submit - Section 6 of 6



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