Online Application

Full Name*

Address*

City* State* AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareWashington DCFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennslyvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
Zip

Day Phone*
Night Phone

Email*

Best time to call:

CDL License

CDL Number
CDL Issue State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareWashington DCFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennslyvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
Select all that apply to your current CDL
Class AClass BClass CTankerDouble

Driver Information

I am a... (check all that apply)
Company DriverOwner OperatorStudent

Current Employer

Employer Name
Address
City
State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareWashington DCFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennslyvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
Zip
Start Date
End Date (If applicable)

Driving History

Number of Accidents (Last 3 years)
Number of Tickets (Last 3 years)
Have you ever received a ticket for reckless driving?*
YesNo

Criminal Record

Have you ever been convicted of a felony? YesNo

If so, when?
Have you ever been convicted, or are any charges pending, for driving while under the influence of alcohol, a narcotic drug, amphetamines, or derivatives thereof? YesNo

If so, when?

Have you ever been denied a license, permit, or privilege to operate a motor vehicle?
YesNo
Has any license, permit, or privilege ever been suspended or revoked?
YesNo
Have you ever been refused any type of insurance or been denied bonding?
YesNo
Have you ever tested positive on a drug screen?
YesNo

Agreement

By submitting this application, I certify that I personally completed this application and that all of the information is true and correct. In connection with my application for employment with Marathon Mail I understand that a consumer report which may contain public record information may be requested from DAC Services, Tulsa, Oklahoma and/or other driving record sources. These reports may include the following types of information: names and dates of previous employers, reason for termination of employment, work experience, accident, etc. I further understand that such reports may contain public record information concerning my driving record, workers’ compensation claims, credit, bankruptcy proceedings, criminal records, etc., from DAC concerning previous driving record requests made by others from such state agencies, and state provided driving record.

I AUTHORIZE, WITHOUT RESERVATION, ANY PARTY OR AGENCY CONTACTED BY DAC AND/OR OTHER DRIVING RECORD SOURCES TO FURNISH THE ABOVE MENTIONED INFORMATION.

I have the right to make a request to DAC and/or other driving sources, upon proper identification, to request the nature and substance of all information in its files on me at the time of my request, including the sources of information; and the recipients of any reports on me which DAC and/or other driving sources, has previously furnished within the two year period preceding my request. I hereby consent to Marathon Mail obtaining the above information from DAC, and I agree that such information which DAC and/or other driving record sources have to obtain, and my employment history with Marathon Mail if I am hired, will be supplied by DAC to other companies which subscribe to DAC Services.

I hereby authorize procurement of consumer report(s). If hired, this authorization for information shall remain on file and shall serve as an ongoing authorization for Marathon Mail to procure consumer reports at anytime during my employment period.

I have read the above release and I give permission to obtain consumer reports about me from DAC.
YesNo

Additional Comments