Application - Direct

TQM's Driver Direct Application for Commercial Truck Drivers interested in learning more about TQM and speaking with a Career Coach. 

If you are interested in a CDL Driving Opportunity with TQM, please submit your application below.

TQM LOGISTICS SOLUTIONS, Inc.

In complaince with Federal and State equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, gender, national origin, age, marital status, union affiliation, veteran status, the presence of a non-job related medical condition or handicap, or any other category protected group status. 

 


GENERAL INFORMATION
First Name: *
Middle Initial:
Last Name: *
TQM Career Coach:
Position applying for?:
Have you worked for this company before?:
If YES, to working for TQM before please provide the following (Dates From and TO, Location, Rate of Pay, Position, and Reason for Leaving):
How did you hear about TQM Logistics Solutions, Inc.? (Referral, Advertisement, etc.):
Rate of pay expected:

Address of residency for the past 3 years
Street Address (current): *
City (current address): *
State (current address): *
Zip Code (current address): *   (5 Digits)
Country (current address):
Years at current residence: *

 

Address - If current address is less than 3 years
Street Address (prior):
City (prior address):
State (prior address):
Zip Code (prior address):   (5 digits)
Country (prior):
Years at prior residence:


Daytime Phone:
Cell Phone: *
Best time to call:
Electronic Transmission Address: *
Date of Birth:
Social Security Number:
Emergency Contact Name:
Emergency Contact Phone Number:
Are you legally qualified to work in this country?: *
Did you serve in a branch of the military?:
If so, which one?:
If so, when?:


 
QUALIFICATIONS

Section 383.21 FMCSR states "No person who operates a commercial motor vehicle shall at any time have more than one driver’s license". I certify that I do not have more than one motor vehicle license, the information for which is listed below.

Driver License Number:
Driver License State:
License Expiration Date:
Driver License Class:
Do you have a HAZMAT endorsement?: *
Do you have a TANKER endorsement?: *
Do you have a Tanker/Hazmat Combination endorsement?: *
Do you have a Doubles/Triple endorsement?: *
Do you have a TWIC CARD?: *
Do you have a Passenger (16+) endorsement?: *
Do you have a School Bus endorsement?: *
List any other driver licenses or permits held in the past 3 years:

DRIVING PREFERENCES
Regions you want to run?:      
How do you want to run?:    
What do you want to haul?:      
Company Driver:
Owner Operator:
Truck Owned:
Truck Year:
Interested in a lease purchase?:
Are you currently a Student?:
Are you a recent graduate?:

 

DRIVING EXPERIENCE
Months of Commercial Driving Experience:   Includes operation of all vehicles in excess of 10,001 lbs.

Straight Truck Experience
Months of Straight Truck Driving Experience:
Straight Truck Equipment Operated:      
APPROX. Straight Truck Miles (Total):

Tractor and Semi-Trailer Experience
Months of Tractor and Semi-Trailer Experience:
Tractor and Semi-Trailer Equipment Operated:      
APPROX. Tractor and Semi-Trailer Miles (Total):

Tractor - Two Trailers (DOUBLES)
Months of Tractor - Two Trailer Experience:
Tractor - Two Trailer Equipment Operated:      
APPROX. Tractor - TWO Trailer Miles (Total):

Tractor - Three Trailers (TRIPLES)
Months of Tractor - Three Trailers Experience:
Tractor - Three Trailer Equipment Operated:      
APPROX. Tractor - Three Trailer Miles (Total):

Motorcoach - School Bus (More than 8 passengers)
APPROX. Motorcoach - School Bus Miles Driven (Total):

Motorcoach - School Bus (More than 15 passengers)
APPROX. Motorcoach - School Bus Miles Driver (15+ passenger) (Total):

OTHER COMMERCIAL EXPERIENCE
Other Class of Equipment Description:
APPROX. Other Commercial Miles Driven (TOTAL):

List states operated in for last FIVE years:
Show special courses or training that will help you as a driver:
List any safe driving awards and from whom they were issued:
List special equipmet or technical materials you can work with (other than already shown):

EDUCATION
List last grade completed:
Last school attended (Name, City, State):

Did you graduate from a driving school?:

If YES, name of school?:

If YES, month and year of graduation?:








SAFE DRIVING HISTORY
(past 36 months)
Have you had any TRAFFIC CONVICTIONS (past 36 months): *
If YES to TRAFFIC CONVICTIONS provide details including (Location, Date, Charge, and Penalty):

Have you had any Traffic Accidents (past 36 months)?: *
If YES to TRAFFIC ACCIDENTS provide details including (Dates, Nature of Accident, Fatalities, Injuries, Hazmat Spill, etc.):



Roadside Inspections 
(past 36 months):



  How many?
Roadside Inspection
VIOLATIONS (36 months):		   How many?
Details for any INSPECTION VIOLATIONS:






BACKGROUND HISTORY
Have you ever had a felony conviction: *
If YES to a felony conviction, please explain fully:

Do you have any drug convictions: *
Have you ever tested positive or refused a drug and or alcohol test?: *
If YES to any drug convictions, please explain fully:


Have you ever had a DUI/DWI conviction: *
If YES, date of DUI/DWI conviction(s):

Have you ever had your license suspended or revoked: *
If YES, date of suspension(s) or revocation(s):

Have you ever been denied a license, permit or privilege to operate a motor vehicle?: *
If YES, to denied license, permit, or privileges explain in detail:

Have you ever been charged with Reckless Driving or Driving to Endanger: *
If YES, date of driving conviction(s):

Have you ever been cited for 15+ mph over the speed limit in a commercial motor vehicle: *
If YES, date of speeding conviction(s):




EMPLOYMENT HISTORY

Applicants that desire to drive in interstate commerce must provide the following information on all employers during the previous three (3) years.

You must give the same information for all employers you have driven a commercial motor vehicle for the seven years prior to the initial three years (total of ten years employment record).

(NOTE: List employers in reverse order starting with the most recent.  If you require an additional sheet, contact your Career Coach and they will email you a separate sheet)
Current or most recent employer:
Position Held (current or recent):
Salary (current or recent):
Address (current or recent employer):
City (current or recent employer):
State (current or recent employer):
Zip Code (current or recent employer):
Country (current or recent employer):
Company Phone (current or recent employer):
Contact / Supervisor (current or recent employer):
Start Date (current or recent employer):
End Date (current or recent employer):
Equipment Operated (current or recent employer):
Were you subject to the Federal Motor Carrier Safety Regulations (FMCSRs) while employed by your current or recent employer?:   (YES or NO)
Was your current or recent job position designated as a safety sensitive function in any DOT regulated mode, subject to alcohol and controlled substances testing requirements as required by 49 CFR Part 40:   (YES or NO)
Reason for leaving your current or recent employer:


ANY GAPS IN EMPLOYMENT AND/OR UNEMPLOYMENT BETWEEN YOUR CURRENT OR MOST RECENT EMPLOYMENT AND SECOND MOST RECENT EMPLOYER MUST BE EXPLAINED. INCLUDE DATES (MONTH/YEAR) AND REASON:


SECOND MOST RECENT EMPLOYER
Name of Company (second most recent employer):
Position Held (second most recent employer):
Salary (second most recent employer):
Address (second most recent employer):
City (second most recent employer):
State (second most recent employer):
Zip Code (second most recent employer):   (5 digits)
Country (Second most recent employer):
Phone Number (second most recent employer):
Contact Person / Supervisor (second most recent employer):
Start Date (second most recent employer):
End Date (second most recent employer):
Equipment Operated (second most recent employer):
Were you subject to Federal Motor Carrier Safety Regulations (FMCSRs) while employed by your second most recent employer?:   (YES or NO)
Was the job at your second most recent employer designated as a safety sensitive function in any DOT regulated mode, subject to alcohol and controlled substances testing requirements as required by 49 CFR Part 40?:   (YES or NO)
Reason for leaving your second most recent employer:


ANY GAPS IN EMPLOYMENT AND OR UNEMPLOYMENT BETWEEN YOUR SECOND AND THIRD MOST RECENT EMPLOYERS MUST BE EXPLAINED. INCULDE DATES (MONTH/YEAR) AND REASON:


THIRD MOST RECENT EMPLOYER
Name of Company (third most recent employer):
Position Held (third most recent employer):
Salary (third most recent employer):
Street Address (third most recent employer):
City (third most recent employer):
State (third most recent employer):
Zip Code (third most recent employer):
Country (third most recent employer):
Company Phone Number (third most recent employer):
Contact Person / Supervisor (third most recent employer):
Start Date (third most recent employer):
End Date (third most recent employer):
Equipment Operated (third most recent employer):
Were you subject to the Federal Motor Carrier Safety Regulations (FMCSRs) while employed by your third most recent employer?:   (YES or NO)
Was the job postion at your third most recent employer designated as a safety sensitive function in any DOT regulated mode, subject to alcohol and controlled substances testing requirements as required by 49 CFR Part 40?:   (YES or NO)
Reason for leaving your third most recent employer:



ANY GAPS IN EMPLOYEMNT AND/OR UNEMPLOYMENT BETWEEN YOUR THIRD AND FOURTH MOST RECENT EMPLOYERS MUST BE EXPLAINED. INCLUDE DATES (MONTH/YEAR) AND REASON:


FOURTH MOST RECENT EMPLOYER
Name of Company (fourth most recent employer):
Position Held (fourth most recent employer):
Salary (fourth most recent employer):
Street Address (fourth most recent employer):
City (fourth most recent employer):
State (fourth most recent employer):
Zip Code (fourth most recent employer):   (5 digits)
Country (fourth most recent employer):
Company Phone Number (fourth most recent employer):
Contact Person / Supervisor (fourth most recent employer):
Start Date (fourth most recent employer):
End Date (fourth most recent employer):
Equipment Operated (fourth most recent employer):
Were you subject to the Federal Motor Carrier Safety Regulations (FMCSRs) while employed by your fourth most recent employer?:   (YES or NO)
Was the position at your fourth most recent employer designated as a safety sensitive function in any DOT regulated mode, subject to alcohol and controlled substances testing requirements as required by 49 CFR Part 40?:   (YES or NO)
Reason for leaving (fourth most recent employer):



ANY GAPS IN EMPLOYMENT/OR UNEMPLOYMENT BETWEEN YOUR FOURTH AND FIFTH MOST RECENT EMPLOYERS MUST BE EXPLAINED. INCLUDE DATES (MONTH/YEAR) AND REASON:


FIFTH MOST RECENT EMPLOYER
Name of Company (fifth most recent employer):
Position Held (fifth most recent employer):
Salary (fifth most recent employer):
Street Address (fifth most recent employer):
City (fifth most recent employer):
State (fifth most recent employer):
Zip Code (fifth most recent employer):   (5 Digits)
Country (fifth most recent employer):
Company Phone Number (fifth most recent employer):
Contact Person / Supervisor (fifth most recent employer):
Start Date (fifth most recent employer):
End Date (fifth most recent employer):
Equipment Operated (fifth most recent employer):
Were you subject to the Federal Motor Carrier Safety Regulations (FMCSRs) while employed by your fifth most recent employer?:  (YES or NO)
Was the previous job position at yoru fifth most recent employer designated as a safety sensitive function in any DOT regulated mode, subject to alcohol and controlled substances testing requirements as required by 49 CFR Part 40?:  (YES or NO)
Reason for leaving  (fifth most recent employer):



ANY GAPS IN EMPLOYMENT AND/OR UNEMPLOYMENT BETWEEN YOUR FIFTH ND SIXTH MOST RECENT EMPLOYERS MUST BE EXPLAINED. INCLUDE DATES (MONTH/YEAR) AND REASON:


SIXTH MOST RECENT EMPLOYER
Name of Company (sixth most recent employer):
Position Held (sixth most recent employer):
Salary (sixth most recent employer):
Street Address (sixth most recent employer):
City (sixth most recent employer):
State (sixth most recent employer):
Zip Code (sixth most recent employer):   (5 Digits)
Country (sixth most recent employer):
Company Phone Number (sixth most recent employer):
Contact Person / Supervisor (sixth most recent employer):
Start Date (sixth most recent employer):
End Date (sixth most recent employer):
Equipment Operated (sixth most recent employer):
Were you subject to the Federal Motor Carrier Safety Regulations (FMCSRs) while employed by your sixth most recent previous employer?:   (YES or NO)
Was the previous job position at your sixth most recent employer designated as a safety sensitive function in any DOT regulated mode, subject to alcohol and controlled substances testing requirements as required by 49 CFR Part 40?:   (YES or NO)
Reason for leaving (sixth most recent employer):



TO BE READ AND ACCEPTED BY THE APPLICANT

This certifies 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 knowldge.
Your Full Name: *
Today's Date: *
Your Social Security Number: *
Your Birth Date: *
Security Code: *  


Any comments you would like heard:



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