Customers About Us Driver Recruitment Contact Us
 
COMMODORE EXPRESS, INC
1500 HEIL QUAKER BLVD
LA VERGNE, TN 37086

P. O. Box 507
Antioch, TN 37011-0507

PHONE:   (615) 287-5140
FAX: (615) 287-5148
Driver Application
Applying For:* Solo  
Team with 
Owner Operator: Model/Year
 
Last Name:*
First Name:* Middle:
Former Name:
Email Address:*
 
SSN:* Birth Date:   mm/dd/yyyy
Home Phone:* Contact Phone:*
 
Current Address:*
City:* State:* Zip:
How many years at this address?*    
If less than 5 years, please provide previous address.
 
Previous Address:
City: State: Zip:
How many years at this previous address?  
 
Driver's License Information
State License Number Class Endorsements Expiration Date
mm/dd/yyyy
 
Last Five Years Experience One year or more Less than one year
Regions Northwest Southwest Northeast
  Southeast Midwest Canada
Have you ever been convicted of/or have a pending felony?
If yes, when? 		Yes No
Have you ever been convicted of/or have a pending DWI/DUI?
If yes, when? 		Yes No
Have you tested positive on an alcohol/controlled substance test?
If yes, when? 		Yes No
Are you authorized to work in the United States? Yes No
Are you able to pass a two year DOT physical? Yes No
Do you take any medications that could affect your driving? Yes No
Has your license ever been denied, revoked or suspended? Yes No
Have you served in the U.S. Armed Forces? Yes No
Did you serve during the Vietnam era (1963 - 1974)? Yes No
Have you ever worked or applied for work at CEI?
If yes, when? 		Yes No
 
Employment History
A complete record of employment for the past ten years is necessary for your application to be processed. Please list your present employer first. All time must be accounted for during this ten-year period, including military service, self-employment, non-driving positions and periods of unemployment. Please provide complete address and phone numbers, including area codes and zip codes.
Date Available for Work:
From:  To: Company Name:
Phone: Street Address:
Position: City: State: Zip:
Reason for Leaving: Ending Pay:
 
From:  To: Company Name:
Phone: Street Address:
Position: City: State: Zip:
Reason for Leaving: Ending Pay:
 
From:  To: Company Name:
Phone: Street Address:
Position: City: State: Zip:
Reason for Leaving: Ending Pay:
 
From:  To: Company Name:
Phone: Street Address:
Position: City: State: Zip:
Reason for Leaving: Ending Pay:
 
From:  To: Company Name:
Phone: Street Address:
Position: City: State: Zip:
Reason for Leaving: Ending Pay:
 
From:  To: Company Name:
Phone: Street Address:
Position: City: State: Zip:
Reason for Leaving: Ending Pay:
 
From:  To: Company Name:
Phone: Street Address:
Position: City: State: Zip:
Reason for Leaving: Ending Pay:
 
From:  To: Company Name:
Phone: Street Address:
Position: City: State: Zip:
Reason for Leaving: Ending Pay:
 
 
Traffic Violations
Date State Type of Violation Points or Penalty
 
Accident Information
Date Personal or Commercial Vehicle Nature of Accident Preventable Accident? Injuries Fatalities Amount
Details:
Details:
Details:
Details:
 
Education
Driving School: Phone Number:
Address: City: State: Zip:
Start Date: End Date:
Check highest grade completed: 10 11 12
Years beyond high school: 1 2 3 4 5 6 7 8
 
Personal References:
Do not include relatives or past employers)
Name Occupation Phone Number
 
In Case of Emergency:
Name Relationship City, State Phone Number


Submit this form or print it and mail it to Commodore Express at:

Commodore Express, Inc.
P. O. Box 507
Antioch, TN 37011-0507