Secure online application

Driver employment application

This form collects the driving and employment history needed to evaluate delivery-driver applicants. For your security, your Social Security number is not requested online.

Applicant information

Full legal name *

Email *

Phone *

Street address *

City *

State *

ZIP code *

Driver information

For your security, do not enter a Social Security number here. Best Builders Supply can collect it later through the private hiring process if required.

Date of birth *

Position applying for

Date available

Driver license number *

License state *

License class *

License expiration

Years at current address

Commercial driving experience?

Driving experience

Equipment / vehicle types driven

Approximate miles driven

States or areas driven

List accidents in the past 3 years (dates, nature, injuries, fatalities)

List traffic convictions in the past 3 years (other than parking)

Has a license, permit, or privilege ever been denied?

Has a license, permit, or privilege ever been suspended or revoked?

If yes, explain

Employment history

List at least 3 years of employment history. Applicants who have operated a commercial motor vehicle should provide the preceding 10 years, including any gaps.

Employer 1

Employer

Phone

Supervisor

Address

Dates employed

Position

Reason for leaving

Employer 2

Employer

Phone

Supervisor

Address

Dates employed

Position

Reason for leaving

Employer 3

Employer

Phone

Supervisor

Address

Dates employed

Position

Reason for leaving

Qualifications and training

Education completed

Driving school or special courses

Other qualifications or safe-driving awards

Certification and signature

I certify that the information in this application is true and complete. I authorize Best Builders Supply to verify information relevant to employment. I understand that my electronic signature has the same intent as signing a paper application.

Type your full legal name *

Date signed *

Choose how you want to sign * Draw my signature Type my signature

Draw your signature *

On a computer, hold down the left mouse button while signing. On a phone or tablet, sign with your finger or stylus.

I agree to use this electronic record and signature and certify that I am the person named in this application.