DRIVER APPLICATION

Step 1 of 2: Submit

Thank you for your interest in Rowland Truck Lines. To apply for a driving position, please complete the online driver application in its entirety. Incomplete information will delay the processing of your application. Required entry fields are followed by an asterisk*. If you encounter any errors during this process, please call us at (352) 521-3555.

DRIVER ELIGIBILITY REQUIREMENTS

- Age 23 or above
- Eligible for employment in the US
- Read, write and speak English
- Valid Class A CDL
- Minimum of 2 years verifiable professional driving experience within the past 5 years
- Satisfactory safety and employment history
- Pass pre-employment drug test
- Must not have had any of the follow major violations within the past 36 months: leaving the scene of an accident, DUI or DWI, hit & run, reckless driving or conduct, felony with a vehicle, racing or dragging, excessive speed greater than 20 mph over limit, eluding police, passing a school bus, knowingly driving with a suspended, revoked or fraudulent license, failure to report or making false report of an accident, two at-fault accidents, or more than 4 moving violations within 36 months, or 3 within 12 months.

Date of Application

Date Available

APPLICANT INFORMATION

*In compliance with Federal and State equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status, veteran status, non-job disability or any other protected group status.

Rowland Truck Lines, Inc. participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. If E-Verify cannot confirm that you are authorized to work, we will provide you with written instructions and an opportunity to contact the Department of Homeland Security (DHS) or the Social Security Administration (SSA) so you may begin to resolve the issue prior to our taking any action against you, including terminating your employment.*

First Name Middle Name Last Name Suffix Date of Birth

Social Security Number Home Phone Cell Phone Email Address Date of Last DOT Physical

Medical Card / Certificate

Do you have the legal right to work in the United States? Have you ever worked for us? If yes, when? Reason for Leaving? Are you currently employed? Have you ever been convicted of a felony? If yes, please provide a full explanation. The conviction of a crime will not automatically result in the declination of employment. Prior military service? If yes, which branch? Where did you hear about us? Referred By Emergency Contact Name Phone Relationship to Emergency Contact

RESIDENCY HISTORY (previous 3 years required)

Current Address City State Zip Years at Current Address Previous Address City State Zip Years at Previous Address

LICENSE INFORMATION

No person who operates a commercial motor vehicle shall at any time have more than one driver's license (49 CFR 383.21). I certify that I do not have more than one motor vehicle license, the information for which is listed below. List all licenses held for the past 3 years.

Driver's License State Driver's License Number Type/Class Endorsements Expiration Date

Driver's License

If current license has been held for less than 3 years, please enter previous license information below.

Driver's License State Driver's License Number Type/Class Endorsements Expiration Date

DRIVING EXPERIENCE

Class of Equipment Type of Trailer Date From

Date To

Approximate Number of Miles (Total) Class of Equipment Type of Trailer Date From

Date To

Approximate Number of Miles (Total)

ACCIDENT RECORD (past 3 years)

Have you been involved in any accidents in the past 3 years? If no, skip to TRAFFIC CONVICTIONS. Date of Accident

Nature of Accident Fatalities Injuries Hazmat Spill? Date of Accident

Nature of Accident Fatalities Injuries Hazmat Spill?

TRAFFIC CONVICTIONS AND FORFEITURES OTHER THAN PARKING VIOLATIONS (past 3 years)

Have you had any traffic convictions and/or forfeitures, other than parking violations, in the past 3 years? If no, skip to EMPLOYMENT HISTORY. Date Convicted

Violation State of Violation Penalty Date Convicted

Violation State of Violation Penalty Have you ever been denied a license, permit or privilege to operate a motor vehicle? Have you ever had a license, permit or privilege suspended or revoked? If you answered 'Yes' to either of the above questions, please provide details below.

EMPLOYMENT HISTORY

The Federal Motor Carrier Safety Regulations (49 CFR 391.21) require that all applicants wishing to drive a commercial vehicle list all employment for the last three (3) years. In addition, if you have driven a commercial vehicle previously, you must provide employment history for an additional seven (7) years (for a total of ten (10) years). Any gaps in employment in excess of one (1) month must be explained.

Start with the last or current position, including any military experience, and work backwards (attach separate sheets if necessary). You are required to list the complete mailing address, including street number, city, state, zip; and complete all other information.

CURRENT (MOST RECENT) EMPLOYER

Company Name Address City State Zip Phone Position Held From (Month/Year) To (Month/Year) Reason for Leaving Salary While employed here, were you subject to the Federal Motor Carrier Safety Regulations? Was this job subject to DOT-regulated drug and alcohol testing?

SECOND (MOST RECENT) EMPLOYER

THIRD (MOST RECENT) EMPLOYER

FOURTH (MOST RECENT) EMPLOYER

DECLARATION OF EMPLOYMENT STATUS

Unemployment History

EDUCATION

Highest Level of Education Completed Last School Attended

OTHER QUALIFICATIONS

Please list any other qualifications that you have and which you believe should be considered.

TO BE READ AND SIGNED BY APPLICANT

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Applicant Signature

Date: Thursday, 18 April 2024 (EDT)

Name:

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