DLM Trucking Commercial Driver Application

Company: DLM Trucking, LLC | 81 South Wells Rd., Sunnyside, WA 98944

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ADDRESS HISTORY
Current Address*
Street Address City State / Province / Region ZIP / Postal Code Country
FROM*
MM slash DD slash YYYY
Have you lived at your current address for less than three years?*
- Yes
- No
Address #2*
Street Address City State / Province / Region ZIP / Postal Code Country
FROM*
MM slash DD slash YYYY
TO:*
MM slash DD slash YYYY
Have you lived at a third address within the last three years?*
- Yes
- No
Address #3*
Street Address City State / Province / Region ZIP / Postal Code Country
FROM*
MM slash DD slash YYYY
TO:*
MM slash DD slash YYYY
Have you lived at a forth address within the last three years?*
- Yes
- No
Address #4*
Street Address City State / Province / Region ZIP / Postal Code Country
FROM*
MM slash DD slash YYYY
TO:*
MM slash DD slash YYYY
Attach additional sheet if more room is needed for full 3 years of address history.
Max. file size: 50 MB.

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DRIVING EXPERIENCE
Straight Truck Experience
FROM
MM slash DD slash YYYY
TO:
MM slash DD slash YYYY
Approximate Number of Miles
Tractor & Semi-Trailer Experience
FROM
MM slash DD slash YYYY
TO:
MM slash DD slash YYYY
Approximate Number of Miles
Tractor & Two Trailers Experience
FROM
MM slash DD slash YYYY
TO:
MM slash DD slash YYYY
Approximate Number of Miles
Tractor & Triple Trailers Experience
FROM
MM slash DD slash YYYY
TO:
MM slash DD slash YYYY
Approximate Number of Miles
Other
Class of Equipmenrt
FROM
MM slash DD slash YYYY
TO:
MM slash DD slash YYYY
Approximate Number of Miles
List Special courses/training completed (PTD/DDC, HAZMAT, ETC)
Enter and click the + button to add more:
List states operated in, for the last five (5) years:
Enter and click the + button to add more:
List any Safe Driving Awards you hold and from whom:
Enter and click the + button to add more:
Award From Whom

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JOB REFERENCES
List three (3) persons for references, other than family members, who have knowledge of your safety habits.
Name*
Phone*
Email
Name*
Phone*
Email
Name*
Phone*
Email

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Date of Accident	Nature of Accidents (Head on, rear end. etc.)	Location of Accident	# of Fatalities	# of People Injured

Date	Location	Charge	Penalty

State	License #	Type	Endorsements	Expiration Date

HIRING DRIVERSNOW !APPLY

Enter and click the + button to add more:

Enter and click the + button to add more:

Award	From Whom