Driver Application

Please upload your resume or list all your past employers for the LAST 10 YEARS with complete addresses, dates, phone and fax numbers and each month accounted for. Please include your reason for leaving each position. (If self-employed, list the occupation, dates and name and addresses of which you provided service for.)

This application is not a contract. Nothing in this application constitutes an express or implied contract of employment or warranty of any benefits. In the event that the applicant agrees to accept a position with FreightEx Freight Services, LLC., (the Company) the applicant and the Company agree that the employment relationship between the Company and the employee is an at will relationship and that without cause, and with or without notice at any time, the employment may be terminated at the option of either the company or the employee.

FreightEx Freight Services, LLC., shall recruit, hire, train, and promote in all job titles without regard to race, color, creed, national origin, gender, pregnancy, marital status, sex, religion, age, military service, disability or handicap, or any other basis prohibited by federal, state or local law. All other personnel actions, such as compensation, benefits, company sponsored training, transfer, demotion, termination, layoff and return from layoff, shall be administered without regard to race, color, creed, national origin, gender, pregnancy, marital status, sex, religion, age, military service, or disability or handicap, or any other basis prohibited by federal, state or local law. Equipment Damage, Expedited Mail and Phone Cost Reimbursement If I am hired, I accept responsibility for cleaning or repairing cab interiors of trucks driven by me to their original condition, normal wear excepted, resulting from the removal of trash, odors, drivers belongings or personal equipment including electrical devices. I also accept responsibility for any personal telephone costs or expedited mail costs that I have chosen to use. I agree and understand that any misrepresentations of information given by me in this application shall be considered an act of falsification. I agree and understand that FreightEx Freight Services, LLC., or its agents may investigate my background to ascertain that any and all information of concern to qualification is factual. I understand that any misrepresentation of facts within this application may be cause for termination. I also understood that being able to pass a DOT physical examination, drug test examination and a road test are requirements of driver qualification.

I authorize you to make such investigations and inquiries of my personal, employment, financial or medical history and other related matters as may be necessary in arriving at an employment decision. (Generally, inquiries regarding medical history will be made only if and after a conditional offer of employment has been extended.)
I hereby release employers, schools, health care providers and other persons from all liability in responding to inquiries and releasing information in connection with my application. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the Company.
I understand that information I provide regarding current and/or previous employers may be used, and those employer(s) will be contacted, for the purpose of investigating my safety performance history as required by 49 CFR 391.23(d) and (e). I understand that I have the right to:
• Review information provided by previous employers;
• Have errors in the information corrected by previous employers and for those previous employers to re-send the corrected information to the prospective employer; and
• Have a rebuttal statement attached to the alleged erroneous information, if the previous employer(s) and I
cannot agree on the accuracy of the information.

I hearby authorize to release the following requested information to FreightEx Freight Services, LLC, 4720 Gateway Dr, Grand Forks, ND 58203 for the purpose of investigation for qualifying me to drive a commercial motor vehicle as required by the U.S. Deparment of Transportation & Federal Motor Carrier Safety Regulations Parts 382, 391, 392 &49 CFR Part 40. You are hereby released from any and all liability that may result from furnishing such information.

Please read and sign at the bottom.

MANDATORY USE FOR ALL ACCOUNT HOLDERS IMPORTANT NOTICE REGARDING BACKGROUND
REPORTS FROM THE PSP Online Service

In connection with your application for employment with FreightEx Freight Services, LLC. (“Prospective Employer”), Prospective Employer, its employees, agents or contractors may obtain one or more reports regarding your driving, and safety inspection history
from the Federal Motor Carrier Safety Administration (FMCSA).
When the application for employment is submitted in person, if the Prospective Employer uses any information it obtains from FMCSA in a decision to not hire you or to make any other adverse employment decision regarding you, the Prospective Employer
will provide you with a copy of the report upon which its decision was based and a written summary of your rights under the Fair Credit Reporting Act before taking any final adverse action. If any final adverse action is taken against you based upon your driving history or safety report, the Prospective Employer will notify you that the action has been taken and that the action was based in part or in whole on this report.
When the application for employment is submitted by mail, telephone, computer, or other similar means, if the Prospective Employer uses any information it obtains from FMCSA in a decision to not hire you or to make any other adverse employment decision regarding you, the Prospective Employer must provide you within three business days of taking adverse action oral, written or electronic notification: that adverse action has been taken based in whole or in part on information obtained from FMCSA; the name, address, and the toll free telephone number of FMCSA; that the FMCSA did not make the decision to take the adverse action and is unable to provide you the specific reasons why the adverse action was taken; and that you may, upon providing proper identification, request a free copy of the report and may dispute with the FMCSA the accuracy or completeness of any information or report. If you request a copy of a driver record from the Prospective Employer who procured the report, then, within 3 business days of receiving your request, together with proper identification, the Prospective Employer must send or provide to you a copy of your report and a summary of your rights under the Fair Credit Reporting Act. Neither the Prospective Employer nor the FMCSA contractor supplying the crash and safety information has the capability to correct any safety data that appears to be incorrect. You may challenge the accuracy of the data by submitting a request to https://dataqs.fmcsa.dot.gov. If you challenge crash or inspection information reported by a State, FMCSA cannot change or correct this data. Your request will be forwarded by the DataQs system to the appropriate State for adjudication. Any crash or inspection in which you were involved will display on your PSP report. Since the PSP report does not report, or assign, or imply fault, it will include all Commercial Motor Vehicle (CMV) crashes where you were a driver or co-driver and where those crashes were reported to FMCSA, regardless of fault. Similarly, all inspections, with or without violations, appear on the PSP report.
State citations associated with Federal Motor Carrier Safety Regulations (FMCSR) violations that have been adjudicated by a court of law will also appear, and remain, on a PSP report. The Prospective Employer cannot obtain background reports from FMCSA without your authorization.

If you agree that the Prospective Employer may obtain such background reports, please read the following and sign below:
I authorize FreightEx Freight Services, LLC. (“Prospective Employer”) to access the FMCSA Pre-Employment Screening Program (PSP) system to seek information regarding my commercial driving safety record and information regarding my safety inspection history. I
understand that I am authorizing the release of safety performance information including crash data from the previous five (5) years and inspection history from the previous three (3) years. I understand and acknowledge that this release of information may assist the Prospective Employer to make a determination regarding my suitability as an employee.
I further understand that neither the Prospective Employer nor the FMCSA contractor supplying the crash and safety information has the capability to correct any safety data that appears to be incorrect. I understand I may challenge the accuracy of the data by submitting a request to https://dataqs.fmcsa.dot.gov. If I challenge crash or inspection information reported by a State, FMCSA cannot change or correct this data. I understand my request will be forwarded by the DataQs system to the appropriate State for adjudication.
I understand that any crash or inspection in which I was involved will display on my PSP report. Since the PSP report does not report, or assign, or imply fault, I acknowledge it will include all CMV crashes where I was a driver or co-driver and where those crashes were reported to FMCSA, regardless of fault. Similarly, I understand all inspections, with or without violations, will appear on my PSP report, and State citations associated with FMCSR violations that have been adjudicated by a court of law will also appear, and remain, on my PSP report. I have read the above Disclosure Regarding Background Reports provided to me by Prospective Employer and I understand that if I sign this Disclosure and Authorization, Prospective Employer may obtain a report of my crash and inspection history. I hereby authorize Prospective Employer and its employees, authorized agents, and/or affiliates to obtain the information authorized above.