Drivers Wanted

Driver Information Form

Select 1 Group, Inc., an industry leading provider of Specialized Automotive Transport, Event Marketing, and Managed Global Logistics to the world's leading automakers and advertising agencies is currently accepting applications for CDL Class A Drivers.

Our rapid growth demands we immediately fill open positions for Owner/Operators and Company Drivers. Our drivers must have three years OTR, car hauling, mobile marketing, or household goods experience.

IMPORTANT NOTICE: REGARDING BACKGROUND INVESTIGATION AND REPORTS

In connection with my application for employment with Select 1 Group, Inc., ("Prospective Employer"), Select 1, its employees, agents or contractors may obtain one or more reports regarding my driving and safety history from the Federal Motor Carrier Safety Administration (FMCSA) in addition to using other background services regarding fitness for hire.

When the application for employment is submitted in person, if Select 1 uses any information it obtains from any service, including the FMCSA, in a decision to not hire me or make any other adverse employment decision regarding me, Select 1 will provide me with a copy of the report upon which its decision was based and a written summary of my rights under the Fair Credit Reporting Act before taking any final adverse action. If any final adverse action is taken against me based upon my driving history or safety report, Select 1 will notify me that the action was 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 Select 1 uses any information it obtains from FMCSA in a decision to not hire me or to make any other adverse employment decision, Select 1 will provide me within three (3) business days of taking adverse action oral, written or electronic notification: that the adverse action was taken based in whole or in part on information obtained from FMCSA; the name, address and toll free number of FMCSA; that the FMCSA did not make the decision to take the adverse action and is unable to provide me the specific reasons why the adverse action was taken; and that I may, upon providing proper identification, request a free copy of the report and my dispute with the FMCSA the accuracy or completeness of any information or report. If I request a copy of a driver report from Select 1 who procured the report, then, within three (3) business days of receiving my request, together with proper identification, Select 1 must send or provide me a copy of my report and a summary of my rights under the Fair Credit Reporting Act.

Select 1 cannot obtain background reports unless I consent in writing.

If you agree that Select 1 may obtain background information and/or reports, please read the following and sign below:

I authorize Select 1 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 in addition to other services to obtain my personal history and background.

I understand that I am consenting to the release of personal information including, but not limited to personal data, driver's license and motor vehicle records for the previous five (5) years as well as inspection history from the previous three (3) years.

I understand and acknowledge that this release of information may assist Select 1 to make a determination regarding my suitability as a driver.
I further understand that neither Select 1 nor any private or public agency, such as the FMCSA, or contractors supplying the information, has the capability to correct any data that appears to be incorrect, other than as follows:

I further understand that neither Select 1 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 dataqs.fmcsa.dot.gov. If I am challenging crash or inspection information reported by a State, FMSCA cannot change or correct this data. I understand my request will be forwarded by the DataQs system to the appropriate State for adjudication.
Please note: 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 the FMCSA, regardless of fault.
Similarly, all inspections, with or without violations, appear on the PSP report. State citations associated with FMCSR violations that have been adjudicated by a court of law will also appear and remain, on a PSP report.

I have read this Notice Regarding Background Investigation provided to me by Select 1 and I understand that if I sign this consent form, Select 1 will obtain my personal information including, but not limited to personal data, driver’s license and motor vehicle records.
I hereby authorize Select 1 and its authorized agents to obtain the information described above.

Select 1 requires that you certify your application and authorize Select 1 and its authorized agents to obtain the information described above by submitting an electronic signature. To certify your application, read the text below, and provide an electronic signature (type your name) and check the box certifying your signature and select today's date.

Do you have a current CDL? Yes No

Do you have three years or more OTR driving experience? Yes No

Do you have Auto Transport or Mobile Marketing experience? Yes No

Can you travel into Canada? Yes No

Do you have any felony convictions? Yes No

Have you had more than three moving violations over the last three years? Yes No

DRIVER'S APPLICATION FOR EMPLOYMENT

Company: Select 1 Transportation Inc.
Address: 25005 Brest Road
Taylor, MI 48180

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 orgin, age, marital status, veteran status, non-job related disability, or any other protected group status.

Application to Complete

Position Applied For:

Company Driver Owner Operator

Residence

List your addresses of residency for the past 3 years.

Current Address

Previous Address 1

Previous Address 2

Previous Address 3



Have you worked for the company before? Yes No

Are you now employed? Yes No

Have you ever been bonded? Yes No

(Answer only if a job requirement)

Have you ever been convicted of a felony? Yes No

Conviction of a crime is not an automatic bar to employment—all circumstances will be considered.

Is there any reason you might be unable to perform the functions of the job for which you have applied Yes No

Employment History

All driver applicants to drive in interstate commerce must provide the following information on all employers during the preceding 3 years. List complete mailing address, street number, city, state and zip code. Applicants to drive a commercial motor vehicle* in intrastate or interstate commerce shall also provide an additional 7 years' information on those employers for whom the applicant operated such vehicle. (note: list employers in reverse order starting with the most recent. Add another sheet as necessary. )

Previous Employer 1

Were subject to the FMCSR** while employed? Yes No

Was your job designated as a safety-sensitive function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR part 40? Yes No

Previous Employer 2

Were subject to the FMCSR** while employed? Yes No

Was your job designated as a safety-sensitive function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR part 40? Yes No

Previous Employer 3

Were subject to the FMCSR** while employed? Yes No

Was your job designated as a safety-sensitive function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR part 40? Yes No

Previous Employer 4

Were subject to the FMCSR** while employed? Yes No

Was your job designated as a safety-sensitive function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR part 40? Yes No

Previous Employer 5

Were subject to the FMCSR** while employed? Yes No

Was your job designated as a safety-sensitive function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR part 40? Yes No

Previous Employer 6

Were subject to the FMCSR** while employed? Yes No

Was your job designated as a safety-sensitive function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR part 40? Yes No

* Includes vehicles having a GVWR of 26,001 lbs. or more, vehicles designed to transport 16 or more passengers (including the driver), or any size vehicle used to transport hazardous materials in a quantity requiring placarding.

** The Federal Motor Carrier Safety Regulations (FMCSRs) apply to anyone operating a motor vehicle on a highway in interstate commerce to transport passengers or properly when the vehicle: (1) weighs or has a GVWR of 10,0001 pounds or more, (2) is designed or used to transport more than 8 passengers (including the driver), OR (3) is of any size and is used to transport hazardous materials in a quantity requring placarding.

Accidents

Accident record for the past 3 years or more (attach sheet if more space is needed) if none, type none

Accident 1

Fatalities Yes No

Injuries Yes No

Vehicles towed-away

Accident 2

Fatalities Yes No

Injuries Yes No

Vehicles towed-away

Accident 3

Fatalities Yes No

Injuries Yes No

Vehicles towed-away

Traffic convictions

Forfeitures for the past 3 years (other than parking violations) if none, type none

Traffic conviction 1

Traffic conviction 2

Traffic conviction 3

Experience and qualifications – driver

Drivers licenses

List all driver licenses or permits held in the past 3 years

License 1

License 2

License 3

A. Have you ever been denied a license, permit or privilege to operate a motor vehicle? Yes No

B. Has any license, permit or privilege ever been suspended or revoked? Yes No

Driving Experience

Equipment 1

Equipment 2

Equipment 3

Equipment 4

Equipment 5

Equipment 6

Equipment 7

Select 1 requires that you certify your application by submitting an electronic signature. To certify your application, read the text below, and provide an electronic signature (type your name) and check the box certifying your signature and select today's date.