Home   |    Pharmaceutical Logistics   |    Global 3rd Party Logistics   |    Foreign Trade Zone Operation

Careers

Application Agreement

Longistics is an equal opportunity employer. We are dedicated to a policy of non-discrimination in employment on any basis. We will not use the information on this application to discriminate against any individual with respect to their compensation, terms, conditions or privileges of employment because of, but not limited to, race, creed, color, age, gender, marital status, religion, national origin, disability, or veterans' status.




Present Address

   

Previous Addresses

   

   

   

Employment Information

(mm/dd/yyyy)
(mm/dd/yyyy)

Driver Experience and Qualification

(mm/dd/yyyy)
The U.S. Department of Transportation requires that driver applicants state their date of birth (391.21(b)(2)
Licenses (Drivers licenses held in the past 7 years must be listed)

1.

State*
License Number*
Class*
Endorsements(s)
Expiration Date* (mm/dd/yyyy)

2.

State
License Number
Class
Endorsements(s)
Expiration Date (mm/dd/yyyy)




Total years Total approx miles

Accident review for the past 7 years:
Last Accident
  Nature Of Accident
(Head on, Rear end, Overturn, etc.)
  Fatalities
  Injuries
Next/Previous
  Nature Of Accident
(Head on, Rear end, Overturn, etc.)
  Fatalities
  Injuries

Accident review for the past 7 years:

1.

Locations
Dates (mm/dd/yyyy)
Charge
Penalty

2.

Locations
Dates (mm/dd/yyyy)
Charge
Penalty

Employment History

Start with last or current position, including military experience and work back

The U.S. Department of Transportation requires that driver applications show all employment for the past three years. Effective July, 1987, they must also show commercial driver employment for the seven years immediately preceding this year period. 391.21(b)(10),(11)

1.

(mm/dd/yyyy)
(mm/dd/yyyy)

2.

(mm/dd/yyyy)
(mm/dd/yyyy)

3.

(mm/dd/yyyy)
(mm/dd/yyyy)

4.

(mm/dd/yyyy)
(mm/dd/yyyy)

5.

(mm/dd/yyyy)
(mm/dd/yyyy)

6.

(mm/dd/yyyy)
(mm/dd/yyyy)