Careers We are an Equal Opportunity/Affirmative Action Employer. To submit a job application, please fill out the following form. Step 1 of 4 25% APPLICANT INFORMATIONName (first, middle, last)* Email Address Primary Phone NumberCurrent Address Street / Apt. No. Street Address City ALAKAZARCACOCTDEDCFLGAGUHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPAPRRISCSDTNTXUTVTVAWAWVWIWY State Zip Code How Long? Date of Birth (format mm/dd/yyyy) *Required for Truck Drivers MM slash DD slash YYYY Do you have a legal right to be employed in the U.S.? Yes No How were you referred to Double D or how did you hear about us? (Click the drop down to select)*Please SelectFacebook/InstagramIndeedGoogle searchSaw the logo on trucksSimply HiredZip RecruiterFrom a Double D employeeOtherNone of the aboveFrom a Double D employee:* Other: EMPLOYMENT DESIREDDouble D Positions: Select the position you are applying for. (You may check more than one box to apply to more than one position) Required* Double Bottom Semi End Transfer Ten Wheeler Lowbed Mechanic/Shop applicants Click Here to apply.Other Position: Date AvailableMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year203020292028202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Desired Pay Referred By Have you ever worked for us before? Yes No Reason for leavingAre you employed now? Yes No If No, when was your last day employed? Are you able to perform the essential functions of the job for which you are applying with or without reasonable accommodation? Yes No FORMER EMPLOYERS – List former employers for the previous 10 years.Job 1Company Name Address, city, state, zip From: MM slash DD slash YYYY To: MM slash DD slash YYYY Position(s) held Supervisor Phone numberMay we contact? Yes No Reason for leavingDuties / Responsibilities:Job 2Company Name Address, city, state, zip From: MM slash DD slash YYYY To: MM slash DD slash YYYY Position(s) held Supervisor Phone numberMay we contact? Yes No Reason for leavingDuties / Responsibilities:Job 3Company Name Address, city, state, zip From: MM slash DD slash YYYY To: MM slash DD slash YYYY Position(s) held Supervisor Phone numberMay we contact? Yes No Reason for leavingDuties / Responsibilities:Job 4Company Name Address, city, state, zip From: MM slash DD slash YYYY To: MM slash DD slash YYYY Position(s) held Supervisor Phone numberMay we contact? Yes No Reason for leavingDuties / Responsibilities:Job 5Company Name Address, city, state, zip From: MM slash DD slash YYYY To: MM slash DD slash YYYY Position(s) held Supervisor Phone numberMay we contact? Yes No Reason for leavingDuties / Responsibilities:Job 6Company Name Address, city, state, zip From: MM slash DD slash YYYY To: MM slash DD slash YYYY Position(s) held Supervisor Phone numberMay we contact? Yes No Reason for leavingDuties / Responsibilities: EDUCATIONAL BACKGROUNDHigh school(s)LocationDid you graduate? Yes No Major/Minor studied College(s)LocationDid you graduate? Yes No Major/Minor studied Trade, business, technical or otherLocationDid you graduate? Yes No Major/Minor studied DRIVER’ S LICENSEDriver’s License Number* State Issued* Issue DateMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year203020292028202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Expiration Date*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year203020292028202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Class/Endorsements Driver’s License Number State Issued Issue DateMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year203020292028202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Expiration DateMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year203020292028202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Class/Endorsements DRIVING EXPERIENCEStraight Truck / Equipment Operated States Driven In Miles Driven For How Long? Tractor/Trailer Equipment Operated States Driven In Miles Driven For How Long? Tractor/Double Trailers Equipment Operated States Driven In Miles Driven For How Long? Other Equipment Operated States Driven In Miles Driven For How Long? ACCIDENTS (last three years)Accident 1Type of accident (rear end, head-on, etc) DateMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year203020292028202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Location of accident Injuries? Yes No Fatalities? Yes No Was it your fault? Yes No Explain all lines Accident 2Type of accident (rear end, head-on, etc) DateMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year203020292028202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Location of accident Injuries? Yes No Fatalities? Yes No Was it your fault? Yes No Explain all lines Accident 3Type of accident (rear end, head-on, etc) DateMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year203020292028202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Location of accident Injuries? Yes No Fatalities? Yes No Was it your fault? Yes No Explain all lines DRIVING VIOLATIONS (list all violations-except parking-for which you paid bail or were convicted for the past three years)Violation 1DateMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year203020292028202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Type of Violation Location Type of Vehicle Driven Violation 2DateMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year203020292028202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Type of Violation Location Type of Vehicle Driven Violation 3DateMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year203020292028202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Type of Violation Location Type of Vehicle Driven LICENSE SUSPENSIONS, DENIALS, REVOCATIONS (list any and all below)Incident 1DateMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year203020292028202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Why?Incident 2DateMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year203020292028202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Why?Check here if your license has never been suspended, denied or revoked. Yes No MILITARY SERVICEDescribe any military service skills that may be relevant to the job you are applying for:DRUG AND ALCOHOL TESTINGWithin the last two years, have you ever tested positive or refused to submit to a pre-employment drug or alcohol test administered by an employer to which you applied for, but did not obtain, safety-sensitive transportation work covered by DOT drug and alcohol testing rules? Yes No Within the last two years, have you ever tested positive, or refused to test, on any drug or alcohol test administered by an employer for which you performed safety-sensitive transportation work?: Yes No If yes to either of the above questions, can you provide and/or obtain proof that you have successfully completed the DOT return-to-work requirements?: Yes No SPECIAL SKILLS AND OTHER QUALIFICATIONSPlease list any special job related skills or other qualifications that you possess. (Certifications, safety education & training, operator certifications, equipment operation, awards, etc.) AUTHORIZATION – Important; please read carefully and initial each paragraph before signing.“I declare under penalty of perjury that this application was completed by me, and the information contained in this application and any resume or other documentation submitted is true and complete to the best of my knowledge". “I declare under penalty of perjury that this application was completed by me, and the information contained in this application and any resume or other documentation submitted is true and complete to the best of my knowledge".“I understand that any false information or significant omissions will disqualify me from further consideration for employment, and will be justification for my dismissal from employment, if discovered at a later date.” “I understand that any false information or significant omissions will disqualify me from further consideration for employment, and will be justification for my dismissal from employment, if discovered at a later date.”“I agree and consent to submit to a pre-employment drug test as required by 49 CFR 382.301. I understand that a positive result may disqualify me from employment with the Company.” “I agree and consent to submit to a pre-employment drug test as required by 49 CFR 382.301. I understand that a positive result may disqualify me from employment with the Company.”“I understand and agree that if I am conditionally offered employment, the Company may conduct a criminal history background check and ask me about any criminal record to the extent permissible by law.” “I understand and agree that if I am conditionally offered employment, the Company may conduct a criminal history background check and ask me about any criminal record to the extent permissible by law.”“I understand that after being offered employment I may be required to take a physical examination. I consent to the release of any and all medical information and records that the examining physician requests. “I understand that after being offered employment I may be required to take a physical examination. I consent to the release of any and all medical information and records that the examining physician requests.“I am qualified and able to perform the duties of the job that I am applying for to the best of my knowledge with or without reasonable accommodation.” “I am qualified and able to perform the duties of the job that I am applying for to the best of my knowledge with or without reasonable accommodation.”“I understand that, if hired, I may not hold other employment unless given permission in writing by the Company". “I understand that, if hired, I may not hold other employment unless given permission in writing by the Company".Agreement for At-Will Employment - “I understand and acknowledge that my employment will be at-will, and may be terminated with or without cause, and with or without notice, at any time at the option of myself or the Company. Agreement for At-Will Employment - “I understand and acknowledge that my employment will be at-will, and may be terminated with or without cause, and with or without notice, at any time at the option of myself or the Company.Compliance With Rules - “If I become employed, in consideration of my employment, I understand that I must comply with the rules, regulations, policies and procedures of the Company.” Compliance With Rules - “If I become employed, in consideration of my employment, I understand that I must comply with the rules, regulations, policies and procedures of the Company.”Consent - “I consent to the Company contracting my prior employer(s).” Consent - “I consent to the Company contracting my prior employer(s).”Please upload your K-4 DMV printout with your application or Fax it to 925.560.1183. Your K-4 DMV printout is required to start the hiring process. You can submit this application without the DMV printout, but we will need it as soon as possible.Max. file size: 50 MB.Signature of Applicant (type full name): Date:Month123456789101112Day12345678910111213141516171819202122232425262728293031Year203020292028202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920HiddenTime : Hours Minutes AM PM AM/PM HiddenDate Entry not visibleHiddenApplication FROM: Notice of Requirement to Register for the Clearinghouse/Drug and Alcohol Policy Receipt To be considered for a driving position at Double D, you must be registered at FMCSA Clearinghouse at: https://clearinghouse.fmcsa.dot.gov/ The Federal Motor Carrier Safety Regulations require all companies to conduct a background check on your employment history and your drug and alcohol testing for the past three years. Double D must query the Clearinghouse to see if you are eligible to be a Double D driver. You must provide electronic consent by using the form below. All positive drug and alcohol test results and return-to-duty records and test results are required to be reported to the Clearinghouse effective 1/6/20. Prospective employers are required to query the Clearinghouse to investigate your drug and alcohol testing background. All results of any positive drug or alcohol test or any refusal to test, are required by law to be reported to the FMCSA Drug and Alcohol Clearinghouse, in addition to the reports and results arising from the return-to-duty process, if applicable. General Consent for Limited Queries of the FMCSA Drug and Alcohol Clearinghouse I provide my consent to Double D to conduct a limited query of the FMCSA Commercial Driver’s License Drug and Alcohol Clearinghouse (Clearinghouse) to determine whether drug or alcohol violation information about me exists in the Clearinghouse. I understand that if the limited query conducted indicates that drug or alcohol violation information about me exists in the clearinghouse, FMCSA will not disclose that information to Double D without first obtaining additional specific consent from me. I further understand that if I refuse to provide consent for Double D to conduct a limited query of the Clearinghouse, Double D must prohibit me from performing safety-sensitive functions, including driving a commercial motor vehicle, as required by FMCSA’s drug and alcohol program regulations. This consent is given for multiple limited queries to be conducted throughout the course of my employment until withdrawn by me in writing. By typing your name below, you understand the requirements and are giving us authorization to proceed with the FMCSA query.Name:* (Your name will serve as your signature)Date* MM slash DD slash YYYY Δ
