Baker, MT
1-800-423-0141
Rapid City, SD
1-800-809-1220
Q.T., Inc
1-800-458-0573

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Driver Application


The purpose of this application is to determine whether or not the applicant is qualified to operate motor carrier equipment according to the requirements of the Federal Motor Carrier Safety Regulations and the Company named above.

Instructions to Applicant

Please answer all questions. If the answer to any question is “No” or “None”, do not leave the item blank, but write “No” or “None”. Age, date of birth and social security number are optional. Information to have to assist you in filling out the application: Physical exam expiration date, Driver’s License information (past 3 years), Previous address (if at current less than 3 years), Employment history (3 years, up to 10 commercial driving history), Accident information and traffic convictions (past 3 years).
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Current & Two Years Previous Addresses:
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Education


Please circle the highest grade completed.

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Employment History


Give a Complete Record of all employment for the past three years, including any unemployment or self employment, and all commercial driving experience for the past ten years.

Employment History 1
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Employment History 2
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Employment History 3
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*The Federal Motor Carrier Safety Regulations (FMCSRs) apply to anyone who operates a motor vehicle on a highway in interstate commerce to transport passengers or property when the vehicle: (1) has a GVWR or weighs 10,001 pounds or more, (2) is designed or used to transport nine or more passengers, or (3) is of any size, used to transport hazardous materials in a quantity requiring placarding.

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Employment History 4
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Employment History 5
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Employment History 6
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Employment History 7
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Employment History 8
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Employment History 9
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Employment History 10
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Driving Experience
Class of Equipment
Date
Approximate Number of Miles (Total)
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Driver’s License (list each driver’s license held in the past three years)
State
License #
Type
Endorsements
Expiration Date
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Accident Report for Past Three Years
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Traffic Convictions and Forfeitures for the last three years (other than parking violations)
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Personal References
List three persons for references, other than family members, who have knowledge of your safety habits.
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Check All That Apply


We are pleased to have you apply for a job with our Company. Some of the requirements for this job are given below. Please read each requirement carefully.

If for any reason, you require an accommodation in order to fill out this form, or to participate in this application process, please inform the Company representative now.

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I understand that the information in this application will be used and that prior employers will be contacted for the purposes of investigation as required by 391.23 of the Federal Motor Carrier Safety Regulations.

I certify that the above information is correct and given of my own free will and accord. I also certify that I have not knowingly withheld any information which will reflect upon my fitness as a candidate for the position of which I am applying. I understand that giving false information or withholding pertinent information can disqualify me for this position. I also understand that if I am employed and I am found to have given false information this will serve as cause for my removal from the job at any time it might be revealed that false information was given. In consideration of my employment, I agree to conform to the rules of this Company and the Federal Motor Carrier Safety Regulations and any other relevant Regulations and Laws. I hereby acknowledge that my employment with the company can be terminated at any time, with or without cause, at the option of either myself or the Company. I further understand and acknowledge that nothing contained in any employee handbook or policy statement received by me at the commencement of my employment if hired, nullifies or modifies the foregoing.

To Be Read and Signed by Applicant


It is agreed and understood that any misrepresentation given on this application shall be considered an act of dishonesty.

It is agreed and understood that the motor carrier or his agents may investigate the applicant's background to ascertain any and all information of concern to applicant's record, whether same is of record or not, and applicant releases employers and persons named herein from all liability for any damages on account of his furnishing such information.

It is also agreed and understood that under the Fair Credit Reporting Act, Public Law 91-508, I have been told that this investigation may include an investigating Consumer Report, including information regarding my character, general reputation, personal characteristics, and mode of living.

I agree to furnish such additional information and complete such examinations as may be required to complete my application file.

It is agreed and understood that this Application for Qualification in no way obligates the motor carrier to employ or hire the applicant.

It is agreed and understood that if qualified and hired, I may be on a probationary period during which time I may be disqualified without recourse. This certifies that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge.

I understand that the information in this application will be used and that prior employers will be contacted for the purposes of investigation as required by 391.23 of the Federal Motor Carrier Safety Regulations.

I certify that the above information is correct and given of my own free will and accord. I also certify that I have not knowingly withheld any information which will reflect upon my fitness as a candidate for the position of which I am applying. I understand that giving false information or withholding pertinent information can disqualify me for this position. I also understand that if I am employed and I am found to have given false information this will serve as cause for my removal from the job at any time it might be revealed that false information was given. In consideration of my employment, I agree to conform to the rules of this Company and the Federal Motor Carrier Safety Regulations and any other relevant Regulations and Laws. I hereby acknowledge that my employment with the company can be terminated at any time, with or without cause, at the option of either myself or the Company. I further understand and acknowledge that nothing contained in any employee handbook or policy statement received by me at the commencement of my employment if hired, nullifies or modifies the foregoing.

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Contact Us

Quality Transportation
Baker, Montana Office
1-800-423-0141
Fax: 406-778-3196
Email Us

Rapid City, SD Office
1-800-809-1220
Fax: 605-341-7404
Email Us


QT, Inc
Baker, Montana Office
1-800-458-0573
Fax: 406-778-3196
Email Us

Rapid City, SD Office
1-800-809-1220
Fax: 605-341-7404
Email Us

Locations

Baker, Montana
PO Box 1530
511 West Montana Ave
Baker, MT 59313

Rapid City, South Dakota
2108 Elkvale Road #2
Rapid City, SD 57701


Baker, Montana
PO Box 1245
511 West Montana Ave
Baker, MT 59313

Rapid City, South Dakota
2108 Elkvale Road #2
Rapid City, SD 57701

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Hours of Operation:
7:00am – 4:30pm Mtn

Q.T., Inc
1-800-458-0573
Rapid City, SD
1-800-809-1220
Baker, MT
1-800-423-0141