Driver Application Home Driver Application Driver applicatioFirst NameLast NameDate of BirthSocial Security NumberAddressAddress Line 1Address Line 2CityStateZip CodeCountrySelect CountryAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelauBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDemocratic Republic of the Congo (Kinshasa)DenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRepublic of the Congo (Brazzaville)ReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabwePhone/MobileEmailCan you legally work in United States? Yes NoHave you worked for FreightHub before? Yes NoPosition applying for- Select -OTRRegionalHome DailyOwner OperatorPreferred start dateHow did you hear about us?- Select -ReferralIndeedFacebookCraigslistLicense InformationLicense numberEndorsements H(Hazmat) N(Tanker) X(Tanker+Haz) T(Double+Trip)State of issuanceRestrictionsClass- Select -ABCUpload CDLChoose File Expiration Upload medical Choose File Driving Experience Total years of commercial driving experienceTypes of vehicles operated Dryvan Reefer Flatbed Step deck Conestoga Tanker Dump Truck Box truck Car HaulerAccident free yearsEmployment HistoryEmployment 1Employer nameAddressPhone/MobilePosition heldDates of employmentReason for leaving.Types of vehicles operated- Select -Tractor-Trailer (Class A)Straight Truck (Class B)Dump TruckCar haulerTypes of freight hauledEmployment 2Employer nameAddressPhone/MobilePosition heldDates of employment Reason for leaving.Explanation for periods of unemployment.Accident / Violation historyAccidents (Last 3 Years):Have you been involved in any accidents in the past 3 years? Yes NoHave you had any traffic violations in the past 3 years? Yes NoHas your licenses every been suspended or revoked? Yes NoBackground information Have you ever been convicted of a felony or misdemeanor in the past 10 years? Yes NoAre you currently on probation or parole? Yes NoAny pending charges? Yes NoConsent & AgreementsI authorize FreightHub LLC to obtain my Pre-Employment Screening Program (PSP) report from FMCSA. PSP ConsentI authorize FreightHub LLC to obtain my Motor Vehicle Record (MVR) for employment purposes. MVR ConsentI authorize FreightHub LLC to conduct criminal background, employment verification, and drug and alcohol testing history checks. Background Check ConsentI authorize FreightHub LLC to contact my previous employers regarding my employment history. Employer Contact ConsentFreightHub LLC is an Equal Opportunity Employer. All qualified applicants will receive consideration without regard to race, color, religion, sex, national origin, or disability. Equal Opportunity StatementEmployment with FreightHub LLC is at will and may be terminated at any time by either party. At Will StatementCertification & Signature I certify that this application was completed by me, and that all entries and information are true and complete to the best of my knowledge. I understand that misrepresentation or omission of facts may disqualify me from employment or result in termination if employed. SignatureDateSubmit Form
