Apply Now APPLICANT INFORMATION Name* Email Address* Phone Number*Date of Birth MM slash DD slash YYYY Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Date Available For Hire MM slash DD slash YYYY Have You Worked for Downey Trucking Before?Have You Worked for Downey Trucking Before?YesNoAre You Currently Employed?Are You Currently Employed?YesNoEducation (Years Completed)Have you been convicted of a misdemeanor or felony? If yes, please explain... Yes No Conviction of a crime is not an automatic bar to employment. All circumstances will be considered. Physical HistoryThe Federal Motor Carrier Safety Regulations (49CFR391 Subpart E) require that all driver applicants pass certain physical tests before they are hired to drive a motor vehicle.Alcohol and Controlled Substance StatementThe Federal Motor Carrier Safety Regulations require all persons applying for a driving position requiring a commercial drivers license to answer the following questions:Driver's License InformationThe past three years must be shown below...State (Current)Type (Current)Expiration Date (Current) Driving Experience Accident History The past three years must be shown below...Motor Vehicle Driving Record Traffic Convictions and Forfeitures for the past 3 years other than parking violations...Employment HistoryThe Federal Motor Carrier Safely Regulations (49CFR391.21) require that all applicants wishing to drive a commercial vehicle list all employment for the last three (3) years. In addition, if you have driven a commercial vehicle previously, you must provide employment history for an additional seven (7) years for a total of ten (10) years. Any gaps in employment must be explained.Current or Most Recent Employer Employer contact Phone NumberFrom Date MM slash DD slash YYYY To Date MM slash DD slash YYYY Supervisor's Name Second Most Recent Employer Employer contact Phone NumberFrom Date MM slash DD slash YYYY To Date MM slash DD slash YYYY Supervisor's Name Third Most Recent Employer Employer contact Phone NumberFrom Date MM slash DD slash YYYY To Date MM slash DD slash YYYY Supervisor's Name I understand Downey Trucking may contact me by phone to obtain sensitive information (Social Security Number) required for background checks, etc... Yes No I have read the DISCLOSURE, AUTHORIZATION, and NOTICE below regarding background reports provided to me by Downey Trucking, and I understand that if I sign this Disclosure and Authorization, Downey Trucking may obtain a report of my crash and inspection history. I hereby authorize Downey Trucking and its employees, authorized agents, and/or affiliates to obtain the information authorized above. Yes No Signature Draw your signature into the box below.PhoneThis field is for validation purposes and should be left unchanged.