Driver Only / Drive for Hire Application – kountrylivingenterprise.org

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Home About Services Driver Onboarding Drive-For-Hire Application Contact

504-666-4290 Get a Quote

Home About Us Services Driver Onboarding Drive-For-Hire Application Contact

504-666-4290

Get a Free Quote →

Name

Date

Email Address

Phone

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal code

Country

Driver's License Number

State of Issue

License Expiration Date

License TypeCDLNon-CDL

Upload a Copy of driving recordChoose Driving Record

No file chosen

Upload a Copy of Driver's LicenseChoose License File

No file chosen

Do you have a DOT Medical Card?YesNo / Not Applicable

Upload DOT Medical Card (If applicable)Choose Medical Card File

No file chosen

How many years of commercial driving experience do you have?

Types of vehicles previously driven (Select all that apply)Cargo VanSprinter VanBox TruckSemi-Truck / Tractor TrailerPassenger Vehicle / SUVOther

Do you have experience driving a Cargo Van, Sprinter Van, or Box Truck?YesNo

Previous driving/employment history

Any accidents or traffic violations within the last 3 years?

Are you available for Local, Regional, or OTR driving?LocalRegionalOTR (Over the Road)

Are you willing to travel out of state and stay overnight?YesNo

Available Start Date

Do you have reliable transportation to report for work?YesNo

Are you applying as an Independent Contractor Driver?YesNo

Do you currently own a Cargo Van, Sprinter Van, or Box Truck?No — Driver Only (I do not own a vehicle and want to drive a company vehicle)Yes (Please fill out our Owner-Operator form instead)

Are you willing to drive a Kountry Living Enterprises LLC company vehicle?YesNo

Are you willing to follow Kountry Living Enterprises LLC's company policies and requirements?YesNo

Do you understand that additional verification and approval may be required before you are allowed to drive?YesNo

Upload Resume (Optional)

No file chosen

Background & Record Verification ConsentsI consent to a background check, if required.I consent to MVR/driving record verification, if required.I authorize Kountry Living Enterprises LLC to verify previous employment and driving history, if required.

Emergency Contact Full Name

Relationship

Phone

Terms and Conditions *

I hereby certify that all information provided in this application is true, accurate, and complete to the best of my knowledge.

Signature

Start signing your signature here

Date