Driver Pre-Boarding Questionnaire Driver Pre-Boarding Questionnaire Driver Pre-application Questions HiddenWho is this from? TSS Demo Site Name* First Last Email* Enter Email Confirm Email Phone*Would you like to upload a resume now?Max. file size: 20 MB.Which Transportation facility are you interested in working at?*Company Location 1Company Location 2Company Location 3Best time to contact you?* Morning Mid Day Evening Preferred method of contact?* Phone Email Text Are you 21 Years of Age?*YesNoWhat class of CDL do you have?*Class AClass BOtherPlease select Endorsements* Passenger Schoolbus Hazardous Materials Combination Vehicles Please select Restrictions.* Other or None Air Brake Corrective Lenses What Types of Equipment have you driven?* 40-56 Pax Motorcoach 25-35 Pax Mid Sized Coach 20-33 Pax Truck Chassis Coach 16-25 Pax Mini Coach (Ford or GMC cutaway) Shuttle Van (Sprinter, Transit, Econoline) Schoolbus Limosine How many years of experience driving the largest piece of equipment listed do you have?*0-11-33-55-77-1010+Which Manufacturers have you driven in the past?* MCI Prevost Setra Temsa Vanhool Sprinter (Dodge, Freightliner or Mercedes) Ford Cutaway GMC of Chevrolet Cutaway International Truck Chassis Freight liner Truck Chassis Are you willing to check the oil and radiator fluid and fill if necessary on your assigned equipment?* Yes No Have you ever been trained to be ADA Certified?* Yes No Have you ever transported ADA Passengers and used a ADA Lift System?* Yes No Have you driven a commercial vehicle in snow?* Yes No How many times have you installed chains on a Commercial Motor Vehicle?*1-5 Times5-15 Times15+ TimesWill You Provide A 5 Year Vehicle Record?* Yes No Do have 2 or more moving violations in the last 3 years* Yes No Do you have 1 or more accidents in the last 3 years?* Yes No Is Your Medical Card Current? ** Yes No Have you certified your medical card?* Yes No What is your medical card certification?* Interstate Intrastate Will You Provide A Medical Card?* Yes No Drivers Must be Medically Fit, would you be willing willing to take a DOT medical Exam?* Yes No Do you have any physical conditions that may prevent you from doing the job, examples include: sleep apnea, bad back, or other issues we would need to consider?* Yes No Do you have or have you ever had a TWIC Card?* Yes No I have no idea what a TWIC card is Do you have a passport?* Yes No As a DOT regulated company employee, you will have to participate in the company’s drug and alcohol test program. Will you participate in this program?* Yes No Have you ever had a positive drug test result* Yes No Have you ever refused to take a drug test?* Yes No Do you have a smart phone with email?* Yes No What type of work are you looking for?* Motorcoach Driving Charter Driving Shuttle Driving Route Driving Taxi Driving Are you looking for Full Time or Part Time Work?* Full Time Part Time Are you currently employed?* Yes No Do you live within a 1 hour commute from base?* Yes No Can you work weekends?* Yes No Can you regularly work overnight?* Yes No Can you work holidays?* Yes No Would you be avaible for last minute runs?* Yes No Would it be a problem for you to report to work late at night or early in the morning?* Yes No Are you a US Citizen or legally authorized to work in the United States?* Yes I am No I am not Are you able to read, write and speak English?* Yes I am English is not my first language What is your minimum required starting rate of pay?*$10-$12 Per Hour$12-$14 Per Hour$14-$16 Per Hour$16-$18 Per HourWhat date would you be available to start training?* MM slash DD slash YYYY Do you live in a State the prohibits asking about your criminal history?* Yes No I do not know Have you ever been convicted of a crime?* Yes No I would like to explain Would you be willing to authorize a:* Drug Test Criminal Background Check PSP (FMCSA Pre-Employment Screening Program) By Checking this box, you do hearby affirm that all statements provided in this form are true and correct ** I affirm that all statements are true and correct
