Driver Pre-Boarding Questionnaire Driver Quick Application This field is hidden when viewing the formWho is this from? Windstar Express Inc, 1211 W US Highway 30, Carroll, IA 51401. Phone 877-499-7377; Fax: 712-566-5098 Name* First Last Email* Enter Email Confirm Email Phone*Would you like to upload a resume now?Max. file size: 60 MB. Best 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?* Truck Tractor Straight Truck Tanker Flatbed End Dump How many years of experience driving the largest piece of equipment listed do you have?*0-11-33-55-77-1010+Have you driven a commercial vehicle in snow?* Yes No How many times have you installed chains on a Commercial Motor Vehicle?*Never1-5 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 Are you a smoker (including vape, e-cigs, etc)?* 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 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 date would you be available to start training?* 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
