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Employment Application
Step
1
of
6
16%
Personal Information
Name
*
First
Last
Preferred Name
*
First
Phone
*
Email
*
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
County Name
*
Cook County
DuPage
Kane
Lake
McHenry
Will
Kendall
Other
Position of Interest
Position
*
Full Time
Part Time
Truck
*
Tractor Trailer
Straight Truck
Other
Straight Truck Experience
*
Never used
Less than a month
1-6 months
6-12 months
1-3 years
Over 3 years
Tractor Trailer Experience
*
Never used
Less than a month
1-6 months
6-12 months
1-3 years
Over 3 years
Days Available
*
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Shifts Available
*
Day
Evening
Overnight
Any additional scheduling details to be aware of?
Applicant Information
Are you at least 21 years of age?
*
Yes
No
Do you have an iPhone or Android phone?
*
Yes
No
Do you have a valid driver's license and medical card?
*
Yes
No
Can you repeatedly lift 50 lbs., get in/out of straight trucks/tractors, and work in tight spaces repeatedly?
*
Yes
No
Are you legally authorized to work in the United States on an unrestricted basis?
*
Yes
No
Are you a U.S. Citizen, Permanent Resident, Temporary Resident under the 1986 Amnesty Program, Asylee or Refugee?
*
Yes
No
Have you ever been convicted of a crime, convicted of a felony or misdemeanor, any traffic tickets or accidents, or had any worker’s compensation claims?
*
Yes
No
If you answered Yes to the previous question, please explain.
Safety
Safety Vest Size
*
Small
Medium
Large
XL
2XL
3XL
Moscoso Express has a No-Smoking Policy. Smoking is not permitted in trucks. Can you commit to not smoking inside the truck?
*
Yes, I agree to not smoke inside the truck.
No, I will smoke inside the truck.
Emergency Contact's Name
*
First
Last
Emergency Contact's Phone
*
Driver's License
Driver's License Number
*
Date of Birth
*
MM slash DD slash YYYY
Gender on License
*
Male
Female
Issued
*
MM slash DD slash YYYY
Expires
*
MM slash DD slash YYYY
Class
*
A
B
C
D
State
*
Illinois
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Endorsements
*
None
HazMat
Others not listed
Restrictions
Intrastate Only
Automatic Only
Airbrakes Not Allowed
Driver's License: Front
*
Max. file size: 15 MB.
Driver's License: Back
*
Max. file size: 15 MB.
If you do not have your HazMat endorsement, are you able to obtain it?
Yes
No
If you cannot obtain your HazMat, describe why.
Supporting Documentation
Country of Birth
*
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Social Security Number
*
Social Security Card
*
Max. file size: 15 MB.
MVR: Motor Vehicle Report
Max. file size: 15 MB.
Medical Card
*
Max. file size: 15 MB.
Date Medical Certificate Signed
*
MM slash DD slash YYYY
Medical Certificate Expiration Date
*
MM slash DD slash YYYY
Employment History
Upload your resume and submit your most recent and relevant employer.
Resume Upload
Max. file size: 512 MB.
Current or Previous Employer
*
Currently employed there?
*
Yes
No
Company Address
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Supervisor's Name
*
First
Last
Supervisor's Phone
Supervisor's Email
Start Date
*
MM slash DD slash YYYY
Last Date
MM slash DD slash YYYY
Description of duties
*
Reason for leaving, if no longer employed there?
*
Education History
Did you obtain a CDL through a driving school?
*
Yes
No
If yes, which CDL school?
Viking Driving School
Wolf Driving School
160 Driving Academy
Juarez Truck Driving School
Other
Direct Deposit Information
Bank Name
*
Account Type
*
Checking
Savings
Routing Number
*
9 digit routing number
Account Number
*
Routing & Account Number Confirmation
*
Max. file size: 15 MB.
Upload a screenshot from your bank app or any other form that verifies your bank routing and account number. This is very important because we must confirm your bank information before submitting your payment to make sure you are the one who will receive your paycheck.
Potential Start Date
*
MM slash DD slash YYYY
Press submit to complete your application
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