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Thank you for your interest in Gypsum Express, LTD.

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To apply for a driving position, please complete our online application for employment. Incomplete information will delay the processing of your application or prevent it from being submitted.

In compliance with Federal and State equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status, veteran status, non-job related disability, or any other protected group status.

To fill out this form, you will need to know the following:
- Home address history for the past 3 years
- Current driver license number and driver license history for the past 3 years
- Employment history up to 10 years - All work history is needed for the past 5 years. Past 10 years history is needed for CMV driving jobs.
- History of traffic accidents, violations and/or convictions from the last 3 years (including DUI or reckless driving conviction and license suspension) Military history (if applicable)
Required entry fields are followed by *, meaning you must provide the requested information to continue. If you encounter any errors during this process and cannot continue, please contact us at 866-317-6556.

Personal Information
First Name*
Middle Name
Last Name*
Suffix
Date of Birth*
MM slash DD slash YYYY
Address
Current Street Address (line 1)*
Current Street Address (line 2)
Country*
Country
City*
State*
Zip Code*
Residence address for 3 or more years?
- Yes
- No
We need to collect the previous 3 year(s) of residence history. Please fill out all the information below to the best of your ability.
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Contact
If your cell phone is also your primary phone, enter it in both fields below.
Primary Phone*
Please enter a number less than or equal to 9999999999.
Numbers Only, No spaces or special characters.
Cell Phone
Please enter a number less than or equal to 9999999999.
Numbers Only, No spaces or special characters.
Email*
Enter Email Confirm Email
Preferred method of contact
Best time to contact you
Yes, I want to receive information and communications from Gypsum Express, LTD concerning future opportunities or promotions.
- Yes
Would you like to receive communication from Gypsum Express, LTD via text message?
- Yes
By participating, you consent to receive text messages sent by an automatic telephone dialing system, which may contain recruiting/advertising messages. Consent to these terms is not a condition of being hired, contracted, or leased. You may opt out at any time by texting STOP to unsubscribe. You also agree that Gypsum Express, LTD's service provider receives in real time and logs your text messages with Gypsum Express, LTD.

GENERAL INFORMATION
What position are you applying for?
What location are you applying for?
What division are you applying for?
Are you legally eligible for employment in the United States?
- Yes
- No
Are you currently employed?
- Yes
- No
What date did your last employment end?
MM slash DD slash YYYY
Do you read, write, and speak English?
- Yes
- No
Have you ever worked for this company before?
- Yes
- No
Enter start and end dates, location, position, and reason for leaving:
Years of commercial driving experience:
Do you have a current TWIC card?*
- Yes
- No
Date
MM slash DD slash YYYY
Please enter the names of any relatives employed here:*
Have you ever been known by any other name?
- Yes
- No
Enter name:
How did you hear about us?*
Who referred you?
Is being away from home for more than a week a potential problem?*
- Yes
- No
In case of Emergency, notify (list name, address, phone, and relationship):
DRIVING EXPERIENCE
For each class of equipment, enter type of equipment (van, reefer, tank, etc.), start and end dates, and approximate number of total miles. If no experience in a class, enter "NONE".
Straight Truck*
Tractor and Semi-Trailer*
Tractor - Two Trailers*
Other*
Which safe driving awards do you hold and from whom?
EDUCATION
List highest grade completed:
List last school attended (name, city, and state):
PERSONAL REFERENCES
List name, address, city, state, phone number, and relationship:
First Reference:
Second Reference:

List all CDL's within the last 3 years
License Details
License Number*
Country*
License State/Province
State
License Expiration*
MM slash DD slash YYYY
Physical Expiration*
MM slash DD slash YYYY
Is this your current driver license?*
- Yes
- No
Is this a commercial driver license?*
- Yes
- No
License Class*
Endorsements
- None
- Other
- Tanker
- Doubles / Triples
- X Endorsement
- HazMat
Restrictions
- None
- No Night Driving
- Corrective Lenses
- No Air Brakes
- No Manual Transmission
- Other
Add another license?*
- Yes
- No
License 2 Details
License Number*
Country*
License State/Province
State
License Expiration*
MM slash DD slash YYYY
Physical Expiration*
MM slash DD slash YYYY
Is this your current driver license?*
- Yes
- No
Is this a commercial driver license?*
- Yes
- No
License Class*
Endorsements
- None
- Other
- Tanker
- Doubles / Triples
- X Endorsement
- HazMat
Restrictions
- None
- No Night Driving
- Corrective Lenses
- No Air Brakes
- No Manual Transmission
- Other

Were you ever in the U.S. military?*
- Yes
- No
U.S. Military Service
Branch of Service*
Start Date*
MM slash DD slash YYYY
End Date*
(If you are currently in the military, please enter the current month and year as the End Date)
MM slash DD slash YYYY
Rank at discharge
Can you obtain your DD214?
- Yes
- No

Have you been employed, contracted or attended a company orientation in the last 5 years?
- Yes
- No
Employer/Contract Information
Company Name*
Start Date*
MM slash DD slash YYYY
End Date*
(If you are currently employed/contracted, please enter the current month and year as the End Date)
MM slash DD slash YYYY
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Telephone
Position Held*
Reason for leaving?*
Were you terminated/discharged/laid off?
- Yes
- No
Please Explain
Is this your current employer?
- Yes
- No
May we contact this employer at this time?
- Yes
- No
Did you operate a commercial motor vehicle?
- Yes
- No
Were you subject to the Federal Motor Carrier or Transport Canada Safety Regulations while employed/contracted by this employer/contractor?
- Yes
- No
Did you perform any safety sensitive functions in this job, regulated by DOT, and subject to drug and alcohol testing?
- Yes
- No
Areas Driven
Miles driven weekly
Pay Range (cents/mile)*
Most common truck driven*
Most common trailer*
Trailer length*

Have you attended a Driver Training school?*
- Yes
- No
Driver Training
Start Date*
MM slash DD slash YYYY
End Date*
(If you are currently in school, please enter the current month and year as the End Date)
MM slash DD slash YYYY
School name*
School is location*
City State / Province / Region ZIP / Postal Code Country
Did you graduate?*
- Yes
- No
Were you subject to the Federal Motor Carrier or Transport Canada Safety Regulations while attending this truck school?*
- Yes
- No
Did you perform any safety sensitive functions at this truck school, regulated by DOT, and subject to drug and alcohol testing?*
- Yes
- No
GPA
Hours of Instruction
Which of the following skills were trained in your program? (Select all that apply)
- Border Crossing
- Log Books
- Federal Motor Carrier Regulations
- Hazardous Materials

Have you attended a school (not related to truck driving) in the last 5 Years?
- Yes
- No
Education Information
School name*
Start Date*
MM slash DD slash YYYY
End Date*
MM slash DD slash YYYY

(If you are currently in school, please enter the current month and year as the End Date)
Address*
City State / Province Country
Telephone
What did you study? (accounting, mechanic, etc.)*
Graduation Date (leave blank if no graduation)
MM slash DD slash YYYY

Have you been unemployed at any time within the last 5 years?
- Yes
- No
Unemployment Information
Start Date*
MM slash DD slash YYYY
End Date*
(If you are currently unemployed, please enter the current month and year as the End Date)
MM slash DD slash YYYY
Comments

Motor Vehicle Record
Has any license, permit or privilege ever been denied, suspended or revoked for any reason?*
- Yes
- No
Date
MM slash DD slash YYYY
Please Explain
Have you ever been convicted of driving during license suspension or revocation, or driving without a valid license or an expired license, or are any charges pending?*
- Yes
- No
Date
MM slash DD slash YYYY
Please Explain
Have you ever been convicted for any alcohol or controlled substance related offense while operating a motor vehicle, or are any charges pending?*
- Yes
- No
Date
MM slash DD slash YYYY
Please Explain
Have you ever been convicted for possession, sale or transfer of an illegal substance (including but not limited to, marijuana, amphetamines, or derivatives thereof) while on duty, or are any charges pending?*
- Yes
- No
Date
MM slash DD slash YYYY
Please Explain
Have you ever been convicted of reckless driving, careless driving or careless operation of a motor vehicle, or are any charges pending?*
- Yes
- No
Date
MM slash DD slash YYYY
Please Explain
Have you ever tested positive, or refused to test on a pre-employment drug or alcohol test by an employer to whom you applied, but did not obtain safety-sensitive transportation work covered by DOT agency drug and alcohol testing rules in past three years, or have you ever tested positive or refused to test on any DOT-mandated drug or alcohol test?*
- Yes
- No
Date
MM slash DD slash YYYY
Please Explain

Have you had any moving violations or traffic convictions in the past 3 Years?*
- Yes
- No
Incident Details
Violation Date*
MM slash DD slash YYYY
Charge / Description:*
Were you in a Commercial Vehicle?*
- Yes
- No
Penalty / Fine (Check all that apply)*
- Fine
- Suspension
- Revocation
- Community Service
- Other
Fine Amount (if applicable)
Comments
If you answered "Other" to any question, please provide additional detail:

Were you involved in any accidents/incidents with any vehicle in the last 3 years (even if not at fault)?
- Yes
- No
Accident Details
Please enter detailed information about this accident below, whether the accident was chargeable, recordable, reportable, or your fault:
Date of Accident / Incident*
MM slash DD slash YYYY
Type of Accident / Incident*
Hazmat Accident / Incident*
- Yes
- No
Was the vehicle towed away?*
- Yes
- No
Address*
City State
Were you in a commercial vehicle?*
- Yes
- No
If yes, was this a Department of Transportation recordable accident?*
- Yes
- No
Were you at fault?
- Yes
- No
Were you ticketed?
- Yes
- No
Please enter detailed information about this accident, whether the accident was chargeable, recordable, reportable, or your fault*

Criminal Record
Have you ever been convicted of a crime?*
- Yes
- No
Please describe.
Be sure to include specifics about whether it was a felony or a misdemeanor, the date of conviction, the fine or sentence, if you were pardoned, etc.
Do you have any deferred prosecutions?*
- Yes
- No
Please describe.
Be sure to include specifics including the location, dates of the deferral, etc.
Do you have criminal charges pending?*
- Yes
- No
Please describe.
Be sure to include specifics including the location, dates, etc.
Felonies
If you have any felony convictions, do you currently hold a minister's permit to enter or exit Canada?*
- Yes
- No
Please describe.

By signing my application below, I agree to use an electronic signature to demonstrate my consent. An electronic signature is as legally binding as an ink signature.

This certifies that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge.
Please use your mouse to sign your name in the rectangle below. Click "Submit" when finished.
Phone
This field is for validation purposes and should be left unchanged.

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