ART Trans LLC Driver Application

Complete every section below. All information is kept confidential and reviewed by our recruiting team.

ART TRANS LLC

7185 West Pershing Avenue, Peoria, Arizona 85381

Phone: 602-206-2481

Application

Page 1 of 4

Section 1 — Applicant Information

Do you have a TWIC Card?
Do you have a passport?

ART TRANS LLC

7185 West Pershing Avenue, Peoria, Arizona 85381

Phone: 602-206-2481

Application

Page 2 of 4

Section 2 — Driver License Information

You may not have more than one driver license. If you have more than one driver license, you must surrender all but one to the appropriate licensing authority before employment.

I certify that I have only the one driver license listed below, that it is valid and not suspended, revoked, canceled or disqualified, and that I am not disqualified from operating a commercial motor vehicle.

ART TRANS LLC

7185 West Pershing Avenue, Peoria, Arizona 85381

Phone: 602-206-2481

Application

Page 3 of 4

Section 3 — Accidents and Crashes (Previous Three Years)

Have you been involved in any accidents or crashes in the previous three years?

Accident 1

Accident 2

Accident 3

Section 4 — Moving Traffic Violations (Previous Three Years)

Have you had any moving traffic violations in the previous three years?

Section 5 — Forfeitures (Previous Three Years)

A. Have you ever forfeited bond or collateral for a violation of any motor vehicle law or ordinance (other than parking)?
B. Has any driver license, permit or privilege ever been suspended, revoked, denied or disqualified?
C. Have you ever been convicted of any offense involving alcohol, controlled substances, or a felony committed while operating a motor vehicle?

ART TRANS LLC

7185 West Pershing Avenue, Peoria, Arizona 85381

Phone: 602-206-2481

Application

Page 4 of 4

Section 6 — To Be Read and Signed by Applicant

I authorize ART Trans LLC to make such investigations and inquiries into my personal, employment, financial, medical history, motor vehicle record, and other related matters as may be necessary in arriving at an employment decision. I hereby release employers, schools, health care providers, government agencies and other persons from all liability in responding to inquiries and releasing information in connection with my application.

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, or the presence of a non-job-related medical condition or disability.

I understand that information I provide regarding current and/or previous employers may be used, and those employers may be contacted, for the purpose of investigating my safety performance history as required by 49 CFR 391.23(d) and (e).

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. I understand that any false or misleading statement or omission may result in rejection of this application or, if hired, in dismissal.