Thank you for your interest, we look forward to speaking with you soon about your future as part of our family.
If you would like to speed up your application process and time to hire, please either call 866-462-7329 now, or fill out the full application below.

Personal Information
Contact Information
First Name:
Middle Name:
Last Name:

Address:

City:
State:
Zip Code:

Day Phone:
Cell Phone:

Email:

SSN:
DOB/Month:
Day:
Year:

CDL Information

Do you have a CDL?
CDL Number:

Issue State:
Expiration Date Month:
Day:
Year

Check all that apply to your CDL:

Driver Information

Did you graduate from a CDL school?

School Name:
Graduation Month:
Graduation Day:
Graduation Year



Experience

Total OTR Years:

Employment History



Current Employer
Employer Name:
Current Position:

Start Month:
Start Year:
End Month:
End Year:


Reason for leaving:

Previous Employer #1
Employer Name:
Position Held:

City:
State:

Employer Phone:

Start Month:
Start Year:
End Month:
End Year:

Reason left:

Previous Employer #2
Employer Name:
Position Held:

City:
State:

Employer Phone:

Start Month:
Start Year:
End Month:
End Year:

Reason left:

Previous Employer #3
Employer Name:
Position Held:

City:
State:

Employer Phone:

Start Month:
Start Year:
End Month:
End Year:

Reason left:

Additional Employment Information

Driving History

Accidents
Number of accidents involved:
Number of preventable accidents:

Tickets
Number of tickets received:
Number of preventable tickets:

Background Record

Have you ever been convicted, or are any charges pending, for driving while under the influence of alcohol, a narcotic drug, amphetamines or derivatives thereof?
If so, when? Month:
Day:
Year:

Have you ever tested positive or refused a test for drugs or alcohol?

Have you ever abandoned your equipment?

** If you answered yes to any of the above, please explain in the comments box below.


Comments

Stay Informed with the Melton Job Alerts Program

 

This certifies that this application was completed by me, and that all entries and information on it are true and complete to the best of my knowledge. I hereby authorize Melton Truck Lines and their agents or contractors (hereafter collectively "Melton") upon receipt of this employment application to cause to be conducted such investigation of my background as they deem to be appropriate and necessary. In granting this permission and authority, I understand and agree that Melton may choose to conduct further investigation into my background at any time during the application process or throughout my employment with the company. This consent and authorization is intended to inclusively apply to any information provided by DAC Services, or otherwise relating to my character, general reputation, personal characteristics, mode of living, criminal history, past work experience, educational background, alcohol or drug test results, or failure to submit to an alcohol or drug test, or any other information about me which may reflect upon my potential for employment gathered from any individual, organization, entity, agency, or other source which may have knowledge concerning any such items of information. I have completed this application of my own free will and hold harmless of all liability all companies, agents and associated parties for the use of this application.

As part of our consideration of your application, the DOT requires companies to make some preliminary inquiries into your previous work experience and qualifications. As part of these inquiries, Melton may obtain consumer reports about you from DAC Services. Any decision they make not to hire you based on information contained in your DAC report will be their decision alone. DAC does not make any decisions concerning your employment with Melton Truck Lines and will not know the specific reasons why Melton may decide not to hire you. In the event you are not hired based on information contained in your DAC report, Melton Truck Lines will tell you. If you are not hired based on information in your DAC Report, Melton will also advise you at that time of your right to obtain a free copy of the report from DAC and your right to dispute the accuracy or completeness of the DAC report. Your consent for Melton to obtain the report from DAC is required. Although you have a right to withhold your consent, if you choose to withhold consent, Melton will not be able to comply with DOT requirements to consider your application.


I have read and agree to the above release and I give permission to obtain consumer reports about me from DAC.