MTI Trucking Inc.
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7317 US-25, Corbin KY 40701
dispatch@mti-trucking.com
606-528-2005
MTI Trucking Inc. Application For Drivers
Complete, Accurate And Honest Information Is Requested. Falsely Answering Any Of The Following Questions Will Potentially Disqualify You During Orientation.
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Last Name
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First Name
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Middle Name
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Address
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Line 1
Line 2
City
State
Zip Code
Country
Your Phone Number
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What Type ?
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Cell Phone
Landline
Alternate Phone Number
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What Type ?
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Cell Phone
Landline
Social Security Number
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Date Of Birth
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January
Febuary
March
April
May
June
July
August
September
October
November
December
Day
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Year
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CDL Number
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Stae Issued
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Experation Date
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Do You Have A TWIC Card ?
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Yes, I Do
No, I Do Not
If You Do Not Have A TWIC Card You Must Get Within 30 Days Of Employment
Do You Have Any Restrictions?
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Prior CDL / License Number
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State Issued
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Person To Notify In Case Of An Emergency
First Name
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Last Name
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Relationship To You
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Address
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Line 1
Line 2
City
State
Zip Code
Country
Phone Number
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Information Of Your Nearest Relative And/Or Friend, Not Living In The Same Household as You
First Name
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Last Name
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Relationship To Person
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Address
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Line 1
Line 2
City
State
Zip Code
Country
Phone Number
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Driver Expectation Survey
What Part Of The Country Do You Prefer To Run ?
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How Much Do You Need To Make ?
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How Often Do You Want To Be Home ?
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Who Or What Referred You To MTI ?
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Witch Position Are You Applying For ?
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Local / Shuttle
Over The Road
Over The Road
Over the Road Experience Is Defined As Driving Tractor / Trailer Logging 400 to 500 Miles A Day, MTI Will Have To Verify This Information With The Safety Department Or General Office Of Named Companies.
Total Years Of OTR Experience
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How Many Years With Van ?
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How Many Years With Other ?
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How Many Years With Flatbed ?
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How Many Years With Stepdeck ?
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Driving Record
MTI Will Verify All Of The Following Information Through An MVR Check And References.
Have You Ever Had Any Of The Following ?
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DWI
DUI
OUI
No, Never
If So When Did Incident/s Occur ?
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Were Any In A CMV ?
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Yes
No
Some
If Yes Which Ones ?
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If You Have Any Of These On Your Record They Must Be Over 5 Years Old And Not In A CMV.
Have You Ever Refused Or Failed A Drug Screen Or BAT ?
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Yes, I Have
No, I Have Not
If Driver Has Ever Rejected Or Failed A Drug Screen Or BAT Driver Will Most Likely Be Rejected.
Any Drug Or Alcohol Related Infractions In A CMV ?
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Yes, I Have
No, I Have Not
If Driver Has Ever Received Any Drug Or Alcohol Related Infractions In A CMV Driver Will Most Likely Be Rejected.
Have You Ever Been Convicted Of An Felony Or Felonies ?
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Yes, I Have
No, I Have Not
When Were You Convicted ?
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Where Were You Convicted ?
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If You Have Been Convicted Of A Felony It Must Have Been Longer Than 5 Years And Can Not Be More Than Once.
Have You Ever Been Convicted Of Any Misdemeanor ?
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Yes, I Have
No, I Have Not
If You Have Been Convicted Of A Misdemeanor It Must Have Been Longer Than 5 Years And Can Not Be More Than Once.
Has Your License Ever Been Suspended ?
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Yes, I Have
No. I Have Not
If Yes, When ?
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Please Explain Why ?
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If Drivers License Have Been Suspended Within 3 Years And For Driving Related Reasons, Driver Will Most Likely Be Rejected. If For Technical Reasons (Ex. Not Paying Tickets) This Must Not Happened More Than Once.
Have You Had A Preventable DOT Accident In The Last 12 Months
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Yes, I Have
No, I Have Not
If Yes, When ?
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Please Explain ?
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DOT Accidents Are Accidents In Which A Vehicles Is Towed Due To Damage Or Person Or Persons Treated For Injury Away From The Accident Scene, DOT Accidents Are Considered To Be More Serious Than None DOT Accidents.
Have You Ever Been Ticketed For Following To Colse ?
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Yes, I Have
No, I Have Not
If Yes When ?
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Tickets For Following To Close Are Considered Serious Offences.
An Accident Is Any Incident Resulting In Property Damage Or Vehicle Damage
Number Of Accidents In The Last 3 Years ?
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Number Of Preventable Accidents ?
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Number Of Non-Preventable Accidents ?
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Explain Accidents Including Dates And Any Tickets ?
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Were Any Rear-End Accidents ?
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Were Any Jack-Knife Accidents ?
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Were Any Rollover Accidents ?
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These Accidents Are Considered To Be Serious Incidents.
How Many Moving Violations In The Last 3 Years ?
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Please List Any Tickets Including Dates (15+ Speeding Are Cosidered Serious)
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If So What Company Did This Happen With ?
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Have You Ever Been Terminated From A Carrier As A Result Of A Cargo Claim, Accident, Or Other Safety Issue ?
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Yes, I Have
No, I Have Not
Minimum Requirements Allow
No More Than Three Tickets And one At Fault Accident
In Previous 36 Months Or
No More Than Two Tickets And Two At Fault Accidents
In Previous 36 Months. Any Serious Accidents And / Or Tickets May Result In Rejection Or Qualification On A Conditional Basis.
Red Flag Items Include : Any DUI / OUI / DWI / Any Drug Or Alcohol Infraction, Hit-And-Run Leaving The Scene Of An Accident, Any Felony, Misdemeanor, 15+ Speeds, Rear-End, Roll-Over, Jack-Knife, Any Excessive Cargo Claims.
Have You Ever Worked For MTI Before ?
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Yes, I Have
No, I Have Not
If So When ?
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Did You Leave Do To Safety Violations ?
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Do You Know How To Prepare A D.O.T. Approved Log ?
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Yes, I Do
No, I Dont
Need Refresher
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