Cardinal Transport Pre-Application

First Name:

Middle Name:
Last Name:
Address
City, State, Zip
Phone No.
Date of Birth
Soc. Sec. No.
Alternate means of contact
E-mail address
CDL No., State
Years of experience**
# of tickets last 3 years
# of accidents last 3 years
Tractor Make & Year

**Flatbed, Step Deck, RGN, Double Drop Only    We are not currently accepting van trailer experience

Do you have 18 months verifiable flatbed experience ?: 

Do you agree to allow us to check your MVR ?: 

Do you have your own D.O.T. authority?:

All fields must be filled before this application will be processed

           IMPORTANT NOTICE

REGARDING BACKGROUND REPORTS

        FROM THE PSP Online Service

 In connection with your application for employment with Cardinal Transport, Inc. (“Prospective Employer”), it
may obtain one or more reports regarding your driving, and safety inspection history from the Federal Motor Carrier
Safety Administration (FMCSA). If the Prospective Employer uses any information it obtains from FMCSA in a
decision to not hire you or to make any other adverse employment decision regarding you, the Prospective
Employer will provide you with a copy of the report upon which its decision was based and a written summary of
your rights under the Fair Credit Reporting Act before taking any final adverse action. If any final adverse action
is taken against you based upon your driving history or safety report, the Prospective Employer will notify you that
the action has been taken and that the action was based in part or in whole on this report. The Prospective
Employer cannot obtain background reports from FMCSA unless you consent in writing. If you agree that the
Prospective Employer may obtain such background reports, please read the following and sign below.
I authorize Cardinal Transport, Inc. “(Prospective Employer)” to access the FMCSA Pre-Employment Screening
Program (PSP) system to seek information regarding my commercial driving safety record and information
regarding my safety inspection history. I understand that I am consenting to the release of safety performance
information including crash data from the previous five (5) years and inspection history from the previous three
(3)years. I understand and acknowledge that this release of information may assist the Prospective Employer to
make a determination regarding my suitability as an employee.

 I further understand that neither the Prospective Employer nor the FMCSA contractor supplying the crash and
safety information has the capability to correct any safety data that appears to be incorrect. I understand I may
challenge the accuracy of the data by submitting a request to
https://dataqs.fmcsa.dot.gove If I am challenging
crash or inspection information reported by a State, FMCSA cannot change or correct this data. I understand my
request will be forwarded by the DataQs system to the appropriate Stat for adjudication.

Yes, I understand terms and conditions, check here. 

            

Following submission of the safety summary, please contact Cardinal's recruiting department
 at 800-435-9302 to expedite the processing of this document and to answer any additional
questions that may arise.

This Pre-application may also be printed out and faxed to our recruiting department at 815-634-3254.

    Our full application can be found here  If directed, please print and then fill out completely.