Midnite Express, Inc. | Application for Employment

APPLICATION FOR EMPLOYMENT

This application form is for employment of Over the Road Drivers (one year or more experience preferred). If you are interested in a non-driver position or have questions regarding this application, please contact Midnite Express at 800-456-0249.

Midnite Express, Inc. is a wholly owned subsidiary of MME, Inc.
We currently operate a fleet of company trucks and owner operator pulling our fleet of 175 trailers. We pull 53’ air ride dry vans. We take great pride in our equipment, as it is all relatively new and well maintained. Our corporate office and terminal is located at 448 7th Street NW in West Fargo, ND.
Drivers are assigned a driver manager. We do have trailers spotted in various locations allowing you to drop, hook and keep moving.
We are licensed in 48 states. Drivers get home approximately every 10 to 14 days, in most areas. Our drivers take their trucks home, you are assigned a truck no slip seating.
If you are interested please fill out our application on line or call 1-800-456-0249 and ask for Mike or Sandra.

DRIVER PACKAGE:

SIGN ON BONUS
A new qualified driver will receive a $500 sign on bonus.

PAY RATE
Midnite Express, Inc pays based on experience. And will be determined when we receive your application.

SAFETY BONUS
Drivers are eligible for 1¢ per mile Safety Bonus. The Safety Bonus will be paid monthly. Based in eligibility.

VACATIONS
Vacations will be paid as follows:
One week after 1-year employment
Two weeks after 2 years employment
Three weeks after 8 years employment

HEALTH AND DENTAL INSURANCE
Health, dental and life insurance are available after ninety days of employment. Midnite Express, Inc. pays 100% of the employee’s single insurance. Additional coverage for family is available.

401K PLAN – All employees eligible after 1 year
LAYOVERS – are paid

LUMPERS
Lumpers will be hired at the discretion of the dispatch office and must be approved by dispatch and have a PO number attached to be paid.

PICK UP/DROP PAY
After the first

PROBATION
90 days

Application Information

		* Denotes required fields
First Name *
Middle Initial *
Last Name *
Daytime Phone *		Midnite Express will call you at this number to collect your Social Security Number required for this application.
E-mail Address
Current Address *
Apt.#
City *
State *
Zip Code *

* If at the above address less than three years, list below all the residences for the past three years. Skip to the next section if you have been at your current address for three years.

Address 1
Apt.#
City
State
Zip Code

Address 2
Apt.#
City
State
Zip Code

Position Information

Position applying for *
Position Type *		Temporary Part Time Full Time
Who referred you?
Rate of pay expected?
Names of any relatives employed by this company
Are you currently employed?		Yes No
If not, how long since leaving last employment?
Have you worked for this company before?		Yes No

Finish this section if you have worked for this company before. Skip to the next section if you haven't worked for this company before.

Dates?		From To
Where?
Rate of pay?
Position?
Reason for leaving?

Education

Highest grade completed
College
Name of last school attended
Address of last school attended

General

Have you ever been bonded?
(Answer only a job requirement.)

Yes No

Name of bonding company

Have you ever been convicted of a felony?

Yes No

If yes, please explain fully in the space provided below. Conviction of a crime is not an automatic bar to employment. All circumstances will be considered.

Have you ever worked for this company under another name?

If so, under what name?

Answer the questions in the following section only if applying for a driver position. Skip to the next section if you are not applying for a driver position.

Driver Experience & Qualification

The US Department of Transportation requires that driver applicants state their date of birth §391.21(b)(2)

Date of Birth *

(month/day/year)

Drivers

License 1 *

State *

License # *

Class *

Endorsement(s) *

Expiration Date *

License 2

State

License #

Class

Endorsement(s)

Expiration Date

License 3

State

License #

Class

Endorsement(s)

Expiration Date

License 4

State

License #

Class

Endorsement(s)

Expiration Date

Have you ever been denied a license, permit or privilege to operate a motor vehicle? *		Yes No

Has any license, permit or privilege ever been suspended or revoked? *		Yes No

Have you ever been disqualified for violations of the Federal Motor Carrier Safety Regulations? *		Yes No

If you answered "Yes" above, give details below

Driving Experience

Straight Truck

Type of Equipment
(Van, Tank, Flat, etc.)

Dates

From To

Approximate Total Miles

Tractor and Semi-Trailer

Type of Equipment
(Van, Tank, Flat, etc.)

Dates

From To

Approximate Total Miles

Twin Trailers - LCV's

Type of Equipment
(Van, Tank, Flat, etc.)

Dates

From To

Approximate Total Miles

Other

Type of Equipment
(Van, Tank, Flat, etc.)

Dates

From To

Approximate Total Miles

List states operated in during last five years. *

List special courses or training that will help you as a driver.

List driving awards held and who awards were presented by.

Accident Review for past 3 years

Last Accident

Nature of Accident
(Head-On, Rear-End, Overturn, etc.)

Fatalities

Injuries

Next Previous

Nature of Accident
(Head-On, Rear-End, Overturn, etc.)

Fatalities

Injuries

Next Previous

Nature of Accident
(Head-On, Rear-End, Overturn, etc.)

Fatalities

Injuries

Traffic Convictions and Forfeitures for the past 3 years other than parking violations

Location

Date

Charge

Penalty

Location

Date

Charge

Penalty

Location

Date

Charge

Penalty

Employment Record

The US Department of Transportation requires that driver applications show all employment for the past three years. They must also show commercial driver employment for the seven years immediately preceding this three year period. §391.21(b)(10),(11). Start with last or current position, including military experience, and work back.

Current Employer

Supervisor's Full Name

Address

City

State

Zip Code

Phone Number

Position Held

Dates

From To

Salary

Reason for leaving

Company

Supervisor's Full Name

Address

City

State

Zip Code

Phone Number

Position Held

Dates

From To

Salary

Reason for leaving

Company

Supervisor's Full Name

Address

City

State

Zip Code

Phone Number

Position Held

Dates

From To

Salary

Reason for leaving

Applicant Must Read and Sign

I certify tat I have read and understood all of this employment application.  It is agreed and understood that the employer or his agents may investigate my background to ascertain any and all information of concern to my employment history, whether same is of record or not, and I release employers and other persons named herein from all liability for any damages on account of furnishing such information.  I understand that, as an applicant for a position with this company, I may be asked to demonstrate that I am capable of performing tasks which are pertinent to the job.  I also understand that if offered a job.  It may be conditioned on the results of a physical examination and drug test.

I further certify that I am a genuine applicant for employment and this application is being submitted solely for the purpose of seeking employment with the employer and for no other reason.

It is also agreed and understood that under the Fair Credit Reporting Act, Public Law 91-508, I have been told that this investigation may include an investigative Consumer Report, including information regarding my character, general reputation, personal characteristics, and mode of living.

I agree to furnish such additional information and complete such examinations as may be required to complete my employment file.

I also understand that misrepresentation or omission of information or facts may result in my rejection or dismissal.

If hired, I agree to abide by all the rules and policies of the employer.

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.

To certify you have read and understood the above information, please place your initials in the box provided below.

Your Initials *

Today's Date *

Disclosure and Release

In connection with my application for employment (including contract for services) with Midnite Express, Inc, I understand that consumer reports which may contain public record information may be requested from DAC Services, Tulsa, Oklahoma.  These reports may include the following types of information; names and dates of previous employers, reason for termination of employment, work experience, accidents, etc.  I further understand that such reports may contain public record information concerning my driving record, workers' compensation claims, credit, bankruptcy proceedings, criminal records, etc., from federal, state and other agencies which maintain such records; as well as information from DAC concerning previous driving record requests made by others from such state agencies and state provided driving records.

I also understand that a claims history report may be requested from Great West Casualty Company.  This report may include the following information with regard to my driving history, accident dates, state of accident location and a brief description of the accident.

I AUTHORIZE, WITHOUT RESERVATION, ANY PARTY OR AGENCY CONTACTED BY DAC OR GREAT WEST CASUALTY COMPANY TO FURNISH THE ABOVE MENTIONED INFORMATION.

I have the right to make a request to DAC, upon proper identification, to request the nature and substance of all information in its files on me at the time of my request, including the sources of information; and the recipients of any reports on me which DAC has previously furnished within the two-year period preceding my request.  I hereby consent to your obtaining the above information from DAC, and I agree that such information which DAC has or obtains, and my employment history with you if I am hired, will be supplied by DAC to companies which subscribe to DAC Services.

I also have the right to make a request to Great West Casualty Company, upon proper identification, to request the nature and substance of all information in its files on me at the time of my request.

I hereby authorize procurement of consumer report(s).  If hired (or contracted), this authorization shall remain on file and shall serve as an ongoing authorization for you to procure consumer reports at any time during my employment (or contract) period.

To certify you have read and understood the above information, please complete the following information.

Your Name *

Today's Date *