CDL Drivers

(302) 519-4557
1100 Saddleback Way Bel Air MD 21014

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CDL Drivers
Subhaulers

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About Us
Services
CDL Drivers
Subhaulers
Contact Us

Home
About Us
Services
CDL Drivers
Subhaulers
Contact Us

Apply now

Are you a skilled and experienced CDL driver looking for a rewarding opportunity? Borsuk Transportation is expanding its team and is on the lookout for dedicated professionals like you. Join us in delivering exceptional auto transport services across the country.

Prefix

First Name *

Middle Name

Last Name *

Social Security Number: *

Date of Birth: *

Main Phone Number: *

Alt Phone Number:

Email Address *

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Do you have a TWIC Card?

Do you have a passport?

Residences Previous 3 YearsList residence for previous 3 years if you lived at the above address less than 3 years.

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

From Date Box

To Date Box

Drivers License InformationList all driver licenses held within the last 3 years. Enter your first and last name exactly as it appears on your license.

First Name *

Last Name

Issued: *

Expires: *

State/Province

Country

License Number: *

Repeat License Number: *

Endorsements:

H - Placarded HazmatN - Tank VehiclesP - PassengersT - Double/Triple TrailersS - School BusX - Placarded Hazmat & Tank Vehicles

Medical Certificate *

Experience

Semi-Trailers

Straight Truck

Truck-Tractor

Doubles/Triples

Flatbed

Bus

Other

Accidents/Crashes Previous 3 Years

Date

Location City/State

Number Of Injuries

Number Of Fatalities

Hazmat Spill?YesNo

Moving Traffic Violations Previous 3 Years

Have you had any traffic violations in the last 3 years?YesNo

Date

Location City/State

Offense

Vehicle Type

Forfeitures Previous 3 Years

A. Have you ever been denied a license, permit or privilege to operate a motor vehicle?YesNo

B. Has any license, permit or privilege ever been suspended or revoked?YesNo

C. If yes to either question above, briefly describe the circumstances.

Employment RecordList all employers for the previous 3 years and an additional 7 years if you were employed as a DRIVER.

Employer Name:

Address:

City

State/Province

ZIP / Postal Code

Country

Phone

Fax:

Email Address

Position Held:

Date From:

Date to:

Reason For Leaving:

Were you subject to the DOT/FMCSA regulations while employed by this carrier?YesNoIf you were a driver, choose Yes.

Was your job designated as a safety sensitive function, in any DOT regulated mode, subject to the alcohol and controlled substances testing requirements required by 49 CFR Part 40?YesNoN/AIf you were a driver, choose Yes.

Fair Credit Reporting Act

Pursuant to the federal Fair Credit Reporting Act, I hereby authorize this company and its designated agents and representatives to conduct a comprehensive review of my background through any consumer report for employment. I understand that the scope of the consumer report/investigative consumer report may include, but is not limited to, the following areas: verification of Social Security number; current and previous residences; employment history, including all personnel files; education; references; credit history and reports; criminal history, including records from any criminal justice agency in any or all federal, state or county jurisdictions; birth records; motor vehicle records, including traffic citations and registration; and any other public records.

Please upload the FRONT copy of your drivers license.

No file chosen

Please upload the BACK copy of your drivers license.

No file chosen

Upload Medical Card Copy

No file chosen

Upload Forfeiture Documents

No file chosen

Pre-Employment Employee Alcohol & Drug Test Statement

49 CFR Part 40.25(j) states, as the employer, you must ask the employee whether he or she has tested positive, or refused to test, on any pre-employment drug or alcohol test administered by an employer to which the employee applied for, but did not obtain, safety-sensitive transportation work covered by DOT agency drug and alcohol testing rules during the past two years. If the employee admits that he or she had a positive test or a refusal to test, you must not use the employee to perform safety-sensitive functions for you, until and unless the employee documents successful completion of the return-to-duty process required in 49 CFR Subpart O. As the prospective employee, have you:

Tested positive, or refused to test, on any pre-employment drug or alcohol test administered by an employer to which the employee applied for, but did not obtain, safety-sensitive transportation work covered by DOT agency drug and alcohol testing rules during the past two years.YesNo

View PDF

If you answered yes to the above question, can you provide documentation of successful completion of DOT return-to-duty requirements (including follow-up tests).YesNo

Safety Performance History Investigation

You did not enter any previous employers. Therefore, this section does not apply to you, please click continue. If you do have previous employers, please return to step 1, Application For Employment, and enter your previous employers." - this box gives me an authorization to contact the their previous employer to confirm dates of employment and performance

Signature

PSP Driver Disclosure & Authorization

THE BELOW DISCLOSURE AND AUTHORIZATION LANGUAGE IS FOR MANDATORY USE BY ALL ACCOUNT HOLDERS IMPORTANT DISCLOSURE
REGARDING BACKGROUND REPORTS FROM THE PSP Online Service"

In connection with your application for employment with Borsuk Transport Inc. (“Prospective Employer”), Prospective Employer, its employees, agents or contractors may obtain one or more reports regarding your driving, and safety inspection history from the Federal Motor Carrier Safety Administration (FMCSA).

When the application for employment is submitted in person, 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.

When the application for employment is submitted by mail, telephone, computer, or other similar means, 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 must provide you within three business days of taking adverse action oral, written or electronic notification: that adverse action has been taken based in whole or in part on information obtained from FMCSA; the name, address, and the toll free telephone number of FMCSA; that the FMCSA did not make the decision to take the adverse action and is unable to provide you the specific reasons why the adverse action was taken; and that you may, upon providing proper identification, request a free copy of the report and may dispute with the FMCSA the accuracy or completeness of any information or report. If you request a copy of a driver record from the Prospective Employer who procured the report, then, within 3 business days of receiving your request, together with proper identification, the Prospective Employer must send or provide to you a copy of your report and a summary of your rights under the Fair Credit Reporting Act.

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. You may challenge the accuracy of the data by submitting a request to https://dataqs.fmcsa.dot.gov. If you challenge crash or inspection information reported by a State, FMCSA cannot change or correct this data. Your request will be forwarded by the DataQs system to the appropriate State for adjudication.

Any crash or inspection in which you were involved will display on your PSP report. Since the PSP report does not report, or assign, or imply fault, it will include all Commercial Motor Vehicle (CMV) crashes where you were a driver or co-driver and where those crashes were reported to FMCSA, regardless of fault. Similarly, all inspections, with or without violations, appear on the PSP report. State citations associated with Federal Motor Carrier Safety Regulations (FMCSR) violations that have been adjudicated by a court of law will also appear, and remain, on a PSP report.

The Prospective Employer cannot obtain background reports from FMCSA without your authorization.

AUTHORIZATION

If you agree that the Prospective Employer may obtain such background reports, please read the following and sign below:

I authorize Borsuk Transport (“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 authorizing 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.gov. If I challenge 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 State for adjudication.

I understand that any crash or inspection in which I was involved will display on my PSP report. Since the PSP report does not report, or assign, or imply fault, I acknowledge it will include all CMV crashes where I was a driver or co-driver and where those crashes were reported to FMCSA, regardless of fault. Similarly, I understand all inspections, with or without violations, will appear on my PSP report, and State citations associated with FMCSR violations that have been adjudicated by a court of law will also appear, and remain, on my PSP report. I have read the above Disclosure Regarding Background Reports provided to me by Prospective Employer and I understand that if I sign this Disclosure and Authorization, Prospective Employer may obtain a report of my crash and inspection history. I hereby authorize Prospective Employer and its employees, authorized agents, and/or affiliates to obtain the information authorized above.

Signature

NOTICE: This form is made available to monthly account holders by NIC on behalf of the U.S. Department of Transportation, Federal Motor Carrier Safety Administration (FMCSA). Account holders are required by federal law to obtain an Applicant’s written or electronic consent prior to accessing the Applicant’s PSP report. Further, account holders are required by FMCSA to use the language contained in this Disclosure and Authorization form to obtain an Applicant’s consent. The language must be used in whole, exactly as provided. Further, the language on this form must exist as one stand-alone document. The language may NOT be included with other consent forms or any other language.

NOTICE: The prospective employment concept referenced in this form contemplates the definition of "employee" contained at 49 C.F.R. 383.5.

LAST UPDATED 2/11/2016

General Consent for Limited Queries of the Federal Motor Carrier Safety Administration (FMCSA) Drug and Alcohol Clearinghouse

hereby provide consent to Borsuk Transport to conduct a limited query of the FMCSA Commercial Driver’s License Drug and Alcohol Clearinghouse (Clearinghouse) to determine whether drug or alcohol violation information about me exists in the Clearinghouse. I am consenting to multiple unlimited queries and for the duration of employment with Borsuk Transport. I understand that if the limited query conducted by Borsuk Transport indicates that drug or alcohol violation information about me exists in the Clearinghouse, FMCSA will not disclose that information to Borsuk Transport without first obtaining additional specific consent from me. I further understand that if I refuse to provide consent for Borsuk Transport to conduct a limited query of the Clearinghouse, Borsuk Transport must prohibit me from performing safety-sensitive functions, including driving a commercial motor vehicle, as required by FMCSA’s drug and alcohol program regulations.

Alcohol & Drug Testing Policy

Please review the company alcohol and drug testing policy below. Once finished, electronically sign to confirm receipt, understanding and agree. Upon completion of the online application, you will be emailed a copy of this policy.

View Pdf

Signature

I have read, fully understand and agree to all terms as set forth in the company alcohol and drug testing policy.

General Work Policy

Please review the company general work policy below. Once finished, electronically sign to confirm receipt, understanding and agree. Upon completion of the online application, you will be emailed a copy of this policy. You may also click the Download button in the top right corner of the viewer to save a copy of the policy now.

I have read, fully understand and agree to all terms as set forth in the company general work policy. *Prospective Employee Signature

Fair Credit Reporting Authorization

Pursuant to the federal Fair Credit Reporting Act, I hereby authorize LNR Auto Transport and its designated agents and representatives to conduct a comprehensive review of my background through a consumer report and/or an investigative consumer report to be generated for employment, promotion, reassignment or retention as an employee. I understand that the scope of the consumer report/investigative consumer report may include, but is not limited to, the following areas: verification of Social Security number; current and previous residences; employment history, including all personnel files; education; references; credit history and reports; criminal history, including records from any criminal justice agency in any or all federal, state or county jurisdictions; birth records; motor vehicle records, including traffic citations and registration; and any other public records. I, Jhon David II, authorize the complete release of these records or data pertaining to me that an individual, company, firm, corporation or public agency may have. I hereby authorize and request any present or former employer, school, police department, financial institution or other persons having personal knowledge of me to furnish LNR Auto Transport or its designated agents with any and all information in their possession regarding me in connection with an application of employment. I am authorizing that a photocopy of this authorization be accepted with the same authority as the original. I understand that, pursuant to the federal Fair Credit Reporting Act, if any adverse action is to be taken based upon the consumer report, a copy of the report and a summary of the consumer's rights will be provided to me.

Signature

Prospective Employee Signature

Established in 2019, Borsuk Transport is a family owned and operated business that offers customized supply chain solutions.

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