MitchPath Logistic LLC | Non-CDL Driver Application

Personal Information

Tell us who is applying for the Non-CDL driver opportunity.

First Name *

Middle Name

Last Name *

Date of Birth *

Email *

Phone *

Last 4 SSN *

Position Applying For

Preferred Schedule

Position & Availability

Provide your availability and preferred work schedule.

Available Start Date *

Employment Type *

Schedule Availability

Work Preference

3-Year Residence History

Provide all addresses where you have lived during the past 3 years.

Current Street Address *

City *

State *

ZIP Code *

Current Address From Date *

Current Address To Date *

Previous Address History *

License History

Provide your driver license information.

Driver License Number *

License State *

License Class

License Expiration Date *

Have You Ever Had a License Suspended, Revoked, or Denied? *

If Yes, Explain

Medical Qualification

Provide any medical qualification information that applies to this role.

Do you have any medical conditions that affect your ability to drive? *

If Yes, Please Explain

Are you currently taking any medications that could affect driving? *

If Yes, Please List Medications

Driving Experience & Safety

Tell us about your non-CDL driving background and safety history.

Years of Driving Experience *

Types of Equipment Operated

Accidents Within the Past 3 Years *

Traffic Violations Within the Past 3 Years *

If Yes to Accidents or Violations, Explain

Employment History

Provide your recent employment history.

Employer Name

Employer Phone

Employer Address

Job Title

Dates of Employment

Reason for Leaving

Agreements & Authorization

Please read the following statements carefully before proceeding with your application.

I certify that all information provided in this application is true, complete, and accurate to the best of my knowledge. I authorize MitchPath Logistic LLC to verify all information provided in this application. I understand that submitting this application does not guarantee employment.

Review & Submit

Applicant Full Legal Name *

Electronic Signature *

Date Signed *

I agree that my typed name and submitted date serve as my electronic signature.