Join our Team

If you’re a driver and interested in becoming a part of the State Courier Systems team, fill in the online application form below, or click the button below to download a PDF version and mail the completed form to us.

APPLICANT INFORMATION

If at the above residence less than three years, list below ALL residences for the past three years.

Position Applying For

Period of job

Temporary Full time Part time

Rate of Pay Expected

Have you ever worked for this company before

Yes No

If Yes - dates from to

Names of any relatives employed by this company

Are you currently employed

Yes No

If not, how long since leaving last employment

Highest grade completed - High School

Highest grade completed - College

1 2 3 4

MILITARY EXPERIENCE

Have you ever served in the U.S. Armed Forces

Yes No

If yes, which branch of service

Describe any military training received relevant to the position for which you are applying

Are you currently serving in Military Reserves

Yes No

Are you currently serving in National Guard

Yes No

Have you ever been bonded?

Name of bonding company

Have you ever been convicted of a felony

Conviction of a crime is not an automatic bar to employment - all circumstances will be considered.

DRIVER EXPERIENCE AND QUALIFICATIONS

The Federal Motor Carrier Safety Regulations (49CFR391.21 (b) (2)) requires that driver applicants state their date of birth and SS#.

Social Security Number

PHYSICAL HISTORY

The Federal Motor Carrier Safety Regulations (49CFR391 Subpart E) requires that all driver applicants pass certain physical tests before they are hired to drive a motor vehicle.

Date of last Department of Transportation prescribed examination

Can you provide a copy

Have you ever been granted a waiver under section 391.49 of the Federal Motor Carrier Safety Regulations pertaining to the loss of foot, leg, hand or arm?

Yes No

ALCOHOL AND CONTROLLED SUBSTANCE STATEMENT

The Federal Motor Carrier Safety Regulations 49CFR40.25(j) requires all persons with applying for a driving position requiring a commercial drivers license to answer the following questions.

1. Within the last two years, have you ever tested positive, or refused to test, on any pre-employment drug or alcohol test administered by an employer to which you applied for, but did not obtain, safety-sensitive transporation work?

Yes No

2. Within the last two years have you ever tested positive, or refused to test, on any type of drug or alcohol test administered by an eployer for which you preformed safety-sensitive transportation work?

Yes No

3. If you answered yes to either 1 or 2 above, can you provide and/or obtin proof that you hae successfully completed the DOT return-to-duty requirements?

Yes No

Applicants Signature

DRIVER'S LICENSE INFORMATION

Driver Licenses held in the past 3 years must be shown

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

Yes No

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

Yes No

C. Have you ever been disqualified for violations of the Federal Motor Carrier Safety Regulations

Yes No

If you answered 'YES' to A, B, or C, write a statement below giving details

DRIVING EXPERIENCE

Class of Equipment

Straight Truck Tractor and Semi-Trailer Twin Other

Approximate Total Miles

List states operated in during the last five years

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

List safe driving awards held and who awards were presented by

ACCIDENT HISTORY

MOTOR VEHICLE DRIVING RECORD (MVR)

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

EMPLOYMENT RECORD

The Federal Motor Carrier Safety Regulations (49CFR391.21) require that all applicants wishing to drive a commercial vehicle list all employment for the last three (3) years. In addition, if you have driven a commercial vehicle previously, you must provide employment history for an additional seven 97) years for a total of ten (10) years. Any gaps in employment must be explained.

Start with the last or current position, including any military experience, and work back. You are required to list hte complete mailing address: street number, city, state and zip code.

APPLICANT MUST READ AND SIGN

I certify that I have read and understand all of this employment application. It is agreed and understood that the employer or his agents may investigate the applicant's background to ascertain any and all information of concern to applicant's record, whether same is of record or not, and applicant releases employers and other persons named herin from all liability for any damages on account of his 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 that are pertinent to the job.

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, personal 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 I completed this application and that all entries on it and information in it are true and complete to the best of my knowledge.

Applicant's Signature

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PERSONAL INFORMATION

Name

Company

Street Address

City

Zipcode

Phone Number

SHIPPING FROM

Name

Street Address

City

Zipcode

Phone Number

Contact

Load/PO#

Number of Skid Spaces

Total Weight (in lbs)

SHIPPING TO

Name

Street Address

City

Zip Code

Phone Number

Contact

Advertise on our vehicles!

State Courier Systems has paired up with Fulton Signs in Mentor to offer advertising on the back of our trucks.

$ 195 Monthly

One time install and logo fee of $700

Popular

$ 150 Monthly

One time install and logo fee of $375

$ 125 Monthly

One time install and logo fee of $200

Popular

Please fill in the form below if you would like to advertise with us.

Fulton Signs require good quality artwork to be provided.
Minimum of six months required.
State Courier Systems, Inc. operates 95% in Ashtabula, Lake, Geauga & Cuyahoga Counties. We are licensed to travel in all of Ohio. We drive during morning and evening rush hours, between the hours of 4am to 11pm and 7 days a week, which provides a unique opportunity to be seen by many.

Delivery Request

PERSONAL INFORMATION

Name

Company

Street Address

City

Zipcode

Phone Number

Pick up Date

Pick up Time

SHIPPING FROM

Name

Street Address

City

Zipcode

Phone Number

Contact

Load/PO#

Number of Skid Spaces

Total Weight (in lbs)

SHIPPING TO

Name

Street Address

City

Zip Code

Phone Number

Contact

Join our Team

Driver Application Form

Get a Quote

Advertise on our vehicles!

Full back door

Half back door

Quarter back door

Delivery Request