Careers — Join the Southern States Equipment Team

Position of Interest

Position Applying For*

Preferred Branch *

Desired Salary

Date Available to Start*

Personal Information

First Name*

Middle

Maiden (if any)

Last Name*

Email Address*

Telephone Number*

Date of Birth

Social Security No.

Street Address*

City*

State & ZIP*

How Long at Current Address?

Previous Three Years Residency

List any additional addresses over the past three years.

#1 Street

City

State & ZIP

Years

#2 Street

City

State & ZIP

Years

#3 Street

City

State & ZIP

Years

Driver's License Information

FMCSR §383.21: No person operating a commercial motor vehicle may hold more than one driver's license.

State

License No.

Type / Class

Expiration Date

State

License No.

Type / Class

Expiration Date

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

If yes to either — please explain

Driving Experience

Skip if not applying for a driver / CDL position.

Straight Truck

Type (van, tank, flat…)

Dates (from – to)

Approx. Total Miles

Tractor & Semi-Trailer

Type (van, tank, flat…)

Dates (from – to)

Approx. Total Miles

Tractor — Two Trailers

Type (van, tank, flat…)

Dates (from – to)

Approx. Total Miles

Other

Type (van, tank, flat…)

Dates (from – to)

Approx. Total Miles

Accident Record (Past 3 Years)

Date

Nature (head-on, rear-end, upset…)

# Fatalities

# Injuries

Chemical spills?

Yes No

Date

Nature (head-on, rear-end, upset…)

# Fatalities

# Injuries

Chemical spills?

Yes No

Date

Nature (head-on, rear-end, upset…)

# Fatalities

# Injuries

Chemical spills?

Yes No

Traffic Convictions & Forfeitures (Past 3 Years)

Other than parking violations.

Date (month/year)

Violation

State

Penalty

Date (month/year)

Violation

State

Penalty

Date (month/year)

Violation

State

Penalty

Employment History

Provide all employers from the previous three years. CDL applicants must include seven additional years (ten total).

Most Recent Employer

Company Name

Phone

Address

Position Held

From

To

Salary

Reason for Leaving

Any employment gaps? Include dates and reason.

Subject to FMCSRs while employed there?

Yes No

DOT safety-sensitive role (49 CFR Part 40)?

Yes No

Second-to-Last Employer

Company Name

Phone

Address

Position Held

From

To

Salary

Reason for Leaving

Any employment gaps? Include dates and reason.

Subject to FMCSRs while employed there?

Yes No

DOT safety-sensitive role (49 CFR Part 40)?

Yes No

Third-to-Last Employer

Company Name

Phone

Address

Position Held

From

To

Salary

Reason for Leaving

Any employment gaps? Include dates and reason.

Subject to FMCSRs while employed there?

Yes No

DOT safety-sensitive role (49 CFR Part 40)?

Yes No

DOT Drug & Alcohol Disclosure (Drivers Only)

Do you currently possess a Commercial Driver's License (CDL)?

Yes No

I have NOT performed DOT-regulated functions in the past two years (three years for CDL drivers).I have tested positive, or refused to test, on any pre-employment DOT drug or alcohol test in the past two years (three for CDL).If checked above, I can provide proof of completing the DOT return-to-duty requirements.

Certification & Signature

I authorize Southern States Equipment to investigate my personal, employment, financial, or medical history and other related matters. I release employers, schools, health-care providers, and other persons from all liability in responding to inquiries. I understand that false or misleading information may result in discharge, and I agree to abide by all company regulations. Per 49 CFR §391.23(d)–(e), I understand I have the right to review information provided by previous employers, request corrections, and attach a rebuttal statement.

I certify that the information provided is true and complete to the best of my knowledge, and I authorize the release of information as described above. *

Type Full Name as Signature*

Date*

Join our team.

Apply online.

Position of Interest

Personal Information

Previous Three Years Residency

Driver's License Information

Driving Experience

Accident Record (Past 3 Years)

Traffic Convictions & Forfeitures (Past 3 Years)

Employment History

DOT Drug & Alcohol Disclosure (Drivers Only)

Certification & Signature