Index

DRIVER APPLICATION
* Required Fields

Personal Information
First Name	*
Last Name	*
Address	*
City	*
State		Zip Code
Email	*
Home Phone	*
Work Phone
Cell Phone
Fax
Birth Date (mm/dd/yyyy)
Social Security #
# of Years Driving Experience	*
Felony	Yes No
DUI	Yes No
If yes, Date

Drivers Lincense Information
State
DL#
Endorsements
Expiration Date
# of Tickets in Last 3 years
# of Accidents in Last 3 Years
May We Contact Your Present Employer?	Yes No

Employment Information Please List Your Last Three Driving Jobs

Present Employer
Dates of Employment
From
To
Employer Contact Name
Address
City
State
Zip Code
Phone
Fax
Trailor Type
# of States

Employer 2
Dates of Employment
From
To
Employer Contact Name
Address
City
State
Zip Code
Phone
Fax
Trailor Type
# of States

Employer 3
Dates of Employment
From
To
Employer Contact Name
Address
City
State
Zip Code
Phone
Fax
Trailor Type
# of States


Remarks (Owner Operators please put Tractor year & make, Trailer type, year & make and light weight.)

By submitting this application, I certify that I personally completed this application and that all the information is true and correct. I authorize Pegasus Transportation to do a complete background investigation in accordance with state and federal laws. I authorize my previous employers to release my information requested by Pegasus Transportation and hold them harmless for all liabilities from release of said information.

Pegasus Transport Group | 1675 American Way | Cedar Hill, TX 75104 | 1-800-486-4826