Professional Driver Application

America's Energy Inc.

AMERICA'S ENERGY, INC. is an Equal Opportunity Employer. Our employment decisions are made without regard to race, color, religion, age, sex, citizenship, ancestry, national origin, sexual orientation, disability, veteran status, military status, marital status, genetic information or any other characteristic protected by applicable federal, state, or local law.

Industry Experience

CDL Class *

Driver License State *

Driver License Number *

Driver License Expiration *

Combined "X" Endorsement (HazMat + Tanker)? *

More than one driver's license?

Are there any restrictions listed on your CDL?

Upload Copy of CDL (front and back) * PNG, JPG, or PDF. Max 5MB per file.

Carded at fuel terminals (Kinder Morgan, Caljet, Pro Petroleum)?

Date of Last DOT Physical

Are you an owner operator?

Background Information

Full Name *

Phone *

Email *

Date of Birth *

Resume / CV (Optional) PDF or Word document (.pdf, .doc, .docx). Max 5MB.

Willing to work nights?

Willing to work weekends?

Current & Past Employment

Are you currently employed? *

Employment History (Past 5 Years)

Employer #1

Company Name

Address

Contact Name

Contact Phone

Contact Email

Start Date – End Date

Addresses for Past 5 Years

Address #1

Street Address *

City *

State *

ZIP *

Authorization & Signature

Type Your Full Legal Name to Sign *

Date