Drive for Southern Haulers

Driver Application

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How would you like to complete this?

Both paths satisfy FMCSA §391.21. Choose whichever fits your situation.

Complete online

Recommended · ~12 min

Autosaves every field as you type
Type or draw your signature
Submit instantly — reference number on screen
Resume any time from your phone or laptop

Download PDFs to complete in person

Print · sign · bring or mail

Three official Southern Haulers forms
Print, complete by hand, and sign with a pen
Bring to our Vidalia GA office during business hours
Or mail / fax — addresses on each form

Federal-DOT compliant application + PSP authorization + previous-employer release. Every field autosaves as you type — close this tab and resume any time. Date of birth is tokenized on receipt; plaintext is never stored. Your Social Security Number is not collected at this stage — if you receive a conditional offer of employment, we will request it under 49 CFR §391.21 before your first dispatch.

Source Documents

3 forms · 7 pages

You may submit the application online via the digital sections below — every field autosaves as you type. Or download these official Southern Haulers forms, complete by hand, and return in person at our Vidalia, GA office or by fax / email.

Driver's Application for Employment

Identity · 3-year residency · 10-year employment history · Clearinghouse consent

49 CFR 391.21 · Southern Haulers proprietary form Rev. 2026-05

PSP Disclosure & Authorization

FMCSA Pre-Employment Screening Program — standalone document

FMCSA NIC verbatim · stand-alone document

Previous-Employer Safety-Performance Release

Authorizes Southern Haulers to inquire of any/all previous employer(s)

49 CFR 391.23 — investigation and inquiries

§1.A — Acknowledgment of Rights

49 CFR 391.23(d) and (e)

Read the statement below and sign before completing the application.

Position(s) Applied For*

Date of Application*

To be read and signed by applicant

I understand that information I provide regarding current and/or previous employers may be used, and those employer(s) will be contacted, for the purpose of investigating my safety performance history as required by 49 CFR 391.23(d) and (e). I understand that I have the right to:

Review information provided by previous employers;
Have errors in the information corrected by previous employers and for those previous employers to re-send the corrected information to the prospective employer; and
Have a rebuttal statement attached to the alleged erroneous information, if the previous employer(s) and I cannot agree on the accuracy of the information.

In compliance with Federal and State equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status, veteran status, non-job-related disability, or any other protected group status.

I have read and acknowledge the 49 CFR 391.23(d)(e) statement above.

Signature — Type your full legal name or draw*

§1.B — Applicant Identity + 3-Year Residency

49 CFR 391.21(b)(2), (b)(3)

Date of birth tokenizes on receipt — plaintext never stored. Social Security Number is NOT collected at this stage; if you receive a conditional offer of employment, you will be asked to provide it under 49 CFR §391.21 prior to your first dispatch.

Full Name*

Date of Birth — required for Commercial Drivers*

Phone*

Current Address (Street · City · State · ZIP)*

Time at Current Address (e.g. 2y 4m)*

Prior Addresses — all in past 3 years*

One per line. Format: street · city · state · zip · dates (mm/yyyy – mm/yyyy)

Do you have the legal right to work in the United States?*

Can you provide proof of age?*

Required for commercial drivers.

Have you worked for this company before?*

Have you ever been bonded?*

Answer only if a job requirement.

Can you perform — with or without reasonable accommodation — the essential functions of the job?*

What we collect, why, and how we protect it

What: name, date of birth, contact, CDL details, residency, employment history (10-year for CDL applicants), Clearinghouse query consent, PSP authorization, signature.
Why: required by 49 CFR §391.21 (driver qualification), §382.701 (Clearinghouse query), and §391.23 (background investigation). Not used for marketing.
Privacy posture: we do NOT collect SSN or other sensitive PII on this public form. SSN is requested only after a conditional offer of employment, under the same §391.21 authority, before first dispatch.
Retention: DQF kept for 3 years post-separation (§391.51). Non-hire applications retained for 1 year (FCRA minimum) then destroyed.

Full details: Privacy Policy · Terms of Service. By submitting, you acknowledge you've read both.

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