1. Have you ever had any type of motor vehicle license suspended or revoked, or even denied a license, permit or privilege to operate a motor vehicle?
2. Do you have a past conviction for driving while intoxicated?
3. Do you have a past conviction in the last 5 years for reckless or careless driving?
4. Do you have a past conviction for possession of a controlled substance?
5. Have you ever tested positive or refused a pre-employment, random, or any DOT drug or alcohol test?
6. If you answered "Yes" to the previous question. Have you successfully completed the return-to-duty process?
7. Do you have a past conviction for any misdemeanor or felony offence?
8. Are you presently on probation or parole?
9. Have you any physical condition which may limit your ability to driver a commercial vehicle?
     1. Have you ever been part of an investigation about cargo loss?
     2. Have you ever loss a cargo while it was in your custody?
     3. Have you ever been investigated by missing in the transported load?
     4. Have you ever had missing in the transported load?
     5. Have you ever been arrested on charges brought against you?
If you answered "yes' to any of the above questions, please give details below relevant to you answer.
"I certify that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge."