G5 Logistics - Using our God given talents and abilities to build a transportation company that our clients can trust. G5 Logistics PO Box 29 Bargersville, IN 46106 Office 317-522-2555 Fax 317-522-2556 EXPEDITE VAN/SPRINTER DRIVER G5 Logistics is always looking for quality individuals that want to be professional drivers. As an expedite driver, you will be On-Call to deliver time sensitive shipments both locally and throughout the Midwest United States. Requirements o Vehicle You must have a dependable Cargo Van or Sprinter. A full size cargo van is the minimum required size. o Driving record You must have a clean driving record. Multiple and/or major violations are not acceptable. If you have had a DUI within the past seven years, you are not eligible for this position. o Cell Phone All drivers must have a nationwide cell phone with voice mail. o Insurance The federal government and our insurance carriers have set minimum insurance limits for commercial vehicles. The insurance on your vehicle must meet or exceed the following minimum limits: $100,000 each occurrence bodily injury $300,000 policy limit bodily injury $100,000 property damage Pay o Drivers are paid 65% commission on each shipment. The total income will vary on a week to week basis. o Van drivers can expect $0.80 to $1.00 per one-way loaded mile. We do try to find return loads, but expect that most trips will only pay one way. o We only have one deduction for Expedite Drivers. This deduction is for Cargo Insurance and the amount is 1.5% of your gross pay. If all of this sounds good to you and you are ready to sign on with G5 Logistics, then please fill out the application. We are looking for a few good individuals that want to be part of our team. Ken Berryhill President G5 Logistics 317-522-2555
Driver Application Form PLEASE PRINT ALL G5 Logistics PO Box 29 Bargersville, IN 46106 Page 1 of 4 APPLICANTS MAY BE TESTED FOR ILLEGAL DRUGS DATE Name Last First Middle Maiden Present address Number Street City State Zip How long Social Security No. Home Phone Cell Phone Email If under 21, please list age Position applied for (1) and salary desired (2) (Be specific) Days/hours available to work No Pref Thur Mon Fri Tue Sat Wed Sun How many hours can you work weekly? Can you work nights? Can you work weekends? What date will you be available to work? TYPE OF SCHOOL NAME OF SCHOOL LOCATION (City, State) High School College Bus. or Trade School Professional School NUMBER OF YEARS COMPLETED MAJOR & DEGREE HAVE YOU EVER BEEN CONVICTED OF A CRIME? q No q Yes If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation.
DRIVER APPLICATION Driving Record Page 2 of 4 DO YOU HAVE A DRIVER S LICENSE? q Yes q No Driver s license number State of issue q Operator q Commercial (CDL) qchauffeur Expiration date Have you been convicted of a DUI or DWI? q Yes q No Date List all accidents during the past five years? Use the back of this sheet if more space is needed. Date Description Location List all moving violations during the past five years? Use the back of this sheet if more space is needed. Date Description Location Your Vehicle If you plan to be an Owner Operator, what type of vehicle will you be driving? Year Make Model Approximate odometer reading
Page 3 of 4 Work Experience Please list your work experience for the past five years beginning with your most recent job held. If you were self-employed, give firm name. Use the back of this sheet if more space is needed. Your last job title Your Last Job Title Your last job title
Page 4 of 4 PLEASE READ CAREFULLY I authorize investigation of all statements contained in this application. I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice. I hereby give the Company permission to contact schools, previous employers (unless otherwise indicated), references, and others, and hereby release the Company from any liability as a result of such contract. Signature of applicant Date: Thank you for completing this application form and for your interest in our business.