Driver Employment Initial Contact Form Select Terminal Location * Requested Home Terminal Los Angeles Colton Fresno Stockton Phoenix Requested Days * Monday Tuesday Wednesday Thursday Friday Saturday Sunday No Preference Requested Shift * AM PM No Preference Name * First Name Last Name Email * Phone (###) ### #### License Type * Class A Class B Endorsements * Tanker Hazmat Doubles / Triples Do you have any restrictions on your license? * Number of Years of Commercial Driving Experience * 1-year 2-years 3-years 4-years 5+ years Number of Years of Petroleum Transportation * 0-years 1-year 2-years 3-years 4-years 5+ years Do you have a clean driving record? * Yes No Any Accidents? * Yes No Any DUIs? * Yes No Any points? * Yes No Current Employer If currently employed, please list employer information Current Active Terminal Certifications * Check all that apply I am not currently certified at any terminal Kinder Morgan Carson Kinder Morgan Orange Kinder Morgan Colton Kinder Morgan Imperial Kinder Morgan Mission Valley Kinder Morgan Fresno Kinder Morgan Bradshaw Kinder Morgan San Jose Kinder Morgan Daggett Shell Signal Hill Shell Carson Shell San Jose Shell Stockton Shell Van Nuys Shell West Sacramento PBF Martinez PBF Vernon Olympus Long Beach Chevron El Segundo Chevron Montebello Chevron Richmond Marathon East Hynes Marathon Hathaway Marathon Martinez Marathon Vinville Marathon Wilmington Marathon Stockton Nustar Stockton Nustar Wilmington Valero Benicia Vopak Long Beach Vopak Wilmington Kern Energy Bakersfield Delta Trading Bakersfield Community Fuels Stockton IMTT Richmond Notes / Comments Thank you!