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About Us
Services
College Athletics
High School Athletics
Motor Coach Charters
Student Tours and Field Trips
Corporate Events
Areas We Serve
Bristol, TN
Charleston, SC
Jacksonville, FL
Savannah, GA
Fleet
14-passenger Shuttles
38-passenger Shuttles
56-passenger Motor Coaches
GET A QUOTE
reserve@coastalmotorcoach.com
843-948-8889
Drive for Coastal
November 20, 2024
Drive for Coastal
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Section 383.21 FMCSR states “No person who operates a commercial motor vehicle shall at any time have more than one driver’s license”.
Do you certify that you do not have more than one motor vehicle license?
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Mini Bus/ School Bus
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ACCIDENTS
ACCIDENTS
(Required)
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No
Accident Details
Accident Details 1 :
Date of Collision
MM slash DD slash YYYY
Nature of Collision (Head On Rear End)
Number of Fatalities
Number of Injuries
Hazmatl Spill
Accident Details 2 :
Date of Collision
MM slash DD slash YYYY
Nature of Collision (Head On Rear End)
Number of Fatalities
Number of Injuries
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Accident Details 3 :
Date of Collision
MM slash DD slash YYYY
Nature of Collision (Head On Rear End)
Number of Fatalities
Number of Injuries
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VIOLATIONS
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Violation Details 1
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Violation Details 2
Date
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Violation Details 3
Date
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A. Have you ever been denied a license, permit or privilege to operate a motor vehicle?
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If yes, explain
B. Has any license, permit or privilege ever been suspended or revoked?
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EMPLOYMENT RECORD
(MUST GO BACK THREE YEARS FOR ALL JOBS, AND 10 YEARS FOR DRIVING JOBS)
Must list the complete mailing address: street number and name, city, state and zip code.
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To Date
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Any Gaps In Employment And/Or Unemployment Must Be Explained.
Include Dates (Month/Year) And Reason.
Were you subject to the Federal Motor Carrier Safety Regulations (FMCSRs) while employed by this previous employer?
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Was the previous job position designated as a safety sensitive function in any DOT regulated mode, subject to alcohol and controlled substances testing requirements as required by 49 CFR Part 40?
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Second to Last Employer
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Phone
Email
Position Held
From Date
MM slash DD slash YYYY
To Date
MM slash DD slash YYYY
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Reason for Leaving
Any Gaps In Employment And/Or Unemployment Must Be Explained.
Include Dates (Month/Year) And Reason.
Were you subject to the Federal Motor Carrier Safety Regulations (FMCSRs) while employed by this previous employer?
Yes
No
Was the previous job position designated as a safety sensitive function in any DOT regulated mode, subject to alcohol and controlled substances testing requirements as required by 49 CFR Part 40?
Yes
No
Previous Employer 3
Employer Name
Address
Phone
Email
Position Held
From Date
MM slash DD slash YYYY
To Date
MM slash DD slash YYYY
Salary
Reason For Leaving
Any Gaps In Employment And/Or Unemployment Must Be Explained.
Include Dates (Month/Year) And Reason.
Were you subject to the Federal Motor Carrier Safety Regulations (FMCSRs) while employed by this previous employer?
Yes
No
Was the previous job position designated as a safety sensitive function in any DOT regulated mode, subject to alcohol and controlled substances testing requirements as required by 49 CFR Part 40?
Yes
No
Previous Employer 4
Employer Name
Address
Phone
Email
Position Held
From Date
MM slash DD slash YYYY
To Date
MM slash DD slash YYYY
Salary
Reason For Leaving
Any Gaps In Employment And/Or Unemployment Must Be Explained.
Include Dates (Month/Year) And Reason.
Were you subject to the Federal Motor Carrier Safety Regulations (FMCSRs) while employed by this previous employer?
Yes
No
Was the previous job position designated as a safety sensitive function in any DOT regulated mode, subject to alcohol and controlled substances testing requirements as required by 49 CFR Part 40?
Yes
No
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