A Percentage Of Your Pay In AdvanceYou will receive a percentage of your trip pay at the time of dispatch to help offset your expenses. The balance will be paid after all of the paperwork is completed and returned to Foremost Transport, Inc. You may also qualify to be reimbursed for tolls, permits, wash fees, and other additional expenses.

Foremost Transport, Inc. has prospered because of the professionalism of our drivers. If you are a true professional driver, we would like you to join the Foremost team.

____ Must be able to pass a D.O.T. physical & provide long form/card____ No more than 6 points on a driver license, to include no more than 2 moving violations or 2 accidents in the past three years (regardless of fault)____ Minimum of 6 months commercial experience____ No felonies during the past ten years____ Working Cell phone

____ Must be at least 23 years of age____ Must be able to legally work in the u.S.____ Provide copy of social security card____ Provide copy of CDL or chauffeur driver license____ Must be able to pass company drug screen____ No alcohol or drug convictions in a vehicle____ Camera (digital or other)

____ Presentable 2 ton or larger truck w/9,000 lb. winch____ D.O.T. or State Annual Inspection for truck/trailer____ Trailer registration – Trailer must be 48-52 ft. with center rail and ramps. Lower deck must not exceed 36” height.____ Haul & Tow truck – Need 25 ft. deck with center rail, ramps and winch. Deck must not exceed 36” height.____ (12) Wheel bonnets, (24) Rachets for Flatbed

____ ¾ ton or larger pickup truck (ten years or newer)____ Truck registration (registered between 18,000- 26,000 lbs.). Check with your state for combination plate.____ D.O.T. or State Annual Inspection____ Travel trailer hitch rated for 10,000 lbs. or more____ 5th wheel hitch rated for 16,000 lbs. or more____ extended Rv mirrors____ Seven-prong bargman electric plug____ Marker lights on cab of truck____ break-away battery

SUB-CONTRACTOR REQUIREMENTS

BOND REQUIREMENTS

PAY

EQUIPMENT REQUIREMENTS – HAUL & TOW/FLATBED DIVISION

EQUIPMENT REQUIREMENTS – TOWABLE DIVISION

ALL DRIVERS MUST MEET DRIVER QUALIFICATION REQUIREMENTS.

Foremost Transport, Inc. will pay you per loaded mile for the delivery of the unit. We will also reimburse you for authorized tolls, permits and washes. You are responsible for fuel, meals, and sleeping arrangements. As a Sub-Contractor you set your schedule and will receive a 1099 showing income earned. We suggest finding a good trucking accountant to help you with deductions and tax filing.

Every Sub-Contractor is responsible for a $1,000 deductible on damages. This is taken out of your gross pay until $1,000 is met and placed in a bond account. In addition, owner-operators who order IRP plates and IFTA through Foremost Transport, Inc. will have a $1,500 bond taken out to cover plate and fuel tax expenses.

____ ball stands for trailer or Haul & Tow____ break-away battery for Haul & Tow and electric trailers____ Current cab card registration for truck – IRP required____ $500,000 Liability Insurance for truck/trailer____ Fifth wheel rated for minimum 22,000 lbs. – Flatbed____ Gauged fire extinguisher must be securely mounted____ (4) Wheel bonnets, (8) Ratchets for Haul & Tow

____ Set of three triangles____ 8 ft. bed on truck w/nothing above the bed rails____ $500,000 Liability Insurance for truck____ Weight distribution system for travel trailers with 2 5/16” ball____ 2” ball (can be mounted on 5,000 lb. ball mount)____ electric brake control____ mud flaps (no more than 6 inches from ground)____ Six-foot safety chain with hooks on both ends (5/16” or thicker)____ Gauged fire extinguisher must be securely mounted____ Four-Way lug wrench and jack

EMPLOYER Date: (Include, month & year)

Name: From: To:

Address: Position:

City: State: Zip Code: Reason for leaving:

Contact: Phone:

Were you subject to the FmCSRs while employed?: _____ Yes _____ No

Was your job designated as a safety-sensitive function subject to the drug and alcohol testingrequirements 49CFR Part 40? _____ Yes _____ No Wage:

EMPLOYER Date: (Include, month & year)

Name: From: To:

Address: Position:

City: State: Zip Code: Reason for leaving:

Contact: Phone:

Were you subject to the FmCSRs while employed?: _____ Yes _____ No

Was your job designated as a safety-sensitive function subject to the drug and alcohol testingrequirements 49CFR Part 40? _____ Yes _____ No Wage:

EMPLOYER Date: (Include, month & year)

Name: From: To:

Address: Position:

City: State: Zip Code: Reason for leaving:

Contact: Phone:

Were you subject to the FmCSRs while employed?: _____ Yes _____ No

Was your job designated as a safety-sensitive function subject to the drug and alcohol testingrequirements 49CFR Part 40? _____ Yes _____ No Wage:

(Please use additional sheet if necessary)

What Type of Vehicle Will You Be Using: Yr.________ make____________ model____________

APPLICATION FOR SUB-CONTRACTOR

DATe_____________________

COMPANY: FOREmOST TRANSPORT, INC. ADDRESS: 64825 COUNTY RD. 31 GOSHEN, INDIANA 46528The Company does not discriminate on the basis of race, color, religion, creed, national origin, sex or ancestry, or on the basis of age. No question on this application is intended to secure information to be used for such discrimination. This application will be given every consideration, but its receipt does not imply that the applicant will be accepted.

NAMe DATe OF bIRTH SS# ADDRESS CITY STATE ZIPLeNGTH OF ReSIDeNCe HOMe PHONe CeLL(If length of residence is less than 3 years, list all previous addresses for past 3 years on separate sheet.)In case of emergency, notify Name Address Phone Cell

HISTORY OF EMPLOYMENTAll applicants who operate in interstate commerce must provide the following information on all current and previous employers for the past 10 years. Any gaps greater than 30 days must have documentation showing proof. If retired or unemployed you must show or have a professional letter of recommendation on letterhead. If self-employed you must provide a copy of your 1099 or profit/loss statement from your tax form.

REFERENCE # EMAIL ADDRESS - PRINT CLEARLY

PICKUP/TOWABLE HAUL & TOW/FLATBED

EMPLOYER Date ( Month and Year)

Name: From: To:

Address: Position:

City: State: Zip: Reason for leaving:

Contact: Phone:

Where you subject to the FMCSRs while employed? Yes No

Was your job designated as a safety-sensitive function subject to the drug and alcohol testing

requirements 49CFR Part 40? Yes No Wage:

EMPLOYER Date ( Month and Year)

Name: From: To:

Address: Position:

City: State: Zip: Reason for leaving:

Contact: Phone:

Where you subject to the FMCSRs while employed? Yes No

Was your job designated as a safety-sensitive function subject to the drug and alcohol testing

requirements 49CFR Part 40? Yes No Wage:

EMPLOYER Date ( Month and Year)

Name: From: To:

Address: Position:

City: State: Zip: Reason for leaving:

Contact: Phone:

Where you subject to the FMCSRs while employed? Yes No

Was your job designated as a safety-sensitive function subject to the drug and alcohol testing

requirements 49CFR Part 40? Yes No Wage:

EMPLOYER Date ( Month and Year)

Name: From: To:

Address: Position:

City: State: Zip: Reason for leaving:

Contact: Phone:

Where you subject to the FMCSRs while employed? Yes No

Was your job designated as a safety-sensitive function subject to the drug and alcohol testing

requirements 49CFR Part 40? Yes No Wage:

HISTORY OF EMPLOYMENT (CONTINUED)

All applicants who operate in interstate commerce must provide the following information on all current and previous

employers for the past 10 years. Any gaps greater than 30 days must have documentation showing proof. If retired or

unemployed you must show or have a professional letter of recommendation on letterhead. If self-employed you must provide

a copy of your 1099 or profit/loss statement from your tax form

YES NO

DATE VIOLATION TOWN & STATE TYPE OF VIOLATION AND NOTES

DATE CHARGE TOWN & STATE TYPE OF ACCIDENT PERSONAL INJURIES FATALITIES

EXPERIENCE

List the states you have driven regularly ____________________________________________________TRAFFIC VIOLATION CONVICTIONS

DOT Regulations require commercial motor operators to report convictions of state violations to their state licensure and to their employers.List all traffic violation convictions, other than parking, within the past three years.

ACCIDENTSList all motor vehicle accidents, chargeable or non-chargeable, in which you were involved within the past three years.

LICENSE REVOCATION, SUSPENSION, CANCELLATIONDOT Regulations require commercial motor vehicle operators to notify their employers if their driver license has been suspended, revoked, or cancelled, or if they are disqualified.Has your privilege to operate a motor vehicle ever been suspended, revoked, withdrawn or denied? l Yes l No

If YES, explain in detail _____________________________________________________________________________________________

________________________________________________________________________________________________________________

________________________________________________________________________________________________________________Have you ever tested positive for alcohol or drugs? l Yes l No

If YES, give a date and a brief explanation ______________________________________________________________________________

________________________________________________________________________________________________________________

Have you ever been convicted of a misdemeanor or felony? l Yes l No If yes, give a date(s) and brief description ____________

________________________________________________________________________________________________________________

________________________________________________________________________________________________________________

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

Have you worked for this Company before? __________________ When? From _____________________ to _______________________

Position Held ____________________________________ Reason for leaving _________________________________________________

AUTO AND/OR CHAUFFEUR’S LICENSESDOT Regulations specify that it shall be illegal for a commercial motor vehicle operator to have more than one driver’s license.

Exception until Dec. 31, 1989, if state law requires. (You must list ALL LICENSES held by you within the past 3 years).

License No. __________________________________ State _________________ Type or Class ____________________ expiration Date ____________________

License No. __________________________________ State _________________ Type or Class ____________________ expiration Date ____________________

TYPE OF EQUIPMENT NUMBER OF YEARS APPROX. MILES Straight Truck

Tractor-Trailer

bus

Pick up Truck – Rv Trailer – Horse Trailer

Motor Home

Date: Offense: Location: Vehicle Type Operated:

Certification Date Driver's License Number State Expiration Date

Type of License: CDL Chauffeur Other

Printed Applicant's Name Motor Carrier's Name

Applicant's Signature Motor Carrier's Employee Signature

Motor Carrier's Employee Title

MOTOR VEHICLE DRIVER'S

CERTIFICATION OF VIOLATIONSMOTOR CARRIER INSTRUCTIONS: Each motor carrier shall, at least once every 12 months, require each driver it employs to prepare

and furnish it with a list of all violations or motor vehicle traffic laws and ordinances (other than violations involving only parking) of

which the driver has been convicted, or on account of which he/she has forfeited bond or collateral during the preceding 12

months. (Section 391.27)

DRIVER INSTRUCTIONS: Each driver shall furnish the list required in the above motor carrier instructions. If the driver has not been

convicted of, forfeited bond or collateral on account of any violation which must be listed he/she shall so certify.

Drivers who have provided information required by Section 383.31 need not repeat that information in the annual list of violations.

I certify that the following is a true and complete list of traffic violations required to be listed, other than parking violations, for

which I have been convicted or forfeited bond or collateral during the past 12 months.

If no violations are listed above, I certify that I have not been convicted or forfeited bond or collateral on account of any violation

required to be listed during the past 12 months. YOU MUST SIGN YOUR NAME WHERE SHOWN

Applicant Signature Signature Date

Applicant Signature Signature Date

In connection with my application for Sub-Contractor driver (including contract for services) with Foremost Transport, Inc., I

understand that consumer reports which may contain public record information may be requested from Foremost Transport, Inc.

These reports may include the following types of information: Names and dates of previous employers, reason for termination of

employment, work experience, accidents, safety performances, etc. I further understand that such reports may contain public

record information concerning my driving record, workers’ compensation history, credit, bankruptcy proceedings, criminal

records, as well as dates, violations and accidents included in MCMIS, etc. from federal, state and other agencies which maintain

such records. I AUTHORIZE, WITH-OUT RESERVATION, ANY PARTY OR AGENCY CONTACTED BY Foremost Transport, Inc. TO

FURNISH THE ABOVE MENTIONED INFORMATION TO THE EXTENT AUTHORIZED BY STATE AND FEDERAL LAW.

I have the right to make request to Foremost Transport, Inc., upon proper identification,to request the nature and substance of

all information in the files on me at the time of my request, to have incorrect information corrected and to have a rebuttal

statement included if necessary. In conformity with 49 C.F.R. Part 40, I hereby authorize motor carriers (company/school) listed

on my application to furnish Foremost Transport, Inc. the following information concerning drug and alcohol tests: DOT drug and

alcohol testing violations including pre-employment tests during the past three years (I) the dates on which I tested positive for

drugs and the drugs involved; (II) the dates on which I tested .04 or greater for alcohol and the test result levels; (III) the dates on

which I refused to be tested for drugs and/or alcohol; (IV) any failure to undertake or complete a rehabilitation program

prescribed by a Substance Abuse Professional; (V) other violations of D.O.T. drug and alcohol testing regulations; and (VI) any

information the carriers have received regarding violations of drug/alcohol testing regulations from my previous employers

observed by D.O.T.

I fully understand that the information I authorize Foremost Transport, Inc. to receive, involves tests which were required by the

Department of Transportation (DOT). If any carrier (company/school) listed on my application furnishes Foremost Transport, Inc.

with information concerning items (I) through (V) above, I also authorize that carrier (company/school) to release and furnish the

dates of my negative drug and/or alcohol tests and/or tests with results below 0.04 during the three-year period and the names

and phone numbers of any substance abuse professional who evaluated me during the past three years.

APPLICANT READ COMPLETELY AND SIGN

In compliance with Federal and State equal 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 disability, or any other group protected status.

I certify that the information presented on 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.

APPLICANT READ COMPLETELY AND SIGN