Driver Partner Application


Name:*
Address:*
Phone:*
E-mail:*
Mailing Address:
Drivers License:*
State:*
Expiration Date:*
Date of Birth:*
I authorize Yellow Cab of the Desert to run my motor vehicle driving record:*
Weight:
Hair Color:
Gender:
Height:
Age:

Experience

Rate your knowledge of the Coachella Valley:*
Do you have any affiliation(s) with other area(s) of the transportation industry? (i.e., PUC license, Bus Driver, etc.):
If yes, explain:
Do you have experience driving in the taxicab industry:*
If yes, Years:
City/Region:
Please provide any additional information that qualifies you to be a professional taxicab driver:

Taxi Permit

Do you have a current SRA Taxi Driver's Permit?
Prior Permit Number:
Expiration Date:
MEMORANDUM OF UNDERSTANDING PLEASE READ CAREFULLY BEFORE SIGNING

Any false, incomplete or inaccurate statement herein will result in the denial of the Taxi Driver's Permit, and will result in the revocation of any permits previously granted.

THE UNDERSIGNED APPLICANT UNDERSTANDS:
  • prior to issuance/renewal, applicant must submit to and pass a controlled substance and/or alcohol test;
  • all drivers holding a valid SRA, Taxi Driver Permit shall be subject to random testing for controlled substance and/or alcohol and failure to submit to a noticed random will result in the immediate revocation of any previously issued permit;
  • all drivers holding a valid SRA Taxi Driver Permit are immediately subject to reasonable suspicion testing for controlled substances and/or alcohol.
  • SRA Taxi Driver Permits are valid for indicated Taxi Operator only and become null and void upon termination of lease or expiration.
The undersigned applicant hereby authorizes SRA, or its agents or employees, to seek information and conduct an investigation into the truth of the statements set forth in this application and the qualifications of the applicant.

Signature: (Please type out full name)*
Date:*
Verification: