Accept Decline By submitting this application certify that personally completed this application of my own free will and hold harmless of all liability all companies, agents and associated parties for the use of this application.
CAN YOU DO THE FOLLOWING THINGS? in and out of semitrailer? Yes No Get under unit to perform duties, such as checkng brakes and visual inspection of equipment? Yes No Raise and lower trailer dollies when under load? Yes No Unload insulation? Yes No Apply enough pressure to trailer tandem lever to release locking pins when sliding tandems? Yes No Be on duty the maximum hours allowed by DOT Hours of Service Regulations? Yes No Can you read and write the English language? Yes No How did you find us?
Application Type School Applicant No Class CDLStudent Applicant Class CDL, No ExperienceExperienced Driver Class CDL and ExperienceLease Operator Lease your own truckOwner Operator Own your own truckOther First Name Middle Initial Last Name DATE OF BIRTH Month Day Year Social Security Number Required by Department of Transportation Phone Cell Phone Email Address PRESENT ADDRESS Street Address City State AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM
May we contact your current employer? Yes No Street Address City State AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip Code Phone Number Reason for leaving Additional Employment Information Have you had any motor vehicle accidents in the past years?
have completed this application and that all of the information is
hereby request and authorize National Truck Driving Jobs, Inc and their agents or contractors that receive this application to cause to be conducted, at any time, an investigation of my background for employment purposes, which include, but is not limited to, any information relating to my character, general reputation, personal characteristics, mode of living, criminal history,past work experience, educational background, alcohol or drug test, driving record, or any other information about me which reflect upon my potential for employment gathered from any individual, organization, entity, agency, or other source which have knowledge concerning any such items of information.
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