Applicant Information

Experience & Qualifications

References

Last School Attended:

Please list next of kin

General

Conviction of a crime is not an automatic bar to certification; all circumstances will be considered.

Accidents & Traffic Convictions and Forfeitures

List all commercial motor vehicle accidents in which you have been involved in during the past 3 years.

Previous Employment - Must Be Last 10 Years

Military Service

Driving Experience

Include Type of Equipment, Date, & Approx. Miles

Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or intewrview may result in my release.

TO BE READ AND SIGNED BY APPLICANT

I authorize you to make such investigations and inquiries of my personal, employment, financial or medical history and other related matters as may be necessary in arriving at an employment decision. (Generally, inquiries regarding medical history will be made only if and after a conditional offer of employment has been extended.) I hereby release employers, schools, health care providers and other persons from all liability in responding to inquiries and releasing information in connection with my application.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the Company.

I understand that information I provide regarding current and/or previous employers may be used, and those employer(s) will be contacted, for the purpose of investigating my safety performance history as required by 49 CFR 391.23(d) and (e). I understand that I have the right to:

  • Review information provided by previous employers;
  • Have errors in the information corrected by previous employers and for those previous employers to re-send the corrected information to the prospective employer; and
  • Have a rebuttal statement attached to the alleged erroneous information, if the previous employer(s) and I cannot agree on the accuracy of the information.

Call Our Recruiting Dept @ 918-436-6058
to Begin Your Exciting New Career with JRT Trucking!



110 E Folsom Blvd
Pocola, OK 74902

(918) 436-6030

(918) 436-6067

safety@jrttruckinginc.com

SafeLand USA & SafeGulf Certified