Truck Driver and Driving Jobs Solo, Team, TT, Owner Operator O/O, OTR, CDL Class A B, Hazmat, Temperature Controlled Refrigerated Truck Transport Carrier, Trucking Freight Broker and Logistics Transportation for Salt Lake, Ogden, Provo, Cedar City, Dallas, Fort Worth, San Antonio, Houston, Austin, Waco, Los Angeles, Orange, Riverside, San Bernardino, Industry, Commerce, Long Beach, San Pedro, Oakland, San Francisco, Portland, Seattle, Tacoma, Yakima, Spokane, Richland, Idaho Falls, Twin Falls, Pocatello, Denver, Greeley, Colorado Springs, El Paso, Lubbock, Albuquerque, Las Cruces, Tucson, Phoenix, Flagstaff


ALL QUESTIONS MUST BE ANSWERED BEFORE YOUR APPLICATION CAN BE PROCESSED

Where did you hear about us?


1) Position desired - use Arrow to Drop Menu Down

    

2) Last date driving tractor trailer (TT)

     mm/yy or N/A

3) Total years of tractor trailer driving  

4) Trailer experience: Dry Van  Refer  Flatbed  Tanker  Other  None
    Check all that apply

5) Average number of dispatched states in last 6 months

6) First name    7) Last name
8) Address     9) City          
10) State        11) Zip code   
12) Complete e-mail address   
         
13) Phone
     
area code+ number
14) Other phone
                                    area code+ number or NONE		 15) Date of birth   mm/dd/yy
16) Social Security number  optional 17) Willing to relocate?
     Yes   No   Maybe

18) If relocating in the near future to what City/State? if not relocating skip this question

     City State


19) Truck now leased    20) Wheel base (inches)
21) Truck model year yyyy   22) Odometer reading   
23) Truck make         24) Are you a Team? Yes   No 

25) Please answer this question. Have you ever been convicted of a felony?   

 

 

25a) If Yes, list felony charge(s) & date(s) in this box:

26) Ever Failed a Drug Screen?
     Yes   No 

     26a) If Yes, When?       mm/yy
27) DWI/DUI in last 5 Years?
    

     27a) If yes, when?      mm/yy

28) Moving Violations in Last 3 Yrs?
     Yes   No

     28a) If Yes, How Many?  or 0		  
29) Preventable Accidents in Last 3 Yrs?
     Yes   None

     29a) If Yes, How Many? or 0

30) License Suspension in Last 3 Yrs?
     Yes   No 
     
     30a) If Yes, When?      mm/yy


31) CDL School Graduation Date:
     mm/dd/yy or N/A

32) CDL Classification      
33) CDL State     
34) CDL License number? 

34a) Expiration date?       mm/dd/yy or N/A


35) Do You Have Hazmat Endorsement?

               Yes        No

    Will get if required   In process


36) Enter explanations and additional details for Questions 25 through 30 in box to the right >>>
(if applicable)

  

37)   Current or most recent Employer       

37a) Employers Phone       		 
37b)  Position       

37c) Date hired mm/yy
37d)  Ending date mm/yy or N/A


37e)  Are you still employed here?

  Yes   No


37g) Reason for leaving

37f) May we contact current/previous employer?

  Yes   No

38)  Previous Employer 1     or N/A
38a) Employers Phone or N/A       38b) Position held     
38c) Date hired mm/yy 38d) Ending date mm/yy

39)  Previous Employer 2   or N/A
39a) Employers Phone  or N/A        39b) Position held     
39c) Date hired mm/yy 39d) Ending date mm/yy

40)  Previous Employer 3   or N/A
40a) Employers Phone  or N/A        40b) Position held     
40c) Date hired mm/yy 40d) Ending date mm/yy

41)  Previous Employer 4   or N/A
41a) Employers Phone  or N/A        41b) Position held     
41c) Date hired mm/yy 41d) Ending date mm/yy

42) Team Mate's Relationship to You
      Spouse Family Member Friend

42a) Team Mate has Driven TT at least 6 months in last 12

       Yes  No   See Comments

42c) Additional Comments?

42b) Teammate - give his or her full name

    
      Name

  NOTE: Your Team Mate needs to submit this
form using a different e-mail address


Your Authorization- This box must be checked when submitting form

I hereby authorize ACT Transportation to run any background check necessary to consider me for hire. I further authorize ACT Transportation to investigate any drug or alcohol screening tests and/or criminal/MVR/character history. I have completed this form personally and entered all the information accurately and to the best of my knowledge, being as truthful and honest as possible. I will not hold ACT Transportation liable for any information found that may be negative or untrue concerning my MVR, DAC and/or character history.
    
X
       Type your full legal name in this box   

Before Clicking the Submit Button below please make sure that you have given your full name, address, phone number, correct e-mail address, AND ANSWERED ALL QUESTIONS -Thank you

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