RJR Transportation Services.  One Call Moves It All.  1-800-265-9613.
EMPLOYMENT APPLICATION
 
If you feel you have the qualities to become part of our team of professionals, we invite you to fill out a pre-application:
General Information
First Name
Last Name
Date of Birth (dd/mm/yyyy)
Address
City
Province/State
Zip/Postal Code
Country
Home phone
Cell phone
Email
SIN/SSN
Country of Citizenship
If not a citizen in the country you reside,
do you have a Permanent Resident Card?
Yes
No
Expedited Driving Experience
Expedited Driving Experience Yes
No
Your Status?
Own an expedite truck? Yes
No
If yes, truck type?
Truck year
Commercial Drivers License
Do you have a CDL? Yes
No
HAZMAT Yes
No
License Number
Expiration Date
State/Province
Has your license ever been suspended for any reason? Yes
No
Have you had any other licenses besides your current
one above in the last 3 years?
Yes
No
If yes, list states and drivers license numbers for the
last 3 years
Number of moving violations in the last 3 years
Number of accidents in the last 3 years
Have you ever had a DUI/DWI/OWI? Yes
No
If yes, when
Have you ever failed/refused a drug test? Yes
No
If yes, when
Have you ever been convicted of a crime? Yes
No
Employment Information
Present or Last Employer
Company Name
Position Held
Reason for Leaving
Dates of employment
Address
City
State/Province
ZIP/Postal Code
Phone Number
Fax Number
If you were a driver, please provide the following information
Equipment
If other, please specify
If tractor, what trailor size
Last Employer before Previous
Company Name
Position Held
Reason for Leaving
Dates of employment
Address
City
State/Province
ZIP/Postal Code
Phone Number
Fax Number
If you were a driver, please provide the following information
Equipment
If other, please specify
If tractor, what trailor size
Last Employer before previous
Company Name
Position Held
Reason for Leaving
Dates of employment
Address
City
State/Province
ZIP/Postal Code
Phone Number
Fax Number
If you were a driver, please provide the following information
Equipment
If other, please specify
If tractor, what trailor size
Statement of Understanding:
I certify that I personally completed this application and that all of the information is true and correct. I authorize this company to obtain any and all information (including, but not limited to, work history, alcohol/controlled substance testing, training records, and criminal history) from previous and current employer(s), Medical
Review Officer or their agent, DAC services, or other consumer reports, in accordance with State and Federal laws. I authorize my previous and current employer(s) to release any information requested by this company
and hold them harmless of all liability from release of said information. I have read and understand the above statements and acknowledge by affixing my digital signature below.
I have read and understand the above statements:
Your Full Name:

Copyright 2008
RJR Transportation Services


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