Utah Truck Driving Jobs | Truck Driving Application

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Utah Truck Driving Jobs Application

Are you interested in finding a truck driving job in Utah? Fill out the form below and we will match you with available truck driving jobs. It’s that easy!

*Application Type:
*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:
*Zip:
*How long have you lived at your present address?
*PREVIOUS ADDRESS - Street Address:
*City:
*State:
*Are you 21 years or older?	Yes No
*Are you legally eligible for employment in the U.S.?	Yes No
Current or most recent employer:
*Job Title:
*From: (month/year)
*To: (month/year)
	I am currently working for this employer.
*May we contact your current employer?	Yes No
*Street Address:
*City:
*State:
*Zip Code:
*Phone Number:
*Reason for leaving:
Additional Employment Information:
*Have you had any Traffic Citations on record in the past 3 years?	Yes No
If yes, list details of citations including; date, location, charge, and penalty:
*Have you had any motor vehicle accidents in the past 3 years?	Yes No
If yes, list details of accident(s) including; date, vehicle type, nature of accident, who was at fault, fatalities, and injuries:
*Have you ever been denied a licence, permit, or priviledge to operate a motor vehicle?	Yes No
*Has any license, permit, or privilege been suspended or revoked?	Yes No
*Have you ever been convicted of any alcohol related driving offense?	Yes No
*Have you ever been convicted of possession, sale, or use of a narcotic drug, amphetamine, or other controlled substance?	Yes No
*Have you ever been convicted of a crime?	Yes No
*Have you ever tested positive or refused to test on any pre-employment Drug or Alcohol test administered by an employer to which you applied for, but did not obtain employment during the past two years?	Yes No
*DRIVING EXPERIENCE - Class of Equipment:	Straight Truck Tractor and Semi-Trailer Tractor Two Trailers Other None
*Type of Equipment:	Van Tank Flat Other None
If driving experience selected above, please state type, dates, and approximate total miles.
*CAN YOU DO THE FOLLOWING THINGS? - Get in and out of a semi-truck?	Yes No
Get in and out of a semi-trailer?	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 a load?	Yes No
*Unload insulation?	Yes No
Apply enough pressure to release fifth wheel pin?	Yes No
*Apply enough force to open and close semi-trailer doors?	Yes No
*Repeatedly lift and carry cargo weighing up to 70 lbs. per item?	Yes No
*Sit stationary in driver's seat for long periods of time?	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?
Addition Information and/or Comments:
*I have read the DISCLOSURE AND RELEASE statement below and I agree to the terms.	Accept Decline

By submitting this application I certify that I personally completed this application and that all of the information is true and correct. I 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 may 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 results, or failure to submit to an alcohol or drug test, driving record, or any other information about me which may reflect upon my potential for employment gathered from any individual, organization, entity, agency, or other source which may have knowledge concerning any such items of information. I have 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.