
1451 New Britain Ave. Farmington, CT 06032 P. 860-674-9901 F. 860-674-8683

Employment Opportunities

OPPORTUNITY FOR CLASS A REGIONAL TRACTOR-TRAILER DRIVERS

Career Information

*Please Note: Items marked with a red asterisk are required!

Trailer Exp. and/or Endorsements:

Auto Hauling

Doubles/Triples

Drop Deck

Dry Van

Flatbed

HHG

Other

Reefer

Specialized

Tanker

Are you interested in driving regional?

Years of Tractor/Trailer Driving Experience: *

If Experience is None:

School:
Location:

Personal Information

First Name: *

Middle:

Last Name: *

Address: *

Address 2:

City: *

State: *

ZIP: *

Email:
(not required, but encouraged)

Telephone (123-456-7890): *

Cell Phone:

Pager:

Preferred Method of Contact:

Email Telephone Cell Phone Pager

Date of Birth: *

Month:
Day:
4 Digit Year:

Social Security Number: *

CDL: *

Commercial Drivers License Info:

State:
Class:
Number:
Expiration (MM/DD/YYYY):

Hazmat: *

Have you ever had a: *

DUI		If so, when? (MM/YYYY)
Felony		If so, when? (MM/YYYY)
Describe the Felony:

Number of Moving Violations in past 3 years: *
Number of Accidents in past 3 years: *

Employment History

TIP: Providing at least three previous employers will help speed up the hiring process.If self or unemployed, please state.

Present Employer

Name: *	May we contact?
Date of Employment: *	From to present
Phone:
Address:
Address 2:
City:	State: ZIP:
Type of trailer:
Number of states:


First Previous Employer

Name: *
Date of Employment: *	From to
Phone:
Address:
Address 2:
City:	State: ZIP:
Type of trailer:
Number of states:
Reason for Leaving:


Second Previous Employer

Name: *
Date of Employment: *	From to
Phone:
Address:
Address 2:
City:	State: ZIP:
Type of trailer:
Number of states:
Reason for Leaving:


Third Previous Employer

Name: *
Date of Employment: *	From to
Phone:
Address:
Address 2:
City:	State: ZIP:
Type of trailer:
Number of states:
Reason for Leaving:

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