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R&J Trucking Inc.
On-Line Driver Application

Fill out all information completely and correctly. Check over information.
Click "Send to R&J Trucking" and your application will be sent immediately to us!
Personal Information
First Name: Middle Initial: Last Name:
Mailing Address:
City: State:
Zip: Telephone #:
Email Address:
Social Security #: Date of Birth:
How did you find R&J Trucking Online?
Date you will be available for orientation:
Drivers License Number: State:
Expiration Date:
Do you have your CDL?
Do you have your HazMat Endorsement?
Number of tickets in last 3 years?
Number of Accidents in Last 5 Years:
How many years/months total OTR Experience:
Has your License ever been suspended or revoked?
If yes, why?
Please list moving violations: Date and Place:
Have you ever been convicted of any crimes (felonies) in the past 7 years, which have not been annulled, expunged, or sealed by a court?: Yes No
If yes, give details:
(Convictions are not an automatic disqualification to employment)
Were you previously employed by this organization? Yes No
If Yes, what dates did you work for this Organization?
Have you previously applied for work to this organization? Yes No
If Yes, when did you apply to this Organization?
Last 4 years employment history:
Date of employment:  From: To:

Employer Name:  Address:

City:   State:   Telephone Number:  

Type(s) of equipment used:     # of States:

Reason For Wanting to Leave or For Leaving:
Date of employment:  From: To:

Employer Name:  Address:

City:   State:   Telephone Number:  

Type(s) of equipment used:     # of States:

Reason For Leaving:
Date of employment:  From: To:

Employer Name:  Address:

City:   State:   Telephone Number:  

Type(s) of equipment used:     # of States:

Reason For Leaving:
Date of employment:  From: To:

Employer Name:  Address:

City:   State:   Telephone Number:  

Type(s) of equipment used:    # of States:

Reason For Leaving:

**If this application is for an Owner-Operator position please include make, model and year of tractor.
Any Questions or Other Information:
By clicking on "Send To R&J Trucking", I certify that I personally completed this application and that all the information contained herein is true and correct. I authorize R&J Trucking Inc. to do a complete background investigation in accordance with state and federal laws. I authorize my previous employers to release any information requested by R&J Trucking Inc. and hold them harmless of all liability from the release of said information. I authorize release of any information including all information all information including all information related to alcohol and controlled substances testing and training records, by any former employers and hold them harmless of any liability from release of said information.
R&J Trucking
8063 Southern Blvd.
Boardman, OH 44512
Phone: 800-262-9365
Fax: 330-758-8170