TJ Hunt Trucking Job Application

Job Application
When completing an application for a driving position that requires a CDL license and falls under FMCSA regulations, you must provide 10 years of employment history.

You are required to complete the entire/application. If needed, mark "N/A".

You are responsible for paying the $40.00 fee for the DOT drug screen, but you will be reimbursed after 30 days of employment.

TJ Hunt, LLC is making an investment in you and your future with the company. TJ Hunt, LLC will pay for the pre-employment physical, but should you resign before the 30 day period ends, the $79.00 fee for the physical will be deducted from your last paycheck.
Signature:

Clear
Personal Information:

In compliance with Federal and State equal employment opportunities laws, qualified applicants are considered for all positions without regard to race, colour, religion, sex, national origin, age, marital status or non-job related disability.
Position(s) Applied For:
Full Name:

First NameMiddle NameLast Name
Phone Number:
Please enter a valid phone number.
Email:
example@example.com
List addresses for the past 3 years beginning with the most recent:
Do you have the legal right to work in the United States?
Date of Birth:

MonthDayYear
Required for Commercial Drivers
Can you provide proof of age?
Have you worked for TJ Hunt Trucking before?

YesNo
Where/In what capacity?
From:

MonthDayYear
Date
To:

MonthDayYear
Date
Position:
Reason for leaving:
Are you now employed?

YesNo
If not, how long since leaving last employment?
Who referred you?
Rate of pay expected?
Is there any reason you might be unable to perform the functions of the job you have applied for?

YesNo
If yes, please explain:
Employment History

All driver applicants to drive in interstate commerce must provide the following information on all employers during the preceding 3 years. Applicants to drive a commercial motor vehicle in intrastate or interstate commerce shall also provide an additional 7 years information on those employers for whom the applicant operated such vehicle. (NOTE: List employers in reverse order starting with the most recent.)
Employer:
From:

MonthDayYear
Starting Date
To:

MonthDayYear
Ending Date
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Salary/Wage:
Contact Person:
Phone Number:
Please enter a valid phone number.
Reason for Leaving:
Were you subject to the FMCSRs in this position while employed by this previous employer?

YesNo
Was this position designed as a safety sensitive function in any DOT regulated mode subject to alcohol and controlled substances testing?

YesNo
Employer:
From:

MonthDayYear
Starting Date
To:

MonthDayYear
Ending Date
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Salary/Wage:
Contact Person:
Phone Number:
Please enter a valid phone number.
Reason for Leaving:
Were you subject to the FMCSRs in this position while employed by this previous employer?

YesNo
Was this position designed as a safety sensitive function in any DOT regulated mode subject to alcohol and controlled substances testing?

YesNo
Employer:
From:

MonthDayYear
Starting Date
To:

MonthDayYear
Ending Date
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Salary/Wage:
Contact Person:
Phone Number:
Please enter a valid phone number.
Reason for Leaving:
Were you subject to the FMCSRs in this position while employed by this previous employer?

YesNo
Was this position designed as a safety sensitive function in any DOT regulated mode subject to alcohol and controlled substances testing?

YesNo
Employer:
From:

MonthDayYear
Starting Date
To:

MonthDayYear
Ending Date
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Salary/Wage:
Contact Person:
Phone Number:
Please enter a valid phone number.
Reason for Leaving:
Were you subject to the FMCSRs in this position while employed by this previous employer?

YesNo
Was this position designed as a safety sensitive function in any DOT regulated mode subject to alcohol and controlled substances testing?

YesNo
Experience and Qualifications - Other
Accident record for the past 3 years or more:
Date of Last Accident:

MonthDayYear
Date
Nature of Accident: (Head-on, Rear-end, Upset, etc.)
Charges:
Injuries/Fatalities:
Date of Next Previous Accident:

MonthDayYear
Date
Nature of Accident: (Head-on, Rear-end, Upset, etc.)
Charges:
Injuries/Fatalities:
Date of Next Previous Accident:

MonthDayYear
Date
Nature of Accident: (Head-on, Rear-end, Upset, etc.)
Charges:
Injuries/Fatalities:
Education
What is the highest grade you have completed of high school?
Do you have college experience?
Driver Licences

	Prov/State	License No.	Type	Expiration Date
Drivers License #1
Drivers License #2
Drivers License #3

Have you ever been denied a license, permit or privilege to operate a motor vehicle?

YesNo
Has any license, permit or privilege ever been suspended or revoked?

YesNo
If the answer is yet to either question, a statement with details will need to be provided.
Driving Experience

	Type of Equipment (Van, Tank, Flat, etc.)	Dates: (from - to)	Approx. # of Miles total
Straight Truck
Tractor & Semi-Trailer
Tractor - Two Trailers
Other

List provinces/states operated in for the last 5 years:
Show special courses or training taken that will help you as a driver:
Which safe driving awards do you hold and from whom?
This company requires all drivers who drive Commercial Motor Vehicle (CMV) which require a Commercial Drivers License (CDL), to be controlled substances tested with a negative result prior to driving.
Do you consent to such testing?

YesNo
Show any trucking, transportation or other experience that may help you in your work for this company:
List courses and training other than shown elsewhere in this application:
To be Read and Signed by Applicant:
This certifies that this application was completed by me and that all entries on it and information in it are true and complete to the best of my knowledge. I authorize you to make such investigations and enquiries of my personal, employment, financial, or medical history and other related matters as may be necessary in arriving at an employment decision. (Generally, enquiries regarding medical history will be made only if and after a conditional offer of employment has been extended.) I hereby release employers, schools, healthcare providers, and other persons from all liability in misleading information given in connection with my application. In the event of employment, I understand that false or misleading information given in my application or interview may result in discharge. I further understand that I am required to abide by all rules and regulations of the company.

I understand that information I provide regarding current and/or previous employers may be used, and that employers will be contacted, for the purpose of investigating my safety performance history as required by 49 CFR 391.23 (d) and E. I understand that I have the right to:
- review information given by previous employers
- have errors in the information corrected by previous employers and for those previous employers to re-send the corrected information to the prospective employer and
- have a rebuttal statement attached to the alleged arroneous information, if the previous employer and I cannot agree on the accuracy of the information.
Signature:

Clear
Date:

MonthDayYear
Date
Request for Check of Driving Record

I hereby authorize you to release the following information to TJ Hunt, LLC for purposes of investigation as required by Section 391.23 of the Federal Motor Carrier Safety Regulations. You are released from any and all liability which may result from furnishing such information.
Signature:

Clear
Date:

MonthDayYear
Date
Should be Empty:

Job Application

Personal Information:

Employment History

Experience and Qualifications - Other

Education

Driver Licences

Driving Experience

To be Read and Signed by Applicant:

Request for Check of Driving Record