Owner Operator Lease On Contract Application

Employment Application

ROUTE EAGLE LLC
Thank you for your interest in Route Eagle Transport. To apply for a driving position, please complete our online employment application. Incomplete submissions may delay or prevent the processing of your application.

In accordance with Federal and State equal employment opportunity laws, all qualified applicants are considered for positions without regard to race, color, religion, sex, national origin, age, marital status, veteran status, non-job-related disability, or any other protected status.
Name*

First NameMiddle NameLast NameSuffix
Date of Birth*

MonthDayYear
SSN / SIN *
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How long at this address?*
We require a minimum of three years of address history on file.

Education
Your highest education*

Less than high schoolHigh school graduated or equivalent (GED)College - 1 yearCollege - 2 yearCollege - 3 yearCollege - 4 year (Bachelor) or higher
Please list the schools and training programs you attended

Please answer following questions:*

	Yes	No
Have you ever been denied a license, permit, or privilege to operate a motor vehicle?
Has any license, permit, privilege ever been suspended or revoked?
Have you ever been disqualified subject to any section of the Federal Motor Carrier Safety Regulations?
Have you ever been convicted of a Felony OR are charges currently pending against you?

Agreement
I, the applicant undersigned, agree with the following statements:*

I authorize the company I am applying to make investigations and inquire of my personal, employment, financial or medical history and other related matters as may be necessary in arriving at a contract decision.I hereby release employers, schools, health care providers and other persons from all liability in responding to inquires and releasing information in connection with my application.In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge or contract termination.I understand that I am required to abide by all rules and regulations of the Company. If I terminate my contract by my own choice within 90 days, I agree to be responsible for the cost of the Drug Test and other associated fees involved in my background check.I understand that information I provide regarding current and/or previous employers may be used, and those employer(s) will be contacted, for the purpose of investigating my safety performance history
Date*

MonthDayYear
Date
Signature*

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Employment Application