• Driver's Application for Employment

  • J&S Transportation, LLC
    PO Box 31292
    Billings, MT 59107

  • Application Date:*
     - -
  • Were you referred by someone?*

  • Please complete all sections to the best of your ability. You may save your progress at any time by clicking the “Save” button at the bottom of each page. You can either create a Jotform account or receive a link by email to return and finish later.

  • Section 1 - Personal Information

  • Format: (000) 000-0000.
  • What type of phone number is this?*

  • Resume & References

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  • Professional References

    You may provide up to 3 references.

  • Reference 1

  • Format: (000) 000-0000.

  • Reference 2

  • Format: (000) 000-0000.

  • Reference 3

  • Format: (000) 000-0000.

  • Additional Information Required for Employment

  • Format: (000) 000-0000.
  • What type of phone number is this?*

  • Section 2 - Address History

    Provide your residential address history for the last 3 years, starting with your current address. Add previous addresses until your full 3-year residential history is included.
  • Does your address history now cover the past 3 years with no gaps?*
  • Does your address history now cover the past 3 years with no gaps?*
  • Does your address history now cover the past 3 years with no gaps?*

  • Section 3 - Eligibility

    Please answer the following questions regarding your eligibility to work and required qualifications for commercial drivers. All information provided must be accurate and may be verified as part of the hiring process.
  • Do you have the legal right to work in the Unites States?*
  • Date of Birth*
     - -
  • Proof of age is required for commercial drivers. Can you provide proof of age?*

  • Section 4 - Employment Status

    Please provide information about your current and previous employment status.

  • Prior Employment with Company

  • Have you worked for this company before?*
    • Additional information about your prior employment with company. 
    • From Date:*
       - -
    • To Date:*
       - -
    • End 

    • Current Employment Status

    • Are you currently employed?*

  • Section 5 - Job Fit & Expectations

  • Job Capability

  • Is there any reason you might be unable to perform the functions of the job you're applying for?*

  • Bonding
    "Bonded" means an employer or insurer guaranteed your honesty or job performance. Most applicants have not been bonded. If you're unsure, select "No."

  • Have you ever been bonded?*

  • Pay Expectation

  • Section 6 - Employment History

  • Have you operated a commercial motor vehicle in the past?*

  • Please provide a full 10-year employment history with no gaps.

    List employers in reverse order starting with your most recent employer.

  •  Please provide a full 3-year employment history with no gaps.

    List employers in reverse order starting with your most recent employer.

    • Employer 1 - Most Recent Employer (click to open) 
    • Employer 1 From Date*
       - -
    • Employer 1 To Date*
       - -
    • Format: (000) 000-0000.
    • Were you subject to the FMCSRs while employed at Employer 1?*
    • Was your job at Employer 1 designated as a safety-sensitive function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR Part 40?*
    • Does your employment history now cover the required time period with no gaps?*
    • Employer 2 
    • Employer 2 From Date*
       - -
    • Employer 2 To Date*
       - -
    • Format: (000) 000-0000.
    • Were you subject to the FMCSRs while employed at Employer 2?*
    • Was your job at Employer 2 designated as a safety-sensitive function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR Part 40?*
    • After Employer 2, does your employment history now cover the required time period with no gaps?*
    • Employer 3 
    • Employer 3 From Date*
       - -
    • Employer 3 To Date*
       - -
    • Format: (000) 000-0000.
    • Were you subject to the FMCSRs while employed at Employer 3?*
    • Was your job at Employer 3 designated as a safety-sensitive function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR Part 40?*
    • After Employer 3, does your employment history now cover the required time period with no gaps?*
    • Employer 4 
    • Employer 4 From Date*
       - -
    • Employer 4 To Date*
       - -
    • Format: (000) 000-0000.
    • Were you subject to the FMCSRs while employed at Employer 4?*
    • Was your job at Employer 4 designated as a safety-sensitive function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR Part 40?*
    • After Employer 4, does your employment history now cover the required time period with no gaps?*
    • Employer 5 
    • Employer 5 From Date*
       - -
    • Employer 5 To Date*
       - -
    • Format: (000) 000-0000.
    • Were you subject to the FMCSRs while employed at Employer 5?*
    • Was your job at Employer 5 designated as a safety-sensitive function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR Part 40?*
    • After Employer 5, does your employment history now cover the required time period with no gaps?*
    • Employer 6 
    • Employer 6 From Date*
       - -
    • Employer 6 To Date*
       - -
    • Format: (000) 000-0000.
    • Were you subject to the FMCSRs while employed at Employer 6?*
    • Was your job at Employer 6 designated as a safety-sensitive function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR Part 40?*
    • After Employer 6, does your employment history now cover the required time period with no gaps?*
    • Employer 7 
    • Employer 7 From Date*
       - -
    • Employer 7 To Date*
       - -
    • Format: (000) 000-0000.
    • Were you subject to the FMCSRs while employed at Employer 7?*
    • Was your job at Employer 7 designated as a safety-sensitive function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR Part 40?*
    • After Employer 7, does your employment history now cover the required time period with no gaps?*
    • Employer 8 
    • Employer 8 From Date*
       - -
    • Employer 8 To Date*
       - -
    • Format: (000) 000-0000.
    • Were you subject to the FMCSRs while employed at Employer 8?*
    • Was your job at Employer 8 designated as a safety-sensitive function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR Part 40?*
    • After Employer 8, does your employment history now cover the required time period with no gaps?*
    • Employer 9 
    • Employer 9 From Date*
       - -
    • Employer 9 To Date*
       - -
    • Format: (000) 000-0000.
    • Were you subject to the FMCSRs while employed at Employer 9?*
    • Was your job at Employer 9 designated as a safety-sensitive function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR Part 40?*
    • After Employer 9, does your employment history now cover the required time period with no gaps?*
    • Employer 10 
    • Employer 10 From Date*
       - -
    • Employer 10 To Date*
       - -
    • Format: (000) 000-0000.
    • Were you subject to the FMCSRs while employed at Employer 10?*
    • Was your job at Employer 10 designated as a safety-sensitive function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR Part 40?*
    • After Employer 10, does your employment history now cover the required time period with no gaps?*
    • Employer 11 
    • Employer 11 From Date*
       - -
    • Employer 11 To Date*
       - -
    • Format: (000) 000-0000.
    • Were you subject to the FMCSRs while employed at Employer 11?*
    • Was your job at Employer 11 designated as a safety-sensitive function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR Part 40?*
    • After Employer 11, does your employment history now cover the required time period with no gaps?*
    • Employer 12 
    • Employer 12 From Date*
       - -
    • Employer 12 To Date*
       - -
    • Format: (000) 000-0000.
    • Were you subject to the FMCSRs while employed at Employer 12?*
    • Was your job at Employer 12 designated as a safety-sensitive function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR Part 40?*
    • After Employer 12, does your employment history now cover the required time period with no gaps?*
    • Employer 13 
    • Employer 13 From Date*
       - -
    • Employer 13 To Date*
       - -
    • Format: (000) 000-0000.
    • Were you subject to the FMCSRs while employed at Employer 13?*
    • Was your job at Employer 13 designated as a safety-sensitive function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR Part 40?*
    • After Employer 13, does your employment history now cover the required time period with no gaps?*
    • Employer 14 
    • Employer 14 From Date*
       - -
    • Employer 14 To Date*
       - -
    • Format: (000) 000-0000.
    • Were you subject to the FMCSRs while employed at Employer 14?*
    • Was your job at Employer 14 designated as a safety-sensitive function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR Part 40?*
    • After Employer 14, does your employment history now cover the required time period with no gaps?*
    • Employer 15 
    • Employer 15 From Date*
       - -
    • Employer 15 To Date*
       - -
    • Format: (000) 000-0000.
    • Were you subject to the FMCSRs while employed at Employer 15?*
    • Was your job at Employer 15 designated as a safety-sensitive function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR Part 40?*
    • After Employer 15, does your employment history now cover the required time period with no gaps?*
    • Employer 16 
    • Employer 16 From Date*
       - -
    • Employer 16 To Date*
       - -
    • Format: (000) 000-0000.
    • Were you subject to the FMCSRs while employed at Employer 16?*
    • Was your job at Employer 16 designated as a safety-sensitive function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR Part 40?*
    • After Employer 16, does your employment history now cover the required time period with no gaps?*
    • Employer 17 
    • Employer 17 From Date*
       - -
    • Employer 17 To Date*
       - -
    • Format: (000) 000-0000.
    • Were you subject to the FMCSRs while employed at Employer 17?*
    • Was your job at Employer 17 designated as a safety-sensitive function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR Part 40?*
    • After Employer 17, does your employment history now cover the required time period with no gaps?*
    • Employer 18 
    • Employer 18 From Date*
       - -
    • Employer 18 To Date*
       - -
    • Format: (000) 000-0000.
    • Were you subject to the FMCSRs while employed at Employer 18?*
    • Was your job at Employer 18 designated as a safety-sensitive function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR Part 40?*
    • After Employer 18, does your employment history now cover the required time period with no gaps?*
    • Employer 19 
    • Employer 19 From Date*
       - -
    • Employer 19 To Date*
       - -
    • Format: (000) 000-0000.
    • Were you subject to the FMCSRs while employed at Employer 19?*
    • Was your job at Employer 19 designated as a safety-sensitive function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR Part 40?*
    • After Employer 19, does your employment history now cover the required time period with no gaps?*
    • Employer 20 
    • Employer 20 From Date*
       - -
    • Employer 20 To Date*
       - -
    • Format: (000) 000-0000.
    • Were you subject to the FMCSRs while employed at Employer 20?*
    • Was your job at Employer 20 designated as a safety-sensitive function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR Part 40?*

  • Section 7 - Accident Record

    List all accidents for the past 3 years. If you don't have any accidents to report, select "No."
  • Do you have any accidents to report for the past 3 years?*
    • Accident 1 (click to open) 
    • Date of Accident 1*
       - -
    • Were there fatalities in Accident 1?*
    • Were there injuries in Accident 1?*
    • Were hazardous materials involved in Accident 1?*
    • Do you have another accident to report?*
    • Accident 2 
    • Date of Accident 2*
       - -
    • Were there fatalities in Accident 2?*
    • Were there injuries in Accident 2?*
    • Were hazardous materials involved in Accident 2?*
    • Do you have another accident to report?*
    • Accident 3 
    • Date of Accident 3*
       - -
    • Were there fatalities in Accident 3?*
    • Were there injuries in Accident 3?*
    • Were hazardous materials involved in Accident 3?*
    • Do you have another accident to report?*
    • Accident 4 
    • Date of Accident 4*
       - -
    • Were there fatalities in Accident 4?*
    • Were there injuries in Accident 4?*
    • Were hazardous materials involved in Accident 4?*

  • Section 8 - Driver Licenses

  • List all driver licenses or permits you have held during the past 3 years. Include all states where you have been licensed.

    • License 1 - Most Recent (click to open) 
    • License 1 Expiration Date*
       - -
    • License 1 Endorsements*
    • Do you have any another license or permit to report?*
    • License 2 
    • License 2 Expiration Date*
       - -
    • License 2 Endorsements*
    • Do you have any another license or permit to report?*
    • License 3 
    • License 3 Expiration Date*
       - -
    • License 3 Endorsements*
    • Do you have additional licenses or permits to report?*

    • License History Questions

    • Have you ever been denied a license, permit, or privilege to operate a motor vehicle?*
    • Has any license, permit, or privilege ever been suspended or revoked?*

  • Section 9 - Driving Experience

    Please indicate your driving experience by checking yes or no for each type of equipment you've driven. If you select yes, you'll be asked to provide more details.
  • Straight Truck*
  • Check type of equipment:*

  • Dates You Drove a Straight Truck:

  • Tractor & Semi-Trailer*

  • Dates You Drove a Tractor & Semi-Trailer:

  • Check type of equipment:*
  • Tractor - 2 Trailers*
  • Check type of equipment:*

  • Dates You Drove a Tractor - 2 Trailers:

  • Tractor - 3 Trailers*
  • Check type of equipment:*

  • Dates You Drove a Tractor - 3 Trailers:

  • Motorcoach - School Bus (More than 8 passengers)*

  • Dates You Drove a Motorcoach - School Bus (More than 8 passengers):

  • Motorcoach - School Bus (More than 15 passengers)*

  • Dates You Drove a Motorcoach - School Bus (More than 15 passengers):

  • Other Equipment?*

  • Dates You Drove "Other" Equipment:

  • Select all states you have operated in during the past 5 years:*

  • Section 10 - Additional Experience

    Please provide any additional experience or skills that may be relevant to this position. If a question does not apply, you may leave it blank.

  • Section 11 - Education

  • Section 12 - Applicant Certification

  • 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 understand that any false, misleading, or incomplete information may result in disqualification from consideration or termination of employment if discovered at a later date.

  • Date of Signature:*
     - -

  • Final Step - Review & Authorization

  • Your application is almost complete!

    The next step is to review and complete the required authorizations and legal disclosures. These allow J&S Transportation to verify your employment history and safety records as part of the hiring process.

    Please continue to the next page to finish and submit your application.

  • Authorizations & Legal Disclosures

    • Click to View Safety Performance History (Previous Employers) 

    • Safety Performance History (Previous Employers)

      Federal regulations require J&S Transportation to obtain safety performance history information from your previous employers for the previous 3 years. This includes accident history and drug and alcohol testing history, when applicable.

      We will use the employment information you provided in this application to request records from your previous employers as required by 49 CFR 391.23 and 49 CFR 40.25.

      By signing below, you authorize your previous employers to release and forward information regarding your accident history, drug and alcohol testing history, and other safety performance records to J&S Transportation.

      This authorization applies to records related to the previous 3 years from the date of your employment application.

      In compliance with 49 CFR 40.25(g) and 391.23(h), this information may be released in a written form that ensures confidentiality, including fax, email, or letter.

    • Do you authorize J&S Transportation to contact your previous employers to obtain safety performance history records?*

    • J&S Transportation may be unable to complete the review of your application without this authorization.

    •  
    • Click to View Full Background & PSP Disclosure 

    • In connection with your application for employment with J & S Transportation (“Prospective Employer”), Prospective Employer, its employees, agents or contractors may obtain one or more reports regarding your driving, and safety inspection history from the Federal Motor Carrier Safety Administration (FMCSA).

      When the application for employment is submitted in person, if the Prospective Employer uses any information it obtains from FMCSA in a decision to not hire you or to make any other adverse employment decision regarding you, the Prospective Employer will provide you with a copy of the report upon which its decision was based and a written summary of your rights under the Fair Credit Reporting Act before taking any final adverse action. If any final adverse action is taken against you based upon your driving history or safety report, the Prospective Employer will notify you that the action has been taken and that the action was based in part or in whole on this report.

      When the application for employment is submitted by mail, telephone, computer, or other similar means, if the Prospective Employer uses any information it obtains from FMCSA in a decision to not hire you or to make any other adverse employment decision regarding you, the Prospective Employer must provide you within three business days of taking adverse action oral, written or electronic notification that adverse action has been taken based in whole or in part on information obtained from FMCSA; the name, address, and the toll free telephone number of FMCSA; that the FMCSA did not make the decision to take the adverse action and is unable to provide you the specific reasons why the adverse action was taken; and that you may, upon providing proper identification, request a free copy of the report and may dispute with the FMCSA the accuracy or completeness of any information or report. If you request a copy of a driver record from the Prospective Employer who procured the report, then, within three business days of receiving your request, together with proper identification, the Prospective Employer must send or provide to you a copy of your report and a summary of your rights under the Fair Credit Reporting Act.

      The Prospective Employer cannot obtain background reports from FMCSA unless you consent in writing.

      I authorize J & S Transportation (“Prospective Employer”) to access the FMCSA Pre-Employment Screening Program (PSP) system to seek information regarding my commercial driving safety record and information regarding my safety inspection history. I understand that I am consenting to the release of safety performance information including crash data from the previous five (5) years and inspection history from the previous three (3) years. I understand and acknowledge that this release of information may assist the Prospective Employer to make a determination regarding my suitability as an employee.

      I further understand that neither the Prospective Employer nor the FMCSA contractor supplying the crash and safety information has the capability to correct any safety data that appears to be incorrect. I understand I may challenge the accuracy of the data by submitting a request to https://dataqs.fmcsa.dot.gov

      If I am challenging crash or inspection information reported by a State, FMCSA cannot change or correct this data. I understand my request will be forwarded by the DataQs system to the appropriate State for adjudication.

      Please note: Any crash or inspection in which you were involved will display on your PSP report. Since the PSP report does not report, or assign, or imply fault, it will include all Commercial Motor Vehicle (CMV) crashes where you were a driver or co-driver and where those crashes were reported to FMCSA, regardless of fault. Similarly, all inspections, with or without violations, appear on the PSP report. State citations associated with FMCSR violations that have been adjudicated by a court of law will also appear, and remain, on a PSP report.

    • Do you authorize J&S Transportation to obtain background reports, including your PSP report, for employment purposes?*

    • J&S Transportation may be unable to continue processing your application without this authorization.

    •  
    • Click to View DOT Drug & Alcohol Testing History 

    • Federal regulations require J&S Transportation to request information about your drug and alcohol testing history from previous DOT-regulated employers.

      You are required to answer the following questions truthfully. J&S Transportation will also verify this information with your previous employers as required by 49 CFR Part 40.

    • Have you tested positive, or refused to test, on any pre-employment drug or alcohol test within the past 3 years?*
    • Have you tested positive, or refused to test, on any random, post-accident, or reasonable suspicion drug or alcohol test within the past 3 years?*
    • Have you ever violated any DOT drug and alcohol regulations?*
    • Have you completed the return-to-duty process with a Substance Abuse Professional (SAP)?*
    •  
    • Date:*
       - -
  • Should be Empty: