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J-Mar Home Contact J-Mar Information about J-Mar Online employment application for J-Mar Items of special interest to truck drivers

... a family owned Trucking Company that treats our Customers
and our Drivers as "One Of The Family"


J-Mar Employment Application

Have you ever worked for J-Mar Enterprises Inc?
If yes, please list what dates: From:  To:

PERSONAL INFORMATION

Last Name
First Name
Middle Initial

Please list all your home mailing addresses for the past 3 years
Address 1
City
State
Zip

Address 2

City
State
Zip

Address 3

City
State
Zip
   Check this box if you have had more than 3 addresses in the past 3 years
Home Phone
Date of Birth
E-mail Address

LICENSE INFORMATION

CDL Number
State
CDL Expiration Date
Issue Date
Have you ever been denied a license, permit or privilege to operate a motor vehicle? If yes, describe:

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

If yes, describe:
Have you ever been disqualified for violations of the Federal Motor Carrier Safety Regulations? If yes, describe:
Has your CDL ever been revoked? If yes, describe:
Years of Driving Experience
List tickets in the last 3 years
(Include: LOCATION, DATE, CHARGE)
List any accidents in the last 3 years
(Include: DATE, TYPE, DEATH or INJURY)
List licenses held in the last 5 years
(Include: STATE, NUMBER, CLASS, EXP. DATE)
Endorsements (check all that apply) HAZ-MAT
Doubles/Triples
Tanks

EMPLOYMENT HISTORY

Present or last employer
Name
Address
City, State, Zip
Phone (include area code)
Date Employed From  To
Reason for Leaving
Type of Equipment
(check all that apply)
Van
Truck
Reefer
Flat
Number of States
Position Held OTR
Regional
Local
Next to last employer
Name
Address
City, State, Zip
Phone (include area code)
Date Employed From  To
Reason for Leaving
Type of Equipment
(check all that apply)
Van
Truck
Reefer
Flat
Number of States
Position Held OTR
Regional
Local
Third to last employer
Name
Address
City, State, Zip
Phone (include area code)
Date Employed From  To
Reason for Leaving
Type of Equipment
(check all that apply)
Van
Truck
Reefer
Flat
Number of States
Position Held OTR
Regional
Local

THIS SECTION FOR OWNER OPERATORS ONLY

Manufacturer
Year/Model
Type
Engine Size
Maximum RPM
Electronically Controlled? Yes
No
Rear End Ratio
Tractor Weight
Wheelbase
Fifth Wheel Height

ALL APPLICANTS

** Please Read The Following **
and press "I Accept" only if you agree

I certify that I have read and understood all of this employment application. It is agreed and understood that the employer or his agents may investigate my background to ascertain any and all information of concern to my employment history, whether same is of record or not, and I release employers and other persons named herein from all liability for any damages on account of furnishing such information. I understand that, as an applicant for a position with this company, I may be asked to demonstrate that I am capable of performing tasks which are pertinent to the job. I also understand that if offered a job, it may be conditioned on the results of a physical examination and drug test.

I further certify that I am a genuine applicant for employment and this application is being submitted solely for the purpose of seeking employment with the employer and for no other reason.

It is also agreed and understood that under the Fair Credit Reporting Act, Public Law 91-508, I have been told that this investigation may include and investigative Consumer Report, including information regarding my character, general reputation, personal characteristics, and mode of living.

I agree to furnish such additional information and complete such examinations as may be required to complete my employment file.

I also understand that misrepresentation or omission of information or facts may result in my rejection or dismissal.

If hired, I agree to abide by all the rules and policies of the employer.

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.

     


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