Employment

At JR’s Freight we know that truck drivers are some of the hardest working, most independent people in the country and without these  drivers we could not efficiently service our customers. We take pride in our company drivers and our dedicated owner-operator fleet of trucks and as we grow, which is substantiated on our “About Us” page, we are looking for quality individuals that can help us make the difference in this industry. So if you want to become a company driver or own a business of your own, we can help make it happen. Just fill out the application for qualification below.

We also have many owner operators in our fleet that are purchasing equipment from us, if that is something that may interest you, be sure to ask us about our dedicated lease-purchase plan.

Application For Qualification

You must fill out entire application before submitting


Todays Date:
 * required

What position are you applying for?
Driver
Contractor
Contractor's Driver

Name: (First, Last, MI)
 * required

Phone Number:
 * required

Emergency Phone Number:
 * required

*Age:
 * required
*The Age Discrimination of Employment Act of 1967 prohibits discrimination on the basis of age with respect to individuals who are at least 40 years of age.

Date Of Birth:
 * required

Last 4 Digits Of Your SSN:
 * required

Current Driver's License Number:
 * required
Issuing State:
 * required
Date of Expiration:
 * required

Medical Card Expiration Date:
 * required

Current and Past 3 Years Previous Addresses:

Have you ever worked for JR's Freight Services, Inc. before?
Yes
No
If yes, give dates and reason for leaving:

Education - Highest Grade Completed:

Personal References:
List three persons for references, other than family members, who have knowledge of your safety habits.
 * required
 * required
 * required

Driving Experience:

Straight Truck
Dates:
Approximate Number of Miles (total):

Tractor and Semi-Trailer
Dates:
Approximate Number of Miles (total):

Tractor and 2 Trailers (doubles)
Dates:
Approximate Number of Miles (total):

Tractor and 3 Trailers (triples)
Dates:
Approximate Number of Miles (total):

List states operated in, for the past 5 years:
 * required

List special courses/training completed:
(PTD/DDC, Haz-Mat, etc)

Accident Record for the past 3 years:
Please list date of accident, nature of accident (head-on, rear-end, upset, etc), location of accident, number of injuries, number fatalities.

Traffic Convictions and Forfeitures for the past 3 years (other than parking violations):
Please list date, location, charge, penalty.

License (list each driver's license held in the past 3 years):
Please list state, license number, type, endorsements, expiration date.


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

Yes
No

B. Have you ever had a license, permit, or privilege suspended or revoked?
Yes
No

C. Is there any reason you might not be able to perform the functions of the job for which you have applied?
Yes
No

D. Have you ever been convicted of a felony?
Yes
No

If any of your answers to questions A, B, C, D were yes give details:

Employment History

You must give a complete record of all employment within the past three years, including any unemployment or self employment, and all commercial driving experience for the last ten years to be considered for employment.

Dates of Employment:


Present or Last Employer:

Dates From - To:

 * required

Were you subject to FMCSRs while employed here?
Yes
No
Was your job designated as a safety-sensitive function in any DOT-Regulated mode subject to the drug and alcohol testing requirements of 49 CFR Part 40?
Yes
No

Previous Employer 1:

Dates From - To:


Were you subject to FMCSRs while employed here?
Yes
No
Was your job designated as a safety-sensitive function in any DOT-Regulated mode subject to the drug and alcohol testing requirements of 49 CFR Part 40?
Yes
No

Previous Employer 2:

Dates From - To:


Were you subject to FMCSRs while employed here?
Yes
No
Was your job designated as a safety-sensitive function in any DOT-Regulated mode subject to the drug and alcohol testing requirements of 49 CFR Part 40?
Yes
No

Previous Employer 3:

Dates From - To:


Were you subject to FMCSRs while employed here?
Yes
No
Was your job designated as a safety-sensitive function in any DOT-Regulated mode subject to the drug and alcohol testing requirements of 49 CFR Part 40?
Yes
No

Previous Employer 4:

Dates From - To:


Were you subject to FMCSRs while employed here?
Yes
No
Was your job designated as a safety-sensitive function in any DOT-Regulated mode subject to the drug and alcohol testing requirements of 49 CFR Part 40?
Yes
No

To Be Read By Applicant

It is agreed and understood that any misrepresentation given on this application shall be considered an act of dishonesty. It is agreed and understood that the motor carrier or his agents may investigate the applicants background to ascertain any and all information of concern to applicants record, whether same is of record or not, and applicant releases employers and persons named herein from all liability and damages on account of his or her furnishing such information.

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 an investigating 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 application file.

It is agreed and understood that this Application for Qualification in now way obligates the motor carrier to employ or hire the applicant.

It is agreed and understood that if qualified and hired, I may be on a probationary period during which time I may be disqualified without recourse.

By submitting this application I certify that the application was completed by me, and that all entries on it and information in it are true to the best of my knowledge.


Type the word "yes" in the box below if you have read and understood all of the information included in this application:
 * required

Electronic Signature:
Requires Full Name (First,Middle,Last)
 * required


To submit your application press button below:


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JR's Freight Services, Inc.
555 Rogue Ave Stayton, OR 97383 | 503-769-4405 phone | 503-769-4403 fax

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