Please fill out our online application and see what Jett Express has to offer.
Your Contact Information
First Name:
 *
Middle Name:
 *
Last Name:
 *
Address Line 1:
 *
Address Line 2:
City:
 *
State:
 *
Zip Code:
 *
Home Number:
 *
Cell Number:
Pager Number:
Fax Number:
Email Address:
 *
Date of Birth:
 * (m/d/yyyy)
Country of Citizenship
 *
If not a US citizen, do you have a Permanent Resident card?


Social Security #:

 *

How did you hear about us?

If Other, provide details:
Your Driving History

Driver License #:

Driver License State:

Driver License Exp:
Has your driver's license ever been suspended for any reason?
Have you had any other Driver's licenses besides your current one above in the last 3 years?
List all Driver's licenses besides above you have held in the last 3 years. 
Please list states and driver's license numbers.
Your Status:
If driving for a truck owner, please specify the follow:

Truck Owner Name:
Truck Number:

Truck Type:
Truck Year:

Do you have a CDL?

HazMat Endorsement:
Number of moving violations in the last 3 years:
Number of accidents in the last 3 years:
Have you ever had a DUI / DWI / OWI?

If Yes, please provide date:

 (m/d/yyyy)
Have you ever failed / refused a drug te?

If Yes, please provide date:

 (m/d/yyyy)
Have you ever been convicted of a crime?

If Yes, please provide full details:
Your Employment History

Present Employer:

Employer Name:

Dates Employed:
From
(m/d/yyyy)
To
 (m/d/yyyy)

Employer's Address:
Please include street ,city ,state, and zip code.

Employer's Phone:

Position Held:

Reason for Leaving:
If you were a driver, please provide the following information:

Equipment:

 Straight Truck 
Semi
Other

If Other, Please specify:

If Tractor, Please specify trailer size:

Previous Employer:

Employer Name:

Dates Employed:
From
(m/d/yyyy)
To
 (m/d/yyyy)

Employer's Address:
Please include street ,city ,state, and zip code.

Employer's Phone:

Position Held:

Reason for Leaving:
If you were a driver, please provide the following information:

Equipment:

 Straight Truck 
Semi
Other

If Other, Please specify:

If Tractor, Please specify trailer size:
Statement of Understanding
I certify that I personally completed this application and that all of the information is true and correct. I have read and understand the above statements and acknowledge by affixing my digital signature below.
I have read and understand the above statements:
No

Your Full Name:
If you want to be qualified for a Tractor, we will need an actual SIGNED consent.
Please fill this out, print it and fax it to us.


 


 
 
 
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