Driver Application

Driver Application
Name

First NameLast Name
Applications must be submitted and applicants must pass health screening tests before being hired. These are confidential forms and will not be seen by anyone at J&S Transportation.
Health history form

Fill out the Consent for pre-work physical screen/ release of information, and the Health History form and fax them to The Billings Clinic.
Consent Preworkscreen

If applicants have had any surgeries or procedures that could impact their ability to perform duties, The Billings Clinic will contact applicants and ask them to get cleared by the Dr. who performed said surgery or procedure and have him/her fill out the Clearance for Physical Abilities Testing form.
Clearance for Physical Abilities Testing

Fax: 406-238-5266
Website: www.billingsclinic.com

Personal Information

Contact Information
Referred by

First NameLast Name
Full name*

First NameMiddle NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
In case of emergency, notify

First NameLast Name
In case of emergency, phone

Area CodePhone Number
Relationship
Reference
Day phone*

Area CodePhone Number
Night phone

Area CodePhone Number
Cell Phone

Area CodePhone Number
Best time to call

:HourMinutesAM/PM Option
SSN*
Date of Birth*

MonthDayYear

Resume
Upload your resume

Browse Files

Cancelof

Driver Information
Date available

MonthDayYear
Immediately

YesNo
Experience level
Check all that apply

I need trainingI am a Driving School GraduateI have a TWIC Card

Education
School name
Graduation date

MonthDayYear
What is the highest grade you've completed?

Safety Performance History Records Request
Previous Employer
Email
Street Address
Phone
City, State, Zip
Fax
Prospective Employer
Attn.
Street Address
Phone
City, State, Zip
In compliance with 49 CFR 40.25(g) and 391.23(h), release of this information must be made in a written form that ensures confidentiality, such as fax, email, or letter.
Prospective employer's confidential fax number
Prospective employer's confidential email
Applicant's Signature
Date

MonthDayYear

This certifies that this application was completed by me, and that all entries on it and information on it are true and complete to the best of my knowledge. I hereby request and authorize J&S Transportation and their agents or contractors that receive this application to cause to be conducted, at any time, an investigation of my background for employment purposes, which may include, but is not limited to, any information relating to my character, general reputation, personal characteristics, mode of living, criminal history, past work experience, educational background, alcohol or drug test results, or failure to submit to an alcohol or drug test, or any other information about me which may reflect upon my potential for employment gathered from any individual, organization, entity, agency, or other source which may have knowledge concerning any such items of information. I have completed this application of my own free will and hold harmless of all liability all companies, agents and associated parties for the use of this application. As part of our consideration of your application, the DOT requires companies to investigate your employment background. As part of this investigation, they may obtain consumer reports about you from various consumer reporting agencies including USIS / Hireright (DAC) and PSP Reports regarding your CSA score and history. Any decision they make not to hire you based on information contained in your consumer report will be their decision alone. DAC does not make any decisions concerning your employment with these companies and will not know the specific reasons why they may decide not to hire you. Your consent for these companies to obtain the report from DAC is required. Although you have a right to withhold your consent, companies will not consider your application if you withhold your consent. I understand that the 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 as required by 49 CFR 391-23(d) and (e).
I have read and agree to the above release and I give permission to obtain consumer reports about me from DAC.

YesNo
By typing your name in the fields below, you agree to be bound as if you had written your signature here, signing your agreement to the terms of this application and the accuracy of your answers:
First and last name

First NameLast Name
Type a question
Should be Empty:

Driver Application

Personal Information

Resume

CDL Information

Driver Information

Education

Experience and Preference

Experience and Qualifications - other

Employment History

EMPLOYMENT HISTORY

Safety Performance History Records Request

Driving History

Tickets in the last 5 years

Accidents in the last 5 years

Criminal record