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Join us as a Company Driver or Owner Operator - Apply Online

Truck Driving Opportunities on the West Coast

Please read and complete all portions of this application. This application will not be considered if incomplete. This application is considered current for 30 days only. Be advised that your prior employers or companies leased to will be contacted for the purpose of investigating your safety performance history and background as required by D.O.T. Regulation Part 391.23.

The Civil Rights Act of 1964 prohibits discrimination because of race, color, religion or national origin. PL90-202 prohibits discrimination because of age. The American Disabilities Act prohibits discrimination because of disability.

Market Transport, Ltd.; 110 North Marine Drive; Portland, Oregon 97217; 503 283-2405

Date: Tue Mar 9, 2010

I am applying for the following position:

PERSONAL INFORMATION

Last Name

First Name

Middle

Social Security No. Date of Birth
Home Phone
Message Phone

CURRENT ADDRESS

Street Address	City	State	Zip	How Long

PREVIOUS ADDRESS (3 YEARS)

Street Address	City	State	Zip	How Long

Street Address	City	State	Zip	How Long

Street Address	City	State	Zip	How Long

Street Address	City	State	Zip	How Long

PERSONAL HISTORY

Have you ever been known by another name?
If yes, when?
What was the name:

Have you ever applied to work for Market Transport?
If yes, when?

Have you worked for Market Transport?
If yes, when?

A.

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

B.

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

C.

Have you been convicted, or are charges pending for reckless or careless operation of a vehicle?

D.

Have you ever tested positive on or refused a drug and or alcohol test?

E.

Have you ever been convicted for possession, sale, or use of a controlled substance?

F.

Are any charges pending or have you been convicted of driving under the influence of alcohol or a controlled substance?

G.

Have you ever been convicted of a felony? (Conviction record will not necessarily bar from employment.)

If yes, when?

H.

Have you operated under the FMCSR regarding hours of service?

If answer to A, B, C, D, E, F, G or H is YES, state circumstances and dates below.

EDUCATION

Highest Grade Level Completed (High School)

Years of College Completed

List any other training or schools, including driving schools.

MILITARY RECORD

Have you ever served in the U.S. Armed Forces?
If yes, what branch?
List any other training or schools, including driving schools.
Start Date: End Date:
Rank at Discharge: Discharge Status:

HOW DID YOU HEAR ABOUT US?

How did you hear about us?

Referred by: Recruiter:

Customer & General Inquiries

1-800-547-0781

Driver Inquiries

1-800-241-2415

Select the dept you wish to contact

Name

Company (If Applicable)

Email Address

Phone

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