*Have you ever worked for Ee-Jay?:
If Yes, please indicate when:
Position Applied for:
*How did you hear about us?:
*Do you possess a Passport or Passport Card?:
*Can you travel into Canada?:
*Do you have any physical restrictions that would not allow you to lift 50 lb. hoses, climb vertical ladders or work at heights 12’ to 15’?:
*How many verifiable years of Class A Driving experience do you have?:
*When was the last time you drove a Class A Tractor Trailer?:
*Have you ever been convicted for a DWI or DUI?:
*If yes, when?:
Driver's License Information
*State:
*Endorsements:
*Date Issued:
*Expirations Date:
*Any Restrictions: