Job Application FormPlease enable JavaScript in your browser to complete this form.Name *FirstLastBest Contact Number *Email *Which Position are you applying for? *(Select)Wrecker DriverRepair TechnicianOffice / DispatcherDetail TechLocation Desired *(Select)Knoxville, TNJellico, TNLondon, KYSomerset, KYMt. Vernon, KYRichmond, KYLexington, KYLouisville, KYDo you have a Class A CDL? *YesNoDo you have a Valid Medical Card? *YesNoIt will expire within the next 2 monthsDo you have your National Traffic Incident Management Responder Training (TIMS) *YesNoHow long have you had your CDL? *How many Years of Experience do you have for the position you are applying for? *(Select)1234+Are you currently employed? *(Select)YesNoDate Available to Start Work *Do you have the legal right to work in the United States? *(Select)YesNoCurrent Address (Include City and State) *How Many years at this address? *(Select)0-11-22-33+If Less than 3 years, What is Previous address (Include City and State)?Any Tickets or Accidents last 3 years? *NoneTicketsAccidentsBothIf yes to either of the above, please provide details below.Have you ever been denied a license, permit, or privilege to operate a motor vehicle? *YesNoIf Yes, ExplainHas any license, permit, or privilege ever been suspended or revoked? *YesNoIf Yes, Please ExplainCurrent / Most Recent Employer Name *Phone number *Address *Position Held *Start /End Dates if applicable *Reason for Leaving *Please explain any gaps in employment history *May we contact this employer? *YesNoWhile employed here, were you subject to the Federal Motor Carrier Safety Regulations? *YesNoWas the job designated as a safety-sensitive function in any Department of Transportation-regulated mode subject to alcohol and controlled substances testing as required by 49 CFR, part 40? *YesNoIf Less than 3 years, Previous Employer NamePhone numberAddressStart /End DateReason for LeavingPlease explain any gaps in employment historyMay we contact this employer?YesNoWhile employed here, were you subject to the Federal Motor Carrier Safety Regulations? YesNoWas the job designated as a safety-sensitive function in any Department of Transportation-regulated mode subject to alcohol and controlled substances testing as required by 49 CFR, part 40? YesNoDo you need more space to list jobs held in the last 3 years? If so, please type them below.Do you have any other experience or qualifications you would like us to know about?Reference #1 *Reference # 2How did you hear about us?I authorize you to make investigations (including contacting current and prior employers) into my personal, employment, financial, medical history, and other related matters as may be necessary in arriving at an employment decision. I hereby release employers, schools, health care providers, and other persons from all liability in responding to inquiries and releasing information in connection with my application. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I also understand that I am required to abide by all rules and regulations of the Company. I understand that the information I provide regarding my current and/or prior employers may be used, and those employer(s) will be contacted for the purpose of investigating my safety performance history as required by 49 CFR 391.23. I understand that I have the right to: • Review information provided by current/previous employers; • Have errors in the information corrected by previous employers, and for those previous employers to resend the corrected information to the prospective employer; and • Have a rebuttal statement attached to the alleged erroneous information, if the previous employer(s) and I cannot agree on the accuracy of the information. This certifies that I completed this application, and that all entries on it and information in it are true and complete to the best of my knowledge. Note: A motor carrier may require an applicant to provide more information than that required by the Federal Motor Carrier Safety Regulations. *I agreeI do not agreeApply Now!