BJ Johnson Logistics

Personal Information

First Name Middle Name Last Name Phone Number Email Address Social Security Number Date of Birth Emergency Contact Name Emergency Contact Phone Number

Address Info:

Current Street Address Current Mailing Address Country City State Zip/Postal Code

Have you lived at your residence for 5 or more years?

Desired Pay

Work History:

Position

Do you have reliable transporation to and from work?

Are you legally eligible for employment in the United States?

Do you read, write, and speak english?

Do you have a TWIC card?

What is your TWIC card number?

Do you have a current HAZMAT card?

Did somebody refer you?

Experience

Do you have tractor driving experience?

Do you have tank driving experience?

Do you have any other driving experience?

Can you climb in and out of a truck?

Can you climb up a truck?

Can you climb under a truck?

Can you raise up repeatedly?

Can you bend and kneel repeatedly?

Can you apply sufficient pressure?

Can you lift objects repeatedly?

Can you sit stationary for extended periods of time?

Can you remain on duty the required amount of time?

License

What is your license number? What is your license Country? License State

License Expiration Date

Is this a commercial License?

License Class? License Endorsements

Did you attend Driving School?

License History

Is your license currently suspended?

Do you have any felony convictions?

Have you had any accidents in the last five years?

Have you had any traffic violations in the last five years?

Do you have a criminal history?