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Job Placement Offer Form

Please complete the form below with your requirements.

3.231.226.211

Licence Required:  * 

Minimum License Required for Postion

Minimum Experience Required:

 * 

Starting Wage:  * 

Starting Per Hour, Per Mile, Yearly Salary
Per:

Type of Employment:

 * 

Company Name:  *      

Address:  * 

City:  * 

Postal Code:  * 



Contact Name:  * 

Contact Email:

Contact Telephone:

How would you prefer to be contacted?:



Gearbox Required:

US Border Crossing Required:

F.A.S.T Card Required:

Job Description:

Character Count: Max: 375

Required Skillsets:

Additional Experience Preferred:

Additional experience (Reefers, Flat Decks, Tankers, Heavy Equip, Forklift etc.)

Number of Drivers Needed:



Criminal Record:

Drivers Abstract:

Maximum Acceptable Moving Violations Acceptable by Points

CVOR Record:

Enter Maximum Acceptable CVOR Infractions by points



Fields marked with an * are mandatory.