P.O. Box 71396
Eugene, OR 97401
ph. 541-344-4930
fax: 541-344-4337

EMPLOYMENT

Please fill out the application below to apply for a position with JNB Trucking. *indicates a required field

PERSONAL INFORMATION
First Name: *
Last Name: *
Address:
City:
State:
Zipcode:
Home Phone:
Cell Phone:
Email: *
Position Applying For:
DRIVING EXPERIENCE
Do you have a valid Class A license?	Yes No
How many years of Class A driving experience do you have?
Please describe your driving experience with different types of equipment -- Walking Floor, Possum Belly, Dump Truck, etc.
EMPLOYMENT HISTORY
Last Employer:
Position Held:
From:
To:
Salary:
Reason for Leaving:
2nd Last Employer:
Position Held:
From:
To:
Salary:
Reason for Leaving:
3rd Last Employer:
Position Held:
From:
To:
Salary:
Reason for Leaving:
By checking the box, I certify that this application was completed by me, and that all entries in it and the information given is true and complete to the best of my knowledge.
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