EMPLOYMENT Please enable JavaScript in your browser to complete this form.Application for QualificationThe Purpose of this application is to determine if the applicant is qualified to operate motor carrier equipment according to the requirements set by the FMCSA and M.I.J Trucking LLCSelect the position you are applying for *Learn more & Apply as DriverLearn More & Apply as O/ONext Requirements Must be 23 years or older 2+ years of verifiable experience Good driving record (MVR) less then 3 serious offences in last 3 years. Clean background check. Must be able to pass drug test. Requirements Must be 23 years or older 2+ years of verifiable experience Good driving record (MVR) less then 3 serious offences in last 3 years. Clean background check. Must be able to pass drug test. Benefits 99% no touch freight Flexible road/home schedule Safety bonus'. Easy communication with dispatch. Fuel Card Cash Advance 1099 or W2 positions available Benefits 99% no touch freight Flexible Schedule you choose the miles, destinations & PRICE Endless earning potential Fuel Card, with fuel discounts at all major truck stops Cash Advance secure parking Plate Program Available 2290 Program Available Fuel tax reporting Compensation multiple options available ($0.50 Per Mile all miles or $1400 per week guaranteed or $72,000 gross per year) Paid weekly on Friday Direct deposit available Compensation Top owner op % pay 80% of gross 90% gross with trailer younger then 10 years Paid weekly on Friday Direct deposit available PreviousApplyName *FirstLastAddress *Address Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone Number *EmailDate of Birth *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920SSN# *PreviousNextOwner Operator Truck InformationYear *Make *ModelVin Number *Do you have CURRENT Bobtail insurance? *YesNoDo you have paid 2290 (Highway Use Tax)? *YesNoDo you currently have plates? (Plate Program Available) *YesNoDo you own trailer? *YesNoOwner Operator Trailer InformationYear *Make/Model *Vin Number *Type: *53' Dry Van53' Flat bed53' ReeferOther: Please Write Belowplease write other trailer type: *PreviousNextEmployment HistoryAll driver applicants to drive in interstate commerce must provide the following information on all employers during the preceding 3 years. at least 1 current/previous employer must be filled out.Previous/Current Employer Name *Previous/Current Employer MC or DOT numberAddress *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeContact Person *Contact Phone Number *Contact EmailFrom: *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920To: (if current leave blank)MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920CompensationRatePerMileWeekMonthYearTripmile,week,month,year,tripAverage MilesWeekly average milesReason For LeavingNext Previous Employer:Next Previous Employer MC or DOT numberAddress:Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeContact Person:Contact Phone Number:Contact Email:From:MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920To:MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Reason For Leaving:Next Previous Employer:Next Previous Empooyer MC or DOT numberAddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeContact Person:Contact Phone Number:Contact Email:From:MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920To:MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Reason For Leaving:I have read and agree to the terms below:I AgreeI understand that information I provide regarding current and/or previous 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(d) and (e) I understand that I have the right to; Review information provided by previous employers, have errors in information corrected by previous employers and for those previous employers to resend corrected information, and have a rebuttal statement attached to the alleged erroneous information, if the previous employer(s) and i cannon agree on the accuracy of the information.PreviousNextDriver License State: *-Select-ALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWYDriver License Number: *Upload Picture of Driver License: (optional)PreviousNextHave you been involved in an accident in the last 3 years? *YesNoIf Yes, please explain below. date of accident, nature of accident , and if any injuries, fatalities, or hazardous material was involved. *Have you had any traffic convictions in the last 3 years (other than parking violations)? *YesNoIf Yes, please explain below; date, location, charge and penalty for the conviction. *Have you ever been convicted of a felony? *YesNoIf Yes, please explain fully below. (conviction of a crime is not an automatic bar to employment-all circumstances will be considered) *Do you have experience operating a truck and 53 ft trailer? *YesNoHow Many Years of Experience with truck and 53 ft Trailer? *Are you able to operate Manual Transmission truck? *YesNoDo you have a current Medical Examination Card? *YesNoUpload a picture of your Medical Examination Card: (optional)Is there any reason you might be unable to perform the functions of the job which include, sitting for long periods, lifting up to 50 lbs, kneeling, climbing, pulling/pushing, sweeping, etc? *YesNoIf Yes, please Explain: *PreviousFinalizeI have read and agree to everything stated below: *I AgreeI agree that everything given on the application for qualification is to the true and to the best of my knowledge, any misrepresentation given will be considered an act of dishonesty. M.I.J Trucking LLC and its agents or representatives have the right to investigate and make inquires of my personal, employment, financial, or medical history and all 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 inquires 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 understand, also that I am required to abide by all rules and regulations of the Company. By writing name I understand that i have read, filled out and agreed to all information on the application for qualification. *FirstLastSection DividerWebsiteSubmit
