Harris Trucking Company
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Application

Welcome

Harris Trucking is looking for drivers to join our team. If you are looking to add your talents and skills to a responsible, growing company, please consider filling out the following application and submitting it to Harris Trucking Company.


Please fill out form completely.

Personal Information

Full Name:

Address:

E-mail:

City:

State: Zip Code:

Telephone:

Date of Birth:

Social Security Number:

License Number:

License State:

Class: Expiration Date:

CDL?

haz-mat?

Have you ever had a DUI/DWI?

If so, when?

Number of tickets in last 3 years?

Number of accidents in last 3 years?

Number of years driving experience?


Employment History: Present Employer

Present Employer:

May we contact?

Date of Employment:

From to present.

Telephone:

Address:

City:

State: Zip

Type of Trailer?

Number of States:


Employment History: First Previous Employer

First Previous Employer:

Date of Employment:

From To

Telephone:

Address:

City:

State: Zip

Type of Trailer?

Number of States:

Reason for Leaving:


Employment History: Second Previous Employer

Second Previous Employer:

Date of Employment:

From To

Telephone:

Address:

City:

State: Zip

Type of Trailer?

Number of States:

Reason for Leaving:



I certify that I personally completed this application and that all of the information is true and correct. I authorize Harris Trucking Co., to do a complete background investigation in accordance with state and federal laws. I authorize my previous employers to release any information requested by Harris Trucking Company, and hold them harmless of all liability from the release of said information.

Please enter your name. Signature



Please do not submit more than one application. Be sure that your application is complete and accurate, then click “I agree to these terms” only once. Thank you.

Corporate Office - 178 Elon Road - P.O. Box 539 - Madison Heights, VA 24572
(434) 528-6700

Harris Trucking Company

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