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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?

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

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