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Reeves Brothers Trucking, Inc.
16105 Hwy 412 East
Lexington, TN 38351
Phone:800.892.7067   Fax:731.967.1813
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MUST BE A U.S. RESIDENT
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Contact and Personal Information:
* Full Name


* Street Address


* City
* State
* Zip/Postal Code

* Day Phone

* Evening Phone

* Best Time to Call


* Date of Birth(mm-dd-yyyy)


* Social Security #


E-mail Address



Current Driver's License Information (license required unless a student):
License Number


State                                      Expiration Date
   

Class:
 
Class A
Class B
Class C
Endorsements:
 
Hazmat
Double/Triple
Tanker

Driving History & Driving Information:
* Years of tractor trailer driving experience:


* You are currently a(n):
Owner Operator
Company Driver
Student

If an Owner Operator:
How many trucks do you own?

Driver School Graduate?
Yes No

I Would Like to Run
Single
Team
Husband/Wife

Number of Accidents
(past three years)
 
Traffic Convictions/Violations
(past three years, other than parking violations):
 



Employment Information (required for last 10 years):
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CURRENT EMPLOYER:

 Company Name:

Street Address:
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Starting Date (mm-dd-yyyy) :
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Reason For Seeking Employment:


PAST EMPLOYER 1:

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PAST EMPLOYER 6:

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PAST EMPLOYER 7:

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PAST EMPLOYER 8:

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Criminal Record (if any):
* Have you ever been convicted of a felony? Yes | No   Date:
* Have you ever been convicted, or are any charges pending, for driving while under the influence of alcohol, a narcotic drug, amphetamines or derivatives thereof? Yes | No   Date:
* Have you ever been denied a license, permit or privilege to operate a motor vehicle? Yes | No   Date:
* Has any license, permit or privilege ever been suspended or revoked? Yes | No   Date:
* Have you ever been convicted, or are any charges pending, for reckless or careless operation of a motor vehicle? Yes | No   Date:
* Have you ever been convicted, or are any charges pending, for possession, sale or use of a narcotic drug, amphetamines, or derivatives thereof? Yes | No   Date:
* Have you ever been refused any type of insurance or been denied bonding? Yes | No   Date:
* Have you ever been discharged or suspended? Yes | No   Date:
Additional Comments To Tell Recruiters:



Application Disclaimer:

* I agree that the information I am providing is true and accurate and I give permission to obtain consumer reports about me including my driving record.
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