Shelton Trucking Service Inc.

24058 N.W. S.R. 73

Altha Florida 32421

800-877-3201

 
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Owner Operator 
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 Shelton Trucking Service Inc.

Now Hiring In The Following States

     Alabama, Florida, Georgia, Mississippi, Louisiana, South Carolina, Texas, and Tennessee


Owner Operator Application

Referred By

NAME: 
Last :  
First :  
Middle :  
Social Security : 
PRESENT ADDRESS: 
Street :  
City :     
State :          Zip Code:  
Phone Number : 
Date of Birth:    

       DRIVERS LICENSE INFORMATION:             ENDORSEMENTS:
         License #:                                    Current License CDL Class:      YES NO
             State: 
    Expiration:                                               Class A CDL:     YES NO
 

EXPERIENCE LEVEL

Type: VAN FLATBEDDUMP Years:  Approx. # of Miles: 
Have you ever had your license suspended or revoked? YES NO
Have you  been convicted of DUI or DWI in past 5 yrs    YES NO
Have you  been involved in an accident? YES NO  When: 
Have you  been involved in an accident where someone other than your self was seriously injured or killed? YES NO
Have you ever been convicted of a crime? YES NO
Were you in the Armed Forces? YES NO
Have you abandoned an emperors truck? YES NO
Have you been fired from a job because of safety or log violations? YES NO
Are you able with or without reasonable accommodations to perform
the functions of the job for which you have applied? YES NO
If answer to ANY question is yes, state details, circumstances, and date:


EQUIPMENT PROFILE:

TRACTOR MAKE  

TRACTOR  YEAR


EMPLOYMENT/LEASE HISTORY

Current Or Last Employer/Leasor:
Company Name: 
Address: 
City: 
State: Zip Code: 
Dates of Employment: From: To: 
Phone Number: 
Supervisor: 
Reason for leaving: 


EMPLOYMENT/LEASE HISTORY
Previous Employer/Leasor:
Company Name: 
Address: 
City: 
State: Zip Code: 
Dates of Employment: From: To: 
Phone Number: 
Supervisor: 
Reason for leaving: 


EMPLOYMENT/LEASE HISTORY
Previous Employer/Leasor:
Company Name: 
Address: 
City: 
State: Zip Code: 
Dates of Employment: From: To: 
Phone Number: 
Supervisor: 
Reason for leaving: 


EMPLOYMENT/LEASE HISTORY
Previous Employer/Leasor:
Company Name: 
Address: 
City: 
State: Zip Code: 
Dates of Employment: From: To: 
Phone Number: 
Supervisor: 
Reason for leaving: 


Authorization

In lieu of signature for authorization please enter your social security number.   

Disclaimer

I hereby authorize, without liability, any person or organization whose name I have given in reference or by whom I have been previously employed, to furnish SHELTON TRUCKING SERVICE INC., any information they may have concerning my character, habits, ability, financial responsibility, job performance, reason for leaving employment, and all information concerning my employment to other companies and carriers requesting such information. I hereby release all such persons and organizations from any claims for damages of any kind which may occur to me by reasons of furnishing such information.
 
 

 
 

dexum@sheltontrucking.com