Queens Trucking and Construction, Inc. Class A Truck Driver Application
2898 S. Queens Rd, Rochelle, IL 61068 *Equal Opportunity Employer*
Class A Truck Driver - Position requires early mornings, physical labor strapping loads and getting in and out of the truck multiple times per day. Proper PPE must be worn at all times, included some sort of work boot. PRE-EMPLOYMENT DRUG SCREEN AND PSP REPORT REQUIRED BEFORE HIRING PROCESS IS COMPLETED.  
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Name(Last/First) *
Email Address: *
Social Security Number *
Address (Street, City, State, Zip) *
Phone # *
Date of Birth *
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Do you have legal right to work in the US? *
Can you provide proof of Age? *
Have you worked for Queens Trucking & Construction, Inc. before? *
Are you now employed? *
Reason for leaving current employment?
Have you ever been convicted of a felony?(This will not hinder your hiring potential) *
IF YOU ANSWER YES TO THIS QUESTION PLEASE EXPLAIN IN THE NEXT QUESTION
If you have been convicted of a felony please explain?
If you have been convicted does your probation or parole allow for you to cross state lines for work? *
How did you hear about us?
Rate of pay expected? *
Driver's License (State Issued, Class  & Number) *
Previously held Licenses? *
Any Traffic Convictions in the past 3 years? *
If you had convictions what were they for?
Any Accidents in the past 3 years? *
If you answered yes to the Accidents please explain:
Any additional Drivers License or permits held in the last 3 years? *
If other License Held what were they?
Have you ever been denied a license, permit or privilege to operate a motor vehicle? *
Has any license, permit or privilege ever been suspended or revoked? *
If you answered yes to the questions above please explain:
Driving Experience with Tractor & Semi-Trailer *
Required
Driving Experience (Weather) *
Required
Driving Experience (Traffic) *
Required
List of States operated in for the last 5 years? *
Any Special courses or training that will help you as a driver? *
Education(how did you get your Class A License?   *
Do you have a current Non-Excepted Interstate Medical Card on File with the DMV? *
Education (highest level) *
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