Home
MyTruckJob Profile
Complete the profile form fully as it is a reflection of you.
* Indicates required field
Login Information
* User Name:
* Password: * Confirm Password:
What is this?

Contact Information
To reach you, we require that you enter contact information for at least email, phone, or cell phone.
* First Name: * Last Name:
* Email Address: SS Number
* Birthday (mm/dd/yyyy)  
Address: Address 2:
City:
State: Zip:
Phone: Cell:
Best time to be Reached: Best way to be Reached:
Are you willing to relocate for a good job?

Details
Occupation:
* Do you have a current CDL? How long have you held a CDL?
Driver Lic. # CDL Class:
Exp Date (mm/dd/yyyy):   State Issued:
Number of Accidents: Last 3 Years Number of Moving Violations: Last 5 Years
Do you wish to Drive Team? Has Your License Ever Been Revoked or Suspended?
Have You Ever Been Cited for DUI or DWI? If Yes, How Many Years Ago?
Have You Ever Been Convicted of a Misdemeanor? Have You Ever Been Convicted of a Felony?

Driver
Driving Experience: Endorsements:
Carrier Experience:

Owner Operator
Manufacturer: Year/Model:
Do You Own Your Own Trailer? If So, What Type?
Truck School Graduates
School's Name: School's Location:
Grad Date:  

Diesel Tech
Check all that apply:

School's Name: School's Location:
Grad Date:  

Current or Last Employer
Company:
Date From (mm/dd/yyyy):   Date To (mm/dd/yyyy):  
Address 1: Address 2:
City: State:
Telephone: Supervisor:
Type of Trailer:
(control-select to select multiple types)
Reason for Leaving:

Previous Employer 1
Company:
Date From (mm/dd/yyyy):   Date To (mm/dd/yyyy):  
Address 1: Address 2:
City: State:
Telephone: Supervisor:
Type of Trailer:
(control-select to select multiple types)
Reason for Leaving:

Previous Employer 2
Company:
Date From (mm/dd/yyyy):   Date To (mm/dd/yyyy):  
Address 1: Address 2:
City: State:
Telephone: Supervisor:
Type of Trailer:
(control-select to select multiple types)
Reason for Leaving:


Can Former Employers be contacted? When Can You Begin Working? (mm/dd/yyyy)  

By submitting this form electronically, I certify that I personally completed this profile and that all of the information is true and correct. I hereby request and authorize MyTruckJob or any company that receives this information to cause to be conducted, at any time, an investigation of my background for employment purposes, which may include, but is not limited to, any information relating to my character, general reputation, personal characteristics, mode of living, criminal history, past work experience, educational background, alcohol or drug test results, or failure to submit to an alcohol or drug test, or any other information about me which may reflect upon my potential for employment gathered from any individual, organization, entity, agency, or other source which may have knowledge concerning any such items of information. I understand that the completion of this form does not assure me of a position with any company or obligate any company in any way. I have completed this profile form of my own free will and hold MyTruckJob harmless of all liability for providing this service for my use.