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Arkansas Trucking: Stallion Transportation Group Arkansas Trucking: Stallion Transportation Group  
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Address:
2102 N. Main
P.O. Box 1113
Beebe, Arkansas 72012

Telephone: 501.882.2600
Toll Free: 800.597.2425
Facsimile: 501.882.1588

If you would like to pursue a career with Stallion Transportation Group, please fill out the form below. This is not an application for a employment, and by sending this form you authorize Stallion Transportation Group to make inquiries as to your personal background and work history.

Click here for a printable version of this form


Position Applied For: Driver

Owner/Operator
First Name:
Last Name:
SSN:
E-mail (required):
Phone:

Current Address:
City:
State:
ZIP:
Length of Residence:

Previous Address:
City:
State:
ZIP:
Length of Residence:

Background


Have you ever been leased to this company before? Yes

No
If yes, provide dates:
Reason for leaving:
   
   
Are you leased now? Yes

No
If not, how long since your last job?
Who referred you?
Rate of pay expected:
   
Do you have legal right to work in the United States? Yes

No
Have you ever been convicted of a felony or misdemeanor? Yes

No
If yes, please explain:
   
Is there any reason you might be unable to perform the functions of the position for which you have applied? Yes

No
If Yes, please explain:
   
Have you ever been injured on the job? Yes

No
Have you ever filed a Workman's Compensation claim? Yes

No
If yes, when? Please provide details:
   
Are you currently covered by any insurance? Yes

No
Please list name, phone number and address of insurance company:
   

Education


Select your education level:
Name of last school attended:
City:
State:
ZIP:

Accident Record


Date:
Nature of accident:
(head on, rear end, etc.)
# of injuries / fatalities:
Date:
Nature of accident:
(head on, rear end, etc.)
# of injuries / fatalities:
Date:
Nature of accident:
(head on, rear end, etc.)
# of injuries / fatalities:

License Information


Please list all licenses held for the previous 3 year period:

Name:
Number:
State:
Name:
Number:
State:
Name:
Number:
State:

Please list all endorsements on current license:

Please list any traffic convictions and forfeitures for the past 3 years (other than parking).

Location/ State
Date
Charge
Penalty
Location/ State
Date
Charge
Penalty
Location/ State
Date
Charge
Penalty
Location/ State
Date
Charge
Penalty
Location/ State
Date
Charge
Penalty

Have you ever been denied a license, permit or privilege to operate a motor vehicle? Yes

No
Has any license, permit or privilege ever been suspended or revoked? Yes

No
If yes to either question, please provide details:
List any special courses or training that will help you as a driver:

Terms and Agreements

By checking this box, I certify that I did complete this application, and that all entries on it and information in it are true and complete to the best of my knowledge. I authorize you to make such investigations and inquiries of my personal, employment, driving, financial or medical history and other related matters as may be necessary in arriving at an employment decision (generally, inquiries regarding medical history will be made only if and after a conditional offer of employment has been extended). I hereby release employers, schools, health care providers and other persons from all liability in responding to inquiries and releasing information in connection with my application. In the event of employment, I understand that false or misleading information given in my application or at any time during my interview(s) will result in immediate discharge. I understand, also, that I am required to abide by all rules and regulations of Stallion Express, Inc., and the federal motor carriers/department of transportation, any breach of these constitute immediate discharge.

Stallion Transportation Group
Arkansas Trucking
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Stallion Transportation Group
2102 N. Main
P.O. Box 1113
Beebe, Arkansas 72012
1-800-597-2425

Copyright © 2005 Stallion Transportation Group
All rights reserved

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