Apply online now, or print out this form and mail or fax it to us. You can also send a resume to get-hired@grahamtrucking.com. To expedite the process, please fill in all information completely.

CONTACT INFORMATION
Full Name:	SS Number:
Age:	DOB (mm/dd/yyyy):
Address:	City:
State: AL  AK  AZ  AR  CA  CO  CT  DE  DC  FL  GA  HI  ID  IL  IN  IA  KS  KY  LA  ME  MD  MA  MI  MN  MS  MO  MT  NE  NV  NH  NJ  NM  NY  NC  ND  OH  OK  OR  PA  RI  SC  SD  TN  TX  UT  VT  VA  WA  WV  WI  WY	Zip:
Telephone:	Email Address: Note: A response to this application will come to this email address so be sure you check your email.
Best Time To Be Reached:

DRIVING EXPERIENCE
Occupation:		Recent Experience (in years):	Endorsements:

Owner Operator Professional Driver Recent Graduate Student

Seattle & Tacoma Container Terminals  Van  Flatbed  Reefer

Haz-Mat                             Doubles/Triples                             TWIC

Class A CDL #:	State: AL  AK  AZ  AR  CA  CO  CT  DE  DC  FL  GA  HI  ID  IL  IN  IA  KS  KY  LA  ME  MD  MA  MI  MN  MS  MO  MT  NE  NV  NH  NJ  NM  NY  NC  ND  OH  OK  OR  PA  RI  SC  SD  TN  TX  UT  VT  VA  WA  WV  WI  WY	Expiration Date (mm/dd/yyyy):
OTR Driving Experience: Less than 3 months 3-5 months 6-8 months 9-11 months 12-17 months 18-23 months 2 years 3 years 4 years 5-10 years More than 10 years	Local Driving Experience: Less than 3 months 3-5 months 6-8 months 9-11 months 12-17 months 18-23 months 2 years 3 years 4 years 5-10 years More than 10 years	Verifiable OTR Miles in Past 6 Months:
Number of Accidents:   Last Year   Last 3 Years   Last 5 Years	Number of Moving Violations:   Last Year   Last 3 Years   Last 5 Years

Has Your License Ever Been Revoked or Suspended? Yes   No

Have You Ever Been Cited for DUI or DWI? Yes   No   If yes, how long ago (years)?  

Have You Ever Been Convicted of a Felony? Yes   No

Have you ever tested positive in a drug or alcohol test given in accordance with federal regulations?
Yes   No

Have you ever refused to take a drug or alcohol test given in accordance with federal regulations?
Yes   No

PRESENT EMPLOYER
Company:	Address:
City:	State: AR  CA  CO  CT  DE  DC  FL  GA  HI  ID  IL  IN  IA  KS  KY  LA  ME  MD  MA  MI  MN  MS  MO  MT  NE  NV  NH  NJ  NM  NY  NC  ND  OH  OK  OR  PA  RI  SC  SD  TN  TX  UT  VT  VA  WA  WV  WI  WY	Zip:	Telephone:
Date From (mm/dd/yyyy):	Date To (mm/dd/yyyy):	# of States:
Supervisor:	Type of Trailer:

Were you subject to the FMCSR’s while employed? Yes   No Was your job designated as a safety sensitive function in any DOT regulated mode subject to the drug and alcohol testing requirements of 49-CFR part 40? Yes   No Reason For Leaving:

IMPORTANT!
Federal regulations require disclosure of all employment as driver of a commercial vehicle for the past ten years.

PREVIOUS EMPLOYER 1
Company:	Address:
City:	State: AL  AK  AZ  AR  CA  CO  CT  DE  DC  FL  GA  HI  ID  IL  IN  IA  KS  KY  LA  ME  MD  MA  MI  MN  MS  MO  MT  NE  NV  NH  NJ  NM  NY  NC  ND  OH  OK  OR  PA  RI  SC  SD  TN  TX  UT  VT  VA  WA  WV  WI  WY	Zip:	Telephone:
Date From (mm/dd/yyyy):	Date To (mm/dd/yyyy):	# of States:
Supervisor:	Type of Trailer:

Were you subject to the FMCSR’s while employed? Yes   No Was your job designated as a safety sensitive function in any DOT regulated mode subject to the drug and alcohol testing requirements of 49-CFR part 40? Yes   No Reason For Leaving:

PREVIOUS EMPLOYER 2
Company:	Address:
City:	State: AL  AK  AZ  AR  CA  CO  CT  DE  DC  FL  GA  HI  ID  IL  IN  IA  KS  KY  LA  ME  MD  MA  MI  MN  MS  MO  MT  NE  NV  NH  NJ  NM  NY  NC  ND  OH  OK  OR  PA  RI  SC  SD  TN  TX  UT  VT  VA  WA  WV  WI  WY	Zip:	Telephone:
Date From (mm/dd/yyyy):	Date To (mm/dd/yyyy):	# of States:
Supervisor:	Type of Trailer:

Were you subject to the FMCSR’s while employed? Yes   No Was your job designated as a safety sensitive function in any DOT regulated mode subject to the drug and alcohol testing requirements of 49-CFR part 40? Yes   No Reason For Leaving:

PREVIOUS EMPLOYER 3
Company:	Address:
City:	State: AL  AK  AZ  AR  CA  CO  CT  DE  DC  FL  GA  HI  ID  IL  IN  IA  KS  KY  LA  ME  MD  MA  MI  MN  MS  MO  MT  NE  NV  NH  NJ  NM  NY  NC  ND  OH  OK  OR  PA  RI  SC  SD  TN  TX  UT  VT  VA  WA  WV  WI  WY	Zip:	Telephone:
Date From (mm/dd/yyyy):	Date To (mm/dd/yyyy):	# of States:
Supervisor:	Type of Trailer:

Were you subject to the FMCSR’s while employed? Yes   No Was your job designated as a safety sensitive function in any DOT regulated mode subject to the drug and alcohol testing requirements of 49-CFR part 40? Yes   No Reason For Leaving:

PREVIOUS EMPLOYER 4
Company:	Address:
City:	State: AL  AK  AZ  AR  CA  CO  CT  DE  DC  FL  GA  HI  ID  IL  IN  IA  KS  KY  LA  ME  MD  MA  MI  MN  MS  MO  MT  NE  NV  NH  NJ  NM  NY  NC  ND  OH  OK  OR  PA  RI  SC  SD  TN  TX  UT  VT  VA  WA  WV  WI  WY	Zip:	Telephone:
Date From (mm/dd/yyyy):	Date To (mm/dd/yyyy):	# of States:
Supervisor:	Type of Trailer:

Were you subject to the FMCSR’s while employed? Yes   No Was your job designated as a safety sensitive function in any DOT regulated mode subject to the drug and alcohol testing requirements of 49-CFR part 40? Yes   No Reason For Leaving:

PREVIOUS EMPLOYER 5
Company:	Address:
City:	State: AL  AK  AZ  AR  CA  CO  CT  DE  DC  FL  GA  HI  ID  IL  IN  IA  KS  KY  LA  ME  MD  MA  MI  MN  MS  MO  MT  NE  NV  NH  NJ  NM  NY  NC  ND  OH  OK  OR  PA  RI  SC  SD  TN  TX  UT  VT  VA  WA  WV  WI  WY	Zip:	Telephone:
Date From (mm/dd/yyyy):	Date To (mm/dd/yyyy):	# of States:
Supervisor:	Type of Trailer:

Were you subject to the FMCSR’s while employed? Yes   No Was your job designated as a safety sensitive function in any DOT regulated mode subject to the drug and alcohol testing requirements of 49-CFR part 40? Yes   No Reason For Leaving:

PREVIOUS EMPLOYER 6
Company:	Address:
City:	State: AL  AK  AZ  AR  CA  CO  CT  DE  DC  FL  GA  HI  ID  IL  IN  IA  KS  KY  LA  ME  MD  MA  MI  MN  MS  MO  MT  NE  NV  NH  NJ  NM  NY  NC  ND  OH  OK  OR  PA  RI  SC  SD  TN  TX  UT  VT  VA  WA  WV  WI  WY	Zip:	Telephone:
Date From (mm/dd/yyyy):	Date To (mm/dd/yyyy):	# of States:
Supervisor:	Type of Trailer:

Were you subject to the FMCSR’s while employed? Yes   No Was your job designated as a safety sensitive function in any DOT regulated mode subject to the drug and alcohol testing requirements of 49-CFR part 40? Yes   No Reason For Leaving:

PREVIOUS EMPLOYER 7
Company:	Address:
City:	State: AL  AK  AZ  AR  CA  CO  CT  DE  DC  FL  GA  HI  ID  IL  IN  IA  KS  KY  LA  ME  MD  MA  MI  MN  MS  MO  MT  NE  NV  NH  NJ  NM  NY  NC  ND  OH  OK  OR  PA  RI  SC  SD  TN  TX  UT  VT  VA  WA  WV  WI  WY	Zip:	Telephone:
Date From (mm/dd/yyyy):	Date To (mm/dd/yyyy):	# of States:
Supervisor:	Type of Trailer:

Were you subject to the FMCSR’s while employed? Yes   No Was your job designated as a safety sensitive function in any DOT regulated mode subject to the drug and alcohol testing requirements of 49-CFR part 40? Yes   No Reason For Leaving:

PREVIOUS EMPLOYER 8
Company:	Address:
City:	State: AL  AK  AZ  AR  CA  CO  CT  DE  DC  FL  GA  HI  ID  IL  IN  IA  KS  KY  LA  ME  MD  MA  MI  MN  MS  MO  MT  NE  NV  NH  NJ  NM  NY  NC  ND  OH  OK  OR  PA  RI  SC  SD  TN  TX  UT  VT  VA  WA  WV  WI  WY	Zip:	Telephone:
Date From (mm/dd/yyyy):	Date To (mm/dd/yyyy):	# of States:
Supervisor:	Type of Trailer:

Were you subject to the FMCSR’s while employed? Yes   No Was your job designated as a safety sensitive function in any DOT regulated mode subject to the drug and alcohol testing requirements of 49-CFR part 40? Yes   No Reason For Leaving:

ADDITIONAL INFORMATION

Additional information you feel is necessary to help process your application.

Can Former Employers Be Contacted? Yes   No

Can You Begin Working Immediately? Yes   No     If Not, State When:

Are You Willing to Relocate? (We are based in Seattle, WA) Yes   No

By submitting this application electronically, I certify that I personally completed this application and that all of the information is true and correct. I hereby request and authorize Graham Trucking Inc. 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. In connection with my application for employment, I understand that consumer reports which may contain public record information may be requested from DAC Services. I understand that the completion of this form does not assure me of a position at Graham Trucking Inc. or obligate Graham Trucking Inc. in any way. I have completed this application of my own free will and hold Graham Trucking Inc. harmless of all liability for providing this application for my use.




Don't have time to fill out our application? Print it, fill it out and fax to 206-763-3738. You can also mail it to the following address.

Graham Trucking Inc.
722 South Chicago Street
Seattle, WA 98108