About Idaho Milk Transport

Application for Employment:

Idaho Milk Transport is dedicated to providing the highest quality commodity transport seqvice around. If you would like to become part of the Idaho Milk Transport, Inc. family, complete the application below and we will contact you.

CONTACT INFORMATION

First Name:

Last Name:

I would like to run:

I am interested in Lease/Purchase:

Home Phone Number:

Other Phone Number:

Email Address: (leave blank if you do not have an email address)

Business Address:

City

State

Zipcode

DRIVERS LICENSE INFORMATION

Date of Birth:

Social Security Number:

CDL License Number:

State that Issued the CDL:

Endorsements:
Tanker

Double/Triples

Hazmat

Number of Preventable Accidents (in the past 3 years):

Number of Moving violations (in the past 3 years):

Have you ever received a DWI/DUI?:

Have you ever been convicted of a felony?

EXPERIENCE

Type of experience: (check all that apply)

Tanker

Reefer

Flat Bed

Heavy Haul

Van

Amount of OTR experience:

Current and past employers (past 3 years, list most recent first):

Employer 1:

City:	State:

Phone:	Position Held:

From date:	To date:

Reason for leaving:

Employer 2:

City:	State:

Phone:	Position Held:

From date:	To date:

Reason for leaving:

Employer 3:

City:	State:

Phone:	Position Held:

From date:	To date:

Reason for leaving:

Employer 4:

City:	State:

Phone:	Position Held:

From date:	To date:

Reason for leaving:

Employer 5:

City:	State:

Phone:	Position Held:

From date:	To date:

Reason for leaving:

COMMENTS AND ADDITIONAL INFORMATION:

Comments:

By submitting this electronic application, I hereby authorize Idaho Milk Transport, Inc to conduct a full and complete background check of my qualifications as required by 391.23 and other sections of the Motor Carrier Safety Regulations, including health and medical history information. I release and hold harmless any past employer, their staff or other persons, including former employers, health care providers and other back ground information sources, from all liability or any demand on account of his/her furnishing such information.

I accept and agree to these terms: Yes No

Full Name of Applicant:

Phone: 208-878-5000
Fax: 208-878-5001