Applicant Information

E-mail Address:*
Date Available:*
Position Applied For:*
Desired Salary:*
Days of the Week Available:*
Hours Per Week Available:*
Are you a citizen of the United States?:*
Are you authorized to work in the U.S.?:*
Have you ever worked for James Transportation?:*
If Yes, When:


High School:
High School Address:
Did you graduate High School?:
Diploma or GED?:

Did You Attend College?:*
College Address:
Did you graduate college?:
College Degree:

Other Schooling:
Other Schooling Address:
Did you graduate?:
Other Schooling Degree:


Please list three professional references.

Reference 1:*
Relationship to Reference 1:*
Reference 1 Company:*
Reference 1 Phone Number:*
Reference 1 Business Address:*

Reference 2:*
Relationship to Reference 2:*
Reference 2 Company:*
Reference 2 Phone Number:*
Reference 2 Business Address:*

Reference 3:*
Relationship to Reference 3:*
Reference 3 Company:*
Reference 3 Phone Number:*
Reference 3 Business Address:*

Previous Employment

Company 1:
Company 1 Address:
Company 1 Starting Salary:
Company 1 Phone Number:
Company 1 Supervisor:
Company 1 Job Title:
Company 1 Ending Salary:
Company 1 Responsibilities:
Start Date at Company 1?:
End Date at Company 1?:
Reason for Leaving Company 1?:
May We Contact Your Supervisor at Company 1 as a Reference?:

Company 2:
Company 2 Address:
Company 2 Starting Salary:
Company 2 Phone Number:
Company 2 Supervisor:
Company 2 Job Title:
Company 2 Ending Salary:
Start Date at Company 2?:
End Date at Company 2?:
Reason for Leaving Company 2?:
May We Contact Your Supervisor at Company 2 as a Reference?:

Company 3:
Company 3 Address:
Company 3 Starting Salary:
Company 3 Phone Number:
Company 3 Supervisor:
Company 3 Job Title:
Company 3 Ending Salary:
Start Date at Company 3?:
End Date at Company 3?:
Reason for Leaving Company 3?:
May We Contact Your Supervisor at Company 3 as a Reference?:

Military Service

Have You Served in the Military?:
Start of Military Service:
End of Military Service:
Rank at Discharge:
Type of Discharge:
If Other Than Honorable, Explain:


Attach Your Resume Here:
Any Additional Information?:

Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application may result in my dismissal.

Signature (Full Name):