Jim Palmer Trucking Driver Application Header Image

Thank you for your interest in Jim Palmer Trucking. Complete the following information so that we may clearly understand your background and expertise.

Please complete the form below and click the "Submit" button.

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Contact Information
Legal First Name *
MI
Last Name *
Street Address *
City *
State *
Zip Code *
Home Phone *
Cell Phone
E-mail Address
I am a *
Social Security Number *
Date of Birth *
Are you at least 23 years old? *
How many speeding and/or moving violations have you had in the past three years? *
Of those violations, were any for charges of exceeding 15 mph or more over speed limit? *
How many chargeable accidents have you had in the past three years? *
Have you ever been convicted of a felony? *
How many DUI's have you EVER had? *
Have you failed or refused a drug or alcohol test in the last three years? *
How much verifiable OTR experience have you had in the last 12 months? *
How much verifiable OTR experience have you had in the last five years? *
Current DL# & State *
Have you applied to or worked for Jim Palmer Trucking before? *
For Owner Operators: What Model Truck do you have?
For Owner Operators: What Year is your truck?
I have read and agree to the information release statement for this application. Click here to view, print, and sign this statement. *