W.W. ROWLAND TRUCKING CO. INC.

PRE-QUALIFICATION APPLICATION

If you are interested in exploring your employment opportunities as a Owner/Operator at W.W. Rowland Trucking Company, please review the minimum qualifications and if qualified complete the pre-application. The completed Pre-Qualification Application, once submitted, is automatically e-mailed to our Safety Department for processing, where a full Employment Background investigation is conducted. 

TERMINAL LOCATION

Houston         Dallas         San Antonio         New Orleans          Memphis
Laredo         El Paso         Nashville         Van Division

PERSONAL INFORMATION
Name:

First                                                      Middle                                  Last
Address:
City: State:ZIP:
Phone No:
Birth Date: mm/dd/yy Social Security No.: xxx-xx-xxxx
e-Mail: you will receive confirmation of submitted application.
How did you hear about W.W.Rowland Trucking Co.?AddDriverOtherIf other please specify

DRIVER LICENSE INFORMATION
State of issuance:

Driver License No.:

Expiration Date: 

 mm/dd/yy
Endorsements:

GENERAL INFORMATION
1. How many years of  truck driving experience? 
2. Do you have a HAZMAT endorsement?
3. Do you have any prior experience hauling containers?
4. Has your license ever been suspended or revoked?
5. How many out of service violations for Drug/Alcohol do you have?

SAFETY RECORD
1. Number of accidents in the last 3 years:
2. Number of moving violations in the last 3 years:
3. Total number of employers in the last 3 years:
4. Any type of safety awards earned:

EMPLOYMENT HISTORY
                             PRESENT or LAST EMPLOYER
Dates: From:To:mm/dd/yy
Employer:
Address: City:State:Zip:
Phone Number:
Position Occupied:

Can we call your Present employer?  Yes, you may call my present employer.  No, you may not call my present employer.
                             1.PREVIOUS EMPLOYER
Dates: From:To:
Employer:
Address: City:State:Zip:
Phone Number:
Position Occupied:

                             2.PREVIOUS EMPLOYER
Dates: From:To:
Employer:
Address: City:State:Zip:
Phone Number:
Position Occupied:

                             3.PREVIOUS EMPLOYER
Dates: From:To:
Employer:
Address: City:State:Zip:
Phone Number:
Position Occupied:

                             4.PREVIOUS EMPLOYER
Dates: From:To:
Employer:
Address: City:State:Zip:
Phone Number:
Position Occupied:

RELEASE
AS PART OF THE QUALIFICATIONS, D.O.T. REQUIRES AN INVESTIGATION INTO YOUR EMPLOYMENT BACKGROUND. TO HELP US PROCESS YOUR FILE FASTER, WE MAY OBTAIN CONSUMER REPORTS ABOUT YOU FROM D.A.C. SERVICES AND THROUGH YOUR PRIOR EMPLOYERS.

ANY DECISION WW ROWLAND TRUCKING CO. INC. MAKES AS TO OFFER YOU A LEASE WILL BE OUR DECISION ALONE. NEITHER DAC NOR YOUR PREVIOUS EMPLOYER MAKES ANY DECISIONS OF ANY TYPE FOR WW ROWLAND TRUCKING CO. INC.

IN THE EVENT YOU ARE NOT OFFERED A LEASE WITH WW ROWLAND TRUCKING CO. INC. WE WILL TELL YOU WHY.

IN ORDER FOR US TO PROCESS YOUR FILE, YOUR CONSENT TO OBTAIN REPORTS THROUGH D.A.C. AND AN EMPLOYMENT VERIFICATION THROUGH YOUR PRIOR EMPLOYERS IS REQUIRED. YOU HAVE THE RIGHT TO REFUSE THIS CONSENT, BUT YOUR FILE CAN NOT BE PROCESSED WITHOUT THESE REPORTS.

I HAVE READ THE ABOVE RELEASE AND GIVE MY PERMISSION TO OBTAIN A D.A.C. REPORT AND EMPLOYMENT VERIFICATION ABOUT ME.

I HAVE READ THE ABOVE RELEASE AND DO NOT GIVE MY PERMISSION TO OBTAIN A D.A.C. REPORT AND EMPLOYMENT VERIFICATION ABOUT ME.
Please Enter Mother's Maiden Name    Application Completed by:  
Select this Button to Submit completed form Select this Button to Clear all values on this form
IF YOU HAVE ANY QUESTIONS ABOUT YOUR FILE, PLEASE CALL THE SAFETY DEPARTMENT M-F FROM 8:00 AM TO 5:00 PM AT 713 675-1200. ASK FOR THE SAFETY DEPARTMENT, OR EMAIL safety@wwrowland.com. PLEASE ALLOW 24 HRS FOR PROCESSING.