(877) 397-3876 DRIVER COMPENSATION OWNER OPERATORS Get Behind the Wheel of a Great Career PRINT APPLICATION Applicant Information Last Name: * First Name: * Middle Initial: Date: * Street Address: * Apartment/Unit Number: City: * State: * - Select Province/State - Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon ==================== Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code: * Phone Number: * Email Address: * Date of Birth: * Date Available: * Time at Residence: * Desired Salary: Per / hr / yr Position Applying For: * Petroleum Transport Driver Have you ever worked for Petroleum Carriers before? * Yes No Social Security Number: * Who referred you? Are you a citizen of the United States? * Yes No Have you ever been convicted of a felony? * Yes No Please note: Answering "Yes" to any of the following questions will not necessarily disqualify you from employment. Have you ever been denied a license, permit, or privilege to operate a motor vehicle? * Yes No Has any license, permit or privilege ever been suspended or revoked? * Yes No Have you tested positive for drugs or alcohol in the past 3 years? * Yes No Have you refused to take a test for drugs or alcohol in the past 3 years? * Yes No © 2021 Petroleum Carriers, LLC - All Rights Reserved. | Terms & Conditions | Privacy Policy | Powered by Sklar Technology Partners

(877) 397-3876 DRIVER COMPENSATION OWNER OPERATORS CONTACT US Delivering Satisfaction We are large enough to meet your needs, but small enough to care. If your business could benefit from a more personal touch, contact us today! WE'RE HIRING!  Headquarters: 2403 Commerce Road Richmond , VA 23234  Local: (804) 230-3725  Toll Free: (877) 397-3876 For A Quote or More Information Name Phone Email Address Message © 2021 Petroleum Carriers, LLC - All Rights Reserved. | Terms & Conditions | Privacy Policy | Powered by Sklar Technology Partners

(877) 397-3876 DRIVER COMPENSATION OWNER OPERATORS Get Behind the Wheel of a Great Career DRIVER APPLICATION Current Job Openings Retail Assistant Manager - Petroleum Carriers, LLC - Richmond, VA Posted 5 days ago Petroleum Transport Driver - Petroleum Carriers, LLC - Fredericksburg, VA Posted 13 days ago Get In Touch Starting with the first delivery, you can expect something better from our family-owned business. Name Phone Email Address Message © 2021 Petroleum Carriers, LLC - All Rights Reserved. | Terms & Conditions | Privacy Policy | Powered by Sklar Technology Partners