OTR & Mine Tire Tech Form


Use this form to provide information that we can use to help you find a great OTR or Mine Tire Technician Job!

Special Note: Use the tab key to move down the form. Use the enter key to submit the form

Name

Street address

City

State

Zip Code

Phone

E-mail address

Are you willing to relocate? Yes No

Do you have a CDL?
Yes Class A
Yes Class B
No CDL

Have you ever operated a crane truck with tire hands Yes No

Briefly tell use what you are looking for (Maximum 500 Characters)


Briefly describe your experience (Maximum 500 Characters)