Truck Driving Job Application

Required fields are marked with *.

Driver Information
Job Applying for:
Email Address:
First Name: *		Last Name: *
Home Phone: *		Cell/Other Phone:
Best Time to Contact You:
Date of Birth: *		Social Security Number:
Street Address: *		City: *
State: *		Zip: *
Driving License No.: *		Driving License State: *	Expiration Date: *
Please list any additional driver licenses you may have held in the past 3 years, if applicable:

CDL Information
Do you have a Class A CDL: *		If yes, is it in your state of residence?
CDL Number: *		CDL State: *	CDL Expiration Date:
What endorsements do you have on your CDL? *	Hazmat Doubles Tank Endorsement Passenger Endorsement
Can you provide proof that you are eligible to work in the United States? *
Are you currently a driving school student?
Have you graduated from a driving school?
If yes, from which school did you graduate?		Date you graduated from driving school:
Years of tractor trailer driving experience (if applicable): *

Tickets/DUI/Feloney
Have you had 3 or more traffic tickets in the last 3 years? *		Have you had a DUI in the last three years? *	Date of DUI:
Do you have convictions for careless (of a higher degree) or reckless driving in the past five years? *
If yes, please describe below:
Have you ever been convicted of a misdemeanor? *
If yes, please describe below:
Have you had any accidents in the last 5 years? *
If yes, please describe below:
Have you ever been convicted of a felony? *
If yes, please describe below:
Has your license been suspended in the last 3 years? *
Have you ever failed or refused a D.O.T mandated drug test? *

Dept. of Transportation Requires you to provide your last 3 years of work history with no unexplained gaps.
Company 1:
From:		To:
Address:
City:		State:	Zip:
Phone:		Position Held:
Reason for Leaving :

Company 2:
From:		To:
Address:
City:		State:	Zip:
Phone:		Position Held:
Reason for Leaving:

Company 3:
From:		To:
Address:
City:		State:	Zip:
Phone:		Position Held:
Reason for Leaving :


List any other additional jobs:
Please explain any gaps in your employment history:
Are You A Veteran?
When will you be available?
Feel free to include any additional information that may be helpful.
By checking the box I authorize the verification of my past employment. * I Agree
Signature: By submitting this application, I give permission for company(s) to order MVR, DAC Reports. * I Agree. (Full Name).