Recruiters NameDrivers NameFirstLastPhoneAddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeZip Code“Are there any carriers you’re not interested in working for or have recently applied to?”Are you okay with automatics or prefer standards ... Trailer types ? Size ? Any terminations ? How soon would like to make move ? Not Working (ASAP)1 - 2 weeks2 - 4 weeksUnsureE-mailPlease enter your email, so we can follow up with you.NotesExperience Level No Experience1 month - 12 months1-5 years5-10 years10 years plusI'm Interested In Becoming CDL Training CDL Student Lease Purchase Company Driver Owner Operator Trucking Equipment Experience VanTankerFlatbedReeferOtherEquipment Type Desired to DriveVanFlatbedTankerReeferOtherHometime DesiredDaily2-3 times per weekWeekendsOnce a MonthTwice a Month3 times a monthMonthlyLike to stay out (a few months)No preferencePay *40,000 - 50,00050,000 - 60,00060,000 - 70,00080,000 - 100,000 plusNot all drivers will be in the higher pay brackets it is all based on exp level.I would like to DriveSolo TeamsPre-Made TeamsAnyNotesNotesLicence TypeNo CDL (Reg Licence)Class AClass BClass CEndorsements HazmatTanker PassengerDoubles and TriplesTank Vehicle/Hazardous Materials CombinationTrucking School or Carrier Training YesNoName of Trucking School or Carrier Trained by - City and StateAre you currently under contract for carrier training?Yes No State of CDL Licence CDL Number #Are you 21 years of age or older? Yes No Current Trucking CompanySecond EmployerThird Employer Employer Section resources (additional section)Have you had any Felony or misdemeanor in the past 7 years ? Yes (If yes Please Explain Below) No Felony or misdemeanor explanation (Please give Dates) Have you ever had a DUI/DWIYes (please explain below)No DUI/DWI Explanation (Please give Dates) Any accidents in a car past 5 years? Yes No Any accidents in CMV in past 5 years ? Yes No If yes please explain below.Accident in a CMV info please give dates and out come.Any moving violations in past 5 years? Yes (If yes please explain below) NoMoving violations explanation give dates and outcome NotesCarriers Chosen and Orientation Dates selectedApply (Finish Application)Hits: 0Share this:EmailTweetPrintLike this:Like Loading...
