Driver Recruiter Specialist Melissa Baker Class A Driver Recruiter / Owner melissa@classajobs411.com719-225-1003Text Friendly888-835-4146Independent Recruiters for Class A Drivers Nationwide Thanks and Be Safe Driver Application PagePlease enter Recruiter Name *Name *FirstLastAddress *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeHave you lived at this address for the last 3 years *Yes No Address - If your current address is less than three years please provide prior address.Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeSocial Security Number *Date of Birth (Must be 21 of years of Age) *Phone *Email *Preferred Method of contact *Cell (call)Home PhoneEmailCell (text message)Best time to contact you *MorningAfternoonEveningAnytimeGeneral InformationPosition Applying For ? *Company DriverOwner OperatorLease PurchaseTeam DriverAre you currently Employed? *Yes No What date did your last employment end ? *Do you have the legal right to work in the USA ? *Yes No Have you ever been known by any other name? *Yes No If Yes to Question Above Please Provide NameFirstLastIn case of a emergency notify ( list name, address, phone number and relationship) *Personal ReferencesPersonal Reference 1 *List Name, address,city , state, phone number and relationshipPersonal Reference 2 *List Name, address,city , state, phone number and relationshipPersonal Reference 3 *List Name, address,city , state, phone number and relationshipLicensesCDL Licence Number *State of License *Alabama - ALAlaska - AKArizona - AZArkansas - ARCalifornia - CAColorado - COConnecticut - CTDelaware - DEFlorida - FLGeorgia - GAHawaii - HIIdaho - IDIllinois - ILIndiana - INIowa - IAKansas - KSKentucky - KYLouisiana - LAMaine - MEMaryland - MDMassachusetts - MAMichigan - MIMinnesota - MNMississippi - MSMissouri - MOMontana - MTNebraska - NENevada - NVNew Hampshire - NHNew Jersey - NJNew Mexico - NMNew York - NYNorth Carolina - NCNorth Dakota - NDOhio - OHOklahoma - OKOregon - ORPennsylvania - PARhode Island - RISouth Carolina - SCSouth Dakota - SDTennessee - TNTexas - TXUtah - UTVermont - VTVirginia - VAWashington - WAWest Virginia - WVWisconsin - WIWyoming - WYUS Commonwealth and TerritoriesAmerican Samoa - ASDistrict of Columbia - DCFederated States of Micronesia - FMGuam - GUMarshall Islands - MHNorthern Mariana Islands - MPPalau - PWPuerto Rico - PRVirgin Islands - VILicence Type *Class A CDLClass B CDLClass C CDLReg LicenceDrivers Licence Exp Date *Physical Expiration *Current License *Yes No Commercial Driver License? *Yes No Endorsements Hazmat TankerDoubles and TriplesX Endorsements None Do you have a TWIC Card *Yes No Is yes please Provide Expiration Date BelowPlease provide TWIC CARD Expiration DateAdditional Licenses Please list all held licenses in past ten years. Non CDL and CDL not listed above.How many miles Exp with Class A Equipment? (Tractor Trailer) *Combination VehiclesHow many miles Exp with Class A Equipment? (Two -Trailers) *How many mile Exp with Class B Equipment ? (Straight Truck) *Straight Trucks ectDesired Start Date *Years of Truck Driving Experience *Most Common Trailer Length Hauled? *Trucking School InformationHave you attended a truck driving school?Yes No Truck Driving School Attended (Name) Hours of Course Address of Trucking School Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeSchool EducationHighest Education Achieved School *High School DiplomaGED Some College BS/BA or Grad Name of Last School (Education) *Address of last School *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeTraffic AccidentsHave you had a accidents in past 5 years? *Yes NoIf yes to prior question Please Provide Date Please provide a brief explanation of the accident and outcomeTraffic ConvictionsHave you had a traffic convictions in the past 5 years? *Yes NoIf yes to prior question please provide Date Please provide a brief explanation of the ticket and outcomeBackgroundPlease answer the following questions as accurately as possible including date, charge, and any additional comments you'd like. Please note that any previous convictions will not result in being denied employment. Providing the best explanation possible will allow us to best help you find a job!Do you have any felony convictions within a lifetime? *YesNoIf YES, Please explain.Please provide details and date and outcomeDo you have any misdemeanor convictions within a lifetime? *Yes NoIf Yes Please ExplainPlease provide details and date and outcomeHave you ever had a drug-related conviction? *Yes No If yes please explainPlease provide details and date and outcomeHave you ever been convicted of driving under the influence of drugs/alcohol (DWAI/DUI/DWI)? *Yes No If YES Please Explain Please provide details and date and outcomeHave you ever had your license suspended, denied and/or revoked, or refused liability insurance? *Yes No If Yes Please ExplainPlease provide details and date and outcomeHave you ever been charged with Careless Driving, Reckless Driving or Driving to Endanger? *Yes No If Yes Please Explain Please provide details and date and outcomeHave you ever tested positive on a pre-employment drug screen or a random drug screen? *Yes No If Yes Please Explain Please provide details and date and outcomeResume UploadPlease Attach a resume if needed. Optional.EmploymentPlease Provide ten years of work HistoryEmployer 1Company Name *Start Date *End Date *Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Position Held *Reason for Leaving? *Were you terminated from this employer ? *Yes No If yes please explain below.Please explain termination. Is this your current employer *Yes No May we contact this employer? *Yes No Did you operate a Commercial Motor Vehicle? *Yes No Type of Equipment Driving and Estimated Mileage *example - Van trailer combination sleeper 120,000 miles Areas Driven , CPM , Most common truck driven, Most common Trailer Trailer LengthEmployer 2Company Name *Start Date *End Date *Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Position Held *Reason for Leaving? *Were you terminated from this employer ? *Yes No If yes please explain below.Please explain termination. Is this your current employer *Yes No May we contact this employer? *Yes No Did you operate a Commercial Motor Vehicle? *Yes No Type of Equipment Driving and Estimated Mileage *example - Van trailer combination sleeper 120,000 miles Areas Driven , CPM , Most common truck driven, Most common Trailer Trailer LengthEmployer 3Company NameStart Date End Date AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhonePosition Held Reason for leaving? Were you terminated from this employer ? Yes No If yes please explain below.Please explain termination. Is this your current employer Yes No May we contact this employer?Yes NoDid you operate a Commercial Motor Vehicle? Yes No Type of Equipment Driving and Estimated Mileageexample - Van trailer combination sleeper 120,000 miles Areas Driven , CPM , Most common truck driven, Most common Trailer Trailer LengthEmployer 4Company Name Start Date End Date Address Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone Position Held Reason for leaving? Were you terminated from this employer ? Yes No If yes please explain below.Please explain termination. Is this your current employer Yes No May we contact this employer? Yes NoDid you operate a Commercial Motor Vehicle? Yes No Type of Equipment Driving and Estimated Mileage example - Van trailer combination sleeper 120,000 miles Areas Driven , CPM , Most common truck driven, Most common Trailer Trailer LengthEmployer 5Company Name Start Date End Date Position Held Address Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone Position Held Reason for leaving? Were you terminated from this employer ? Yes No If yes please explain below.Please explain termination. Is this your current employer Yes No May we contact this employer? Yes NoDid you operate a Commercial Motor Vehicle? Yes No Type of Equipment Driving and Estimated Mileage example - Van trailer combination sleeper 120,000 miles Areas Driven , CPM , Most common truck driven, Most common Trailer Trailer LengthAdditional EmployersPlease provide up to ten years of all work historyAdditional Employer Complete 10 years of work historyTerms of agreementGDPR Agreement *I consent to having this website store my submitted information so they can respond to my inquiry.Digital Signature Terms *Yes AgreeOfficial Disclosure Statement: I certify that I personally completed this application and that all of the information is true and correct to the best of my knowledge.Authorization to Release Records I authorize the carrier subscribers I have indicated on perfectcdljob.com to do a complete background investigation in accordance with state and federal laws. I authorize my previous employers to release any information requested by perfectcdljob.com carrier subscribers and hold them harmless of all liability from the release of said information.I hereby request and authorize to cause to be conducted, at any time, an investigation of my background for employment purposes, which may include, but is not limited to, any information relating to my character, general reputation, personal characteristics, criminal history, past work experience, educational background, alcohol or drug test results, or failure to submit to an alcohol or drug test, or any other information about me which may reflect upon my potential for employment gathered from any individual, organization, entity, agency, or other source which may have knowledge concerning any such items of information. I have completed this application of my own free will and hold harmless of all liability all companies, agents and associated parties for the use of this application.SubmitHits: 0Share this:EmailTweetPrintLike this:Like Loading...