CTR Driver Application

DRIVER APPLICATION

Welcome to Custom Trucker Recruiting's online driver application!

We go above and beyond to ensure your needs are met by placing you with companies that satisfy your requirements.

Please complete all answers with honesty and to the fullest extent possible.

You will only have to fill this out once to be considered for numerous jobs that you will be hand picked for based on your preferences and qualifications.

Full Name *

First Name Last Name

Phone Number *

Area Code Phone Number

E-mail *

Where do you live? *

Street Address

Street Address Line 2

City State / Province

If you're applying for a specific position, please provide the job number or title here.

What positions would you like to be considered for? *

OTR Regional Dray Local Shuttle Owner Op (own your own vehicle)

Years of commercial driving experience: *

How many carriers have you worked for in the last 3 years? *

How many auto accidents have you been in within the past 24 months? *

How many violations have you been cited for in the last 24 months? *

If hired, can you furnish proof you are eligible to work in the U.S.? *

Yes No

Are you... *

25+ years of age 21+ years of age 18+ years of age less than 18 years of age

How did you find out about us? *

Referral Person's Full Name: *

General Information