Truck Driver Employment Application
Fill in form with your verifiable information
CL Impact Logistics LLC is an equal opportunity employer. We are committed to a work environment that supports, inspires, and respects all individuals and in which personnel processes are merit-based and applied without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristic. Please answer each question fully. If the answer to any question is no or none, please not that as an answer rather than leaving it blank.
Name
*
First Name
Middle Name
Last Name
CDL Driver's License #
*
CDL State
*
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
CDL Expiration Date
*
-
Month
-
Day
Year
Date
Medical Exam Date
*
-
Month
-
Day
Year
Date
Medical Exam Expiration Date
*
-
Month
-
Day
Year
Date
Current Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Previous Address (If current address is less than 3 years)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Home Number
*
Please enter a valid phone number.
Cell Number
*
Please enter a valid phone number.
Emergency Contact Name
*
Emergency Contact Number
*
Please enter a valid phone number.
Truck Driving Position Applying For:
*
Part Time
Full Time
How did you hear about the position?
Have you worked for CL Impact Logistics before?
*
Please Select
Yes
No
What previous position?
If Yes, please provide the dates of previous employment
Previous employment from
-
Month
-
Day
Year
Date
Previous employment to
-
Month
-
Day
Year
Date
Education
High School Attended
*
High school city
*
High school state
*
High School graduated
*
Please Select
Yes
No
College Attended
*
College city
*
College state
*
College graduated
*
Please Select
Yes
No
Driving School attended
*
Driving school city
*
Driving school state
*
Driving school completion date
*
-
Month
-
Day
Year
Date
Have you ever been convicted of a felony? (Applicant is not required to disclose sealed or expunged records)
*
Please Select
Yes
No
If Yes (Felony), Please Explain:
Have you ever been convicted of/or have a pending DUI/DWI?
*
Please Select
Yes
No
If so (DUI/DWI), when?
-
Month
-
Day
Year
Date
Are you authorized to work in the United States?
*
Please Select
Yes
No
What is your U.S. Armed Service veteran status?
*
Please Select
Reserves
Retired
Honorably Discharged
Dishonorably Discharged
I am not a veteran
If dishonorably discharged, please explain
Submit
Should be Empty: