Potential Student Inquiry Form

5 STAR CDL TRAINING

PRE-REGISTRATION FORM
Thank you for inquiring about our Classes that we offer. Below please submit your information accurately so that a recruiter may give a follow-up call/email.
Which course you interested in? (You can pick more than one)*

Class A CDL (20-30 day course. Full time is 4 weeks, part time 10 weekends)Class B CDL (15-20 day course. Full Time 4 weeks, part time 10 weekends)HAZMAT Course (Online Portal emailed to you upon request)Permit Recertification Course (3X failure on General Knowledge)CDL Refresher course (Already licensed just need refresher on driving)Company Training (If you're a company and need us to train your employeesComing from another CDL training facility, need refresher and testingClass B w/ Passenger Endorsement
Date when you'd like to start training. Choose a Monday or a Saturday. If you are unsure or need a custom schedule, just choose an estimated date. New classes start every 2 weeks. *

MonthDayYear
Date
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Do you have a valid driver's license and over the age of 18? (If the answer is No to either question, then we can we not enroll you as of yet. You must be at least 18 years of age with a valid driver's license before we can actively enroll you in class.*

YesNo
Date of Birth*
What state is your driver's license issued in? (We train out of state students, we just like to know so we can better educate you on the process). *
Do you have your CDL Permit and D.O.T Physical? (Neither one is required to enroll this is just a preliminary question).*

Yes, I have bothI just have my CDL PermitI just have my D.O.T PhysicalNo, I do not have either as of yet, I will need the CDL Prep Course.No, but I will have it before I start class.
How do you plan to cover your tuition?*

Pay out of pocketApply for WIOA Grant (Visit grants page on our website to apply)Apply for financingCompany is payingUndecided
How did you here about us?*
Do you plan to work for a company or become an owner operator?*

Work for a companyBecome owner operatorUndecided
If you have any particular questions, please leave comment below so we can better assist you.
After you submit your pre-enrollment form, a recruiter will give a follow up call & email with 24 hours to make sure all your questions are answered or you are more than welcome to give a call (804-447-7076) between 8AM-5PM Monday-Sunday, or email us at Getmycdl@fivestarcdl.com
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5 STAR CDL TRAINING