Driver Qualification Form
Please enter your Personal Information. When you have finished, select "Next" to continue to the next section of the application.
Name
First Name
Last Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.
Years of Experience in Trucking Industry:
Less than 1 Year
1-3 Years
4-7 Years
8-10 Years
More than 10 years
Do you own a fleet? If so, how any trucks do you have in your fleet?
ex: Yes, 10 Trucks....
What type of equipment do you have experience with? (Select all that apply)
*
Flat Bed
Dry Van
Reefer
Dump Truck
Tanker
Hopper Bottom
Box Truck
Cargo Van
Other
Please provide how many years of experience you have with each equipment type.
*
ex: 4 years in Dry Van, 1 year in Box Truck......
List Certifications or Special Training:
ex: Hazmat....
Current Average Weekly Pay:
*
$800/Week
Preferred Compensation Minimum:
*
$1,000/Week....
Preferred Route Preference
*
Local (Home Daily)
Regional (Home Weekly)
OTR (Over the Road)
How many days home do you prefer monthly?
*
Please provide which states you are willing to driver OTR (Over the Road):
*
All over.......
Current Job Challenges (Check all that apply)
*
Long Hours
Insufficient Home Time
Pay Issues
Equipment Problems
Communication with dispatch
Other
Please list 3 references (Name and Number)
*
Additional Comments:
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