Apex Driver Intake

DRIVER QUESTIONNAIRE

Please give us your basic information and answer a few quick questions that match our insurance company's requirements
Full Name*
First & Last
E-mail*
Phone Number*

Area CodePhone Number
Experience Requirements
Do you have an active Class A CDL from one of the following states: Iowa, Minnesota, Wisconsin, Illinois, Missouri, Kansas, or Nebraska?*

YesNo
Total Years of Commercial Driving Experience?*

Less than 22-55-1515+
Are you at least 21 years of age or older?*

YesNo
Background Requirements
Do you have a clean Clearinghouse?*

YesNo
Do you have a DUI, DWI, or OVI on your MVR, in any type of vehicle?*

YesNo
Do you have a speeding violation on your MVR, of 20+ mph over the limit, in any type of vehicle?*

YesNo
Have you had more than 2 moving violations in the past 3 years?*

YesNo
Have you had more than 5 jobs in the past 3 years?*

YesNo
Have you ever been convicted of an aggravated misdemeanor, a serious misdemeanor, or a felony?*

YesNo
If hired, can you furnish proof you are eligible to work in the US?*

YesNo
Willingness Requirements
Are you comfortable working 12-14 hour days 5 days a week?*

YesNo
Are you interested in working off a percentage of line haul and being paid on W2?*

YesNo
Are you ok with driving a Freightliner automatic? *

YesNo
You will have a drug test prior to driving with us. Can you pass a drug test?*

YesNo
Should be Empty: