Truck Driver (CDL) Training Form
Thank you for your interest in Truck Driver training (CDL) at Blackhawk Technical College. Please complete the form below and allow 3-5 business days for a phone call or email reply from a training coordinator or CDL instructor.
Student's Full Name
*
First Name
Last Name
Is the Student under age 21? (This is used to determine the K-restriction only).
*
Yes
No
Student's phone number
*
Student's e-mail
*
Student's Residential/Permanent address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Is the Student currently employed at a company?
*
Yes
No
Student's Company name
Where does the student work?
Student's Job Title at the Company
Student's Company address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Type of driving required? (choose all that apply)
*
National
Regional
Local
No overnight
No load handling
Other
Type of CDL training needed? (choose all that apply)
*
Upgrade to another CDL class (e.g. Class B to Class A)
Class A full
Class A restricted
Class B
Class C
LCMV
Utility vehicle
Municipal vehicle
Shuttle bus or Passenger bus
Refresher - Driver Skills Review
Refresher - Pretrip
HAZMAT
Air Brakes
Hydraulic Brakes
Other
Transmission type?
*
Automated transmission
Manual transmission
Both automated and manual transmission
Unsure
Does the Student already have a Commercial Learners Permit (CLP)?
*
Yes
No
Unsure
Not applicable
Your Full Name (if you are not the Student)
First Name
Last Name
Your phone number (if you are not the Student)
Your email (if you are not the student)
Is there anything else you want to tell us about this CDL training request?
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