Truck Driver (CDL) Training Form
Thank you for your interest in Truck Driver training (CDL) at Blackhawk Technical College. If you are a current employer and seeking to sponsor a new or existing driver, 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.
Employer / Company name
*
Employer / Company address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Employer Contact name
*
First Name
Last Name
Employer Contact email
*
Employer Contact Phone Number
*
Format: (000) 000-0000.
Employee (driver) Full Name
*
First Name
Last Name
Is the employee under age 21? (This is used to determine the K-restriction only).
*
Yes
No
Employee's phone number
*
Format: (000) 000-0000.
Employee's e-mail
*
Employee'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 Job Title at the Company
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 employee already have a Commercial Learners Permit (CLP)?
*
Yes
No
Unsure
Not applicable
Is there anything else you want to tell us about this CDL training request?
Save
Submit
Should be Empty: