Truck Driver Job Application Form

Personal Information

Please enter your Personal Information. When you have finished, select "Next" to continue to the next section of the application.
Full Name

First NameMiddle NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Current Address

Street Address

Street Address Line 2

CityState

Zip Code
Previous Address

Street Address

Street Address Line 2

CityState

Zip Code
From

Months Years

Until

Months Years
Are you legally authorized to work in the United States?
Applying for Position
SSN

What is the name of your Motor Carrier? (for owner operators only)
What is the MC#? (for owner operators only)
What is the DOT# (for owner operators only)
Is your CDL Medical Card up to date?

Resume Upload

You can upload a file from your computer, or copy and paste text into the online text editor. Choose "Next" to continue.

Driver License

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CDL Medical Card

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Upload Resume

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Here you can cut and paste your resume into a rich text editor to upload to the job application.
Paste Text Here
Criminal History
Have you ever been convicted of, pleaded guilty or no contest to, or received a deferred adjudication for a criminal offense that has not been sealed, expunged, or otherwise legally restricted from disclosure?
If yes, please provide the nature of the offense, date, jurisdiction, and a brief explanation:

Employment History

Please enter the information requested for your work experience. Press "Submit" when you have finished.
Currently Employed?
Years of Driving Experience
Employer Details

Employer Name

Street Address

CityState

Phone Number
Employment Start Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Employment End Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Any Driving Accident
Were you involved in any accidents?
Accident Details

Other
Reason for Leaving
Previous Employer

Employer Name

Street Address

CityState

Phone Number
Dates of Employment

Months Years

Until

Months Years
DRIVER AUTHORIZATION FOR RELEASE OF INFORMATION

I hereby authorize my current and former employers to release to Wayalife Trans Holding LLC information regarding my employment history and safety performance record for the purpose of evaluating my qualifications for employment as a commercial motor vehicle driver.

This authorization includes verification of dates of employment, position held, commercial motor vehicle driving experience, and accident/safety performance information as permitted under applicable federal regulations, including 49 CFR §391.23.

I authorize Wayalife Trans Holding LLC to contact my previous employers and obtain this information as part of the driver qualification process.

I release my previous employers from liability for providing information in good faith in response to this authorized request.
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

Personal Information

Resume Upload

Criminal History

Employment History