Long Driver Application Form

Driver Quick Application
General Information
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
E-mail*
Are you at least 21 years of age or older?*

YesNo
License Type*

Class AClass BClass C
Which endorsements do you have?*

HazmatTankerDoublesTriplesTWIC
What type of Class A position are you looking for?*

LocalOver the roadRegional
What type of home time are you looking for?*

Home every dayHome every other dayHome weeklyOut for 2 weeksOut for 3 weeks or moreMust be home on the weekendsIf local day shift onlyIf local night shift only
What type of trailer do you prefer to haul?*

FlatbedDry VanTankerCar HaulerLivestock
What area do you prefer to run, not run?*
Are you okay with unloading and or tailgating?*
What is the minimum weekly gross you need?
How much verifiable local class A tractor with articulated trailer experience do you have in the last 3 years?*
How much over the road Class A tractor with articulated trailer experience do you have in the last 3 years?*
How many jobs have you had in the last 3 years?*
How many accidents have you had in the last 3 years?*
How many incidents have you had in the last 3 years?*
How many tickets/moving violations have you had in the last 3 years?*
Have you been fired from a driving job in the last 2 years?*

YesNo
Have you ever tested positive or failed a drug or alcohol test?*

YesNo
If you answered yes to the previous question what was the date of occurence and have you completed the SAP program?
Have you been to a truck driving school?*

YesNo
School information

School Name

Dates of attendance

CityState / Province

Graduation Date Month/Year
Are you subject to any employment or non-compete agreement with any company or employer (current or former) that may prohibit you from working for this company?*

YesNo
If there is anything on your record that could cause your application to be declined please be sure to list it here in as much detail as possible*
If there is anything else you would like us to know in order to help us find you the perfect driving job please list here
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Driver Quick Application

General Information