Driver Application

For your pre-qualification to be processed, please complete all required fields (marked with an "*".) When you are finished, just click the "Submit Application" button at the bottom of the page.

First Name:

Last Name:

Address:

City:

State:

Zip Code:

Home Number:

Cell Number:

E-mail:

Date of Birth:

MonthDayYear

SSN:

Driver Type:

Where did you Learn about McIlvaine?

If you answered from an existing driver or OTHER please specify who or where you heard about McIlvaine.

Driver License#:

Driver License State:

Driver License Exp:

MonthDayYear

Current Employer:

Total years tractor/trailer experience:

Tanker Endorsement:

Haz-Mat Endorsement:

Number of moving violations in the last 3 years:

Number of Accidents in the last 3 years:

Have you ever failed/refused a drug test in the last 3 years:

Have you ever been convicted of a crime?

If yes, please provide details:

Statement of Understanding I certify that I personally completed this application and that all of the information is true and correct. I authorize McILvaine Trucking, Inc. to obtain any and all information (including, but not limited to, work history, alcohol/controlled substance testing, training records, and criminal history) from previous and current employer(s), Medical Review Officer or their agent, DAC services, or other consumer reports, in accordance with State and Federal laws. I authorize my previous and current employer(s) to release any information requested by McILvaine Trucking, Inc. and hold them harmless of all liability from release of said information.

I have read and understand the above statements:

Contact Information

Driving History