LOTR Job Information Request Form
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Zipcode
*
How much verifiable Class A CDL experience do you have?
*
Please Select
Less than 3 months
3-6 months
6-12 months
1-3 years
3-5 years
5+ years
How Many jobs have you had in the last 3 years?
Please Select
1-2 Jobs in the last 3 years
2-4 jobs in the last 3 years
5+ jobs in the last 3 years
Are you currently working for someone?
*
Yes
No
Have you ever failed or refused a drug test?
*
Yes
No
Have you ever completed the SAP program?
*
Yes
No
Which drug test would you prefer at your new company?
*
Hair
Urine
It doesn't matter
Were you terminated from any of your previous jobs in the past 3 years?
*
Yes
No
Any Accidents in the last 3 years?
*
Yes
No
If "Yes" Please explain, if "No" put N/A:
Any tickets or moving violations in the past 3 years?
*
Yes
No
If "Yes" Please explain, if "No" put N/A:
If you answered "No", when did your last employment end?
Has your license ever been temporarily suspended in the past for any reason at all?
*
Yes
No
If "Yes" Please explain, if "No" put N/A:
What kind of run are you looking for today?
Please Select
Regional
Dedicated
OTR
Flat bed
No preference
Optional - Please use this section for any additional comments you'd like your recruiter to know in regard to your unique situation or preference:
Submit
Should be Empty: