Are you over 21 years old? *

Yes

Are you a US citizen or authorized to work in the US? *

Yes

CDL Class *

Class A

Class B

None

When did you receive your CDL? (Month/Year) *

Endorsements

Hazardous Materials (H)

Tanker (N)

Doubles/Triples (T)

TWIC

check all that apply

Do you have an automatic restriction on your CDL? *

Yes

How long have you been driving professionally with a CDL?

0-6 months

6-12 months (less than 6 months OTR)

6-12 months (more than 6 months OTR)

12+ months (less than 12 months OTR in last 5 years)

12+ months (more than 12 months OTR in last 5 years)

Have you ever been terminated from a job? *

How many CDL driving jobs have you had in the last 12 months? *

Have you been unemployed in the last 3 years? *

Do you have any moving violations in the past 2 years in any vehicle? *

None

Do you have any serious traffic violations in the last 12 months? *

Yes

Includes: hand-held device, reckless driving, speeding 15 or more over the limit, seatbelt in a CMV, following too closely, failing to obey a traffic control device, erratic driving, improper lane change or leaving the scene of an accident.

Do you have any accidents in CMV or personal vehicle in the past 3 years? *

Have you ever received a DUI/DWI? *

If yes to DUI, please provide dates for all and if it was in a CMV.

Have you ever failed or refused a random or pre-employment drug test? *

Yes (over 10 years ago)

Yes (within 10 years with CDL)

Yes (within 5 years pre CDL)

If yes, did you complete the SAP Program?

Currently in SAP Program

Completed SAP & RTD

Can you pass a hair follicle drug test?

Yes

Do you have any felonies in your lifetime? *

Yes

If yes to felonies, please provide conviction date(s), details (sex, drugs, violence, theft?)

Do you have any misdemeanors in your lifetime? *

Yes

If yes to misdemeanors, please provide date(s) and details.

How do you prefer to drive? *

Solo

Team

Owner Op

No preference

Equipment Preference *

What is your preferred run? *

Local

Regional

OTR

No preference

Are you open to touching freight on your next position? *

What kind of home time are you looking for? *

When are you willing to drive? *

Day Only

Night Only

Day and/or Night

Are you willing to work weekends? *

Yes

Maybe

Are you willing to work holidays? *

Yes

Maybe

Desired Weekly Pay (gross)

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