Please complete the application below to start looking for your next truck driving job! Entries with an asterisk are required. In the Driving Information and Driving Preference sections, use the control key to select or deselect multiple answers.



Personal Information
*last name:

*first name:

*street 1:

street 2:

*city:   *state:   *zip:
    
phone:
() - x
phone type:   best time to call:
 
*e-mail:

*birth date:
  
*ssn:
- -

Driving Information
*license number:

state:   class:
 
*expiration:
  
driver school graduate:

*tickets:   *accidents:
  
length of experience:
years months
endorsements:
(hold ctrl key while clicking to select, or deselect multiple)
type of experience:
(hold ctrl key while clicking to select, or deselect multiple)


Driving Preferences
*driver type:

# of trucks owned if owner operator


*running:
(hold ctrl key while clicking to select, or deselect multiple)


interested in leasing/buying a truck
*regions:
(hold ctrl key while clicking to select, or deselect multiple)


*pulling:
(hold ctrl key while clicking to select, or deselect multiple)

Employment Information
Current / Past Employer 1

company name:

street 1:

street 2:

city:   state:   zip:
    

starting:
 
ending:
 

contact person:

contact phone number:
() - x
Past Employer 2

company name:

street 1:

street 2:

city:   state:   zip:
    

starting:
 
ending:
 

contact person:

contact phone number:
() - x
Past Employer 3

company name:

street 1:

street 2:

city:   state:   zip:
    

starting:
 
ending:
 

contact person:

contact phone number:
() - x
Past Employer 4

company name:

street 1:

street 2:

city:   state:   zip:
    

starting:
 
ending:
 

contact person:

contact phone number:
() - x

Criminal Record Information
Have you ever been convicted of a felony?
     if yes, please specify date   

Have you ever been convicted, or are any charges pending, for driving while under the influence of alcohol, a narcotic drug, amphetamines or derivatives thereof?
     if yes, please specify date   

Have you ever been denied a license, permit or privilege to operate a motor vehicle?
     if yes, please specify date   

Have you ever had a license, permit, or privilege suspended or revoked?      if yes, please specify date   

Have you ever been convicted, or are any charges pending, for reckless or careless operation of a motor vehicle?
     if yes, please specify date   

Have you ever been convicted, or are any charges pending, for possession, sale or use of a narcotic drug, amphetamines, or derivatives thereof?
     if yes, please specify date   

Have you ever been refused any type of insurance or been denied bonding?
     if yes, please specify date   

Have you ever been discharged or suspended?
     if yes, please specify date   


Additional Information
Please provide us with any other information which will help us find the right trucking jobs for you::



By submitting this application I certify that I personally completed this application and that all of the information is true and correct. I understand that the word "application" as used herein includes my original application, and any subsequent updates to my application. I hereby request and authorize Carrier Companies and their agents or contractors that receive this application to cause to be conducted, at any time, an investigation of my background for employment purposes, which may include, but is not limited to, any information relating to my character, general reputation, personal characteristics, mode of living, criminal history, past work experience, educational background, alcohol or drug test results, or failure to submit to an alcohol or drug test, or any other information about me which may reflect upon my potential for employment gathered from any individual, organization, entity, agency, or other source which may have knowledge concerning any such items of information. I have completed this application of my own free will and hold harmless of all liability all companies, agents and associated parties for the use of this application. I understand and acknowledge that truckdrivingcdljobs.com is not making any promise of employment or agency, and is not a driver employer. As part of the consideration of your application, the DOT requires companies to investigate your employment background. As part of this investigation, they may obtain consumer reports about you from DAC Services. DAC is a consumer reporting agency. Any decision recruiting companies make not to hire you based on information contained in your consumer report will be their decision alone. DAC does not make any decisions concerning your employment with these companies and will not know the specific reasons why they may decide not to hire you. In the event you are not hired based on information contained in your consumer report, the companies themselves will tell you. We will also advise you of your right to obtain a free copy of the consumer report from DAC and your right to dispute the accuracy or completeness of your report. Your consent for these companies to obtain the report from DAC is required. Although you have a right to withhold your consent, companies will not consider your application if you withhold your consent.

I have read and agree to the above release. I give permission to recruiting companies to obtain consumer reports about me from DAC.

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*Confirm Password:






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