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Company

Your details

We'll start here, then move through your license, driving experience and employment history.

First name *

Last name *

Phone *

Applying as *

About you

Middle initial

Date of birth

Date available for work

Emergency contact

Emergency contact phone

Legal right to work in the United States?

YesNo

Residency — last three years

Current address first; add previous addresses to cover three years.

Street *

City *

State *

ZIP *

Years at this address

License information

49 CFR 383.21 — you may hold only one driver's license. List all licenses held in the past three years.

State *

License # *

Class *

Expiration *

Endorsements

Ever been denied a license, permit, or privilege to operate a motor vehicle?

YesNo

Any license, permit, or privilege ever suspended or revoked?

YesNo

If yes to either, please explain

Driving experience

Fill in only the equipment you've actually run — leave the rest blank.

Straight truck

Type (van, tank, flat…)

From

Approx. total miles

Tractor-trailer

Type (van, tank, flat…)

From

Approx. total miles

Double trailer

Type (van, tank, flat…)

From

Approx. total miles

Tractor-tanker

Type (van, tank, flat…)

From

Approx. total miles

Other

Type (van, tank, flat…)

From

Approx. total miles

Accident record — last three years

No accidents in the past three years

Traffic convictions — last three years

Other than parking violations.

No convictions in the past three years

Employment history

49 CFR 391.21 — list all employment for the last 3 years (10 years if you drove commercially). Explain any gap over one month. Start with your current or most recent employer.

Date of your first job in the US

Current / most recent employer

Company name *

Phone

Address

Position held

Contact person / supervisor

From

Reason for leaving

Gaps in employment (month, year & reason)

Subject to the Federal Motor Carrier Safety Regulations at this job?

YesNo

Safety-sensitive function under 49 CFR part 40 (drug & alcohol testing)?

YesNo

DOT drug & alcohol history

Required by 49 CFR part 40.25(j) — covering the past two years.

In the past two years, have you tested positive on a pre-employment drug or alcohol test for a job you didn't obtain?

YesNo

In the past two years, have you refused a pre-employment drug or alcohol test for a job you didn't obtain?

YesNo

If yes to either: documentation of your completed return-to-duty process (part 40 subpart O) will be requested at orientation.

Education & other qualifications

High school (name & location)

Graduated? / Years completed

College (name & location)

Course of study / graduated?

Other qualifications you believe should be considered

Your equipment

Owner operators — your tractor (and trailer, if you have one). Company drivers can skip this. Preventive-maintenance records are reviewed at orientation.

Tractor

Year

Make

Model

Plate #

VIN

Trailer (if you have one)

Year

Make

Model

Plate #

VIN

Review & submit

Use the steps above to go back and change anything before you send it.

By submitting, you confirm the information above is true and complete to the best of your knowledge. SSN, signatures, and the background-check, Clearinghouse, and substance-abuse-policy consents are completed at orientation.

Steady miles. Weekly pay. Well-maintained trucks.

Apply now — we respond same day.

Your details

About you

Residency — last three years

License information

Driving experience

Accident record — last three years

Traffic convictions — last three years

Employment history

DOT drug & alcohol history

Education & other qualifications

Your equipment

Review & submit