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Driver Question Form
Name
*
City
*
Current Phone Number
*
Current Email Address
*
What Class is your license?
*
A
B
Are you willing to?
*
A
Relocate
B
Rotational
C
Open
D
None of the above
State of CDL License
*
CDL Experation Date
*
CDL License Since
*
Type of Work?
*
A
Company Driver
B
Owner Operator
C
Lease Driver
Are you legally eligible to work in the United States?
*
Yes
No
Have you ever had your CDL License suspended or revoked?
*
Yes
No
If yes, explain
Total years of commercial driving experience?
*
Number of accidents in the past 3 years?
*
Any DOT-recordable accidents?
*
Yes
No
If yes, explain
Number of moving violations in the past 3 years
*
Do you have any DUI's or DWI's?
*
Yes
No
If yes, explain
Have you ever been placed out of service by DOT?
*
Yes
No
If yes, explain
After an interview how soon can you start?
*
Have you operated a Dry Van?
*
Yes
No
Do you have experience with Reefers?
*
Yes
No
Do you have experience with Flatbeds?
*
Yes
No
Do you have experience with End Dump
*
Yes
No
Do you have experience with Heavy Hauls?
*
Yes
No
Do you have experience with Tankers?
*
Yes
No
Do you have experience with Dump Trucks or Similar?
*
Yes
No
Can you operate a Manual Transmission?
*
Yes
No
Do you have experience with Winter / Mountain driving and chaining up?
*
Yes
No
Do you have experience with any others? Please list all you can
Are you willing to work nights?
*
Yes
No
Are you Open to OTR?
*
Yes
No
Are you Open to Team Driving?
*
Yes
No
Are you Open to local routes?
*
Yes
No
Are you Open to regional routes?
*
Yes
No
Do you have any of the following endorsements?
*
A
Hazmat
B
Tanker
C
X Tanker/Hazmat
D
Double/Triple
E
Air Brake
Do you have a TWIC Card?
*
Yes
No
Do you have a desired pay range hourly, Load % or per mile
Please let us know any other information you can provide?
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