Truck Driver Application Form

Truck Driver Application Form

Please complete this form carefully ensuring all required fields are filled out accurately.

Personal Information

Name

    Date of Birth

      Address

        Phone number

          Email

            Position Applying for

              CDL DriverDump Truck DriverFlatbed Truck DriverHaul Truck DriverLong Haul Truck DriverRegional Truck DriverShort Haul Truck DriverTanker Truck Driver

              Are You Legally Authorized to Work in the U.S.?

              Resume

              Upload your resume:

                License Details

                Driver’s License Number

                  License Class

                    • Class A

                    • Class B

                    • Class C

                    Expiration Date

                      State of Issuance

                        AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

                        Endorsements

                          • Combination Vehicles

                          • Double/Triple Trailers

                          • Hazardous Materials

                          • Passenger Transport

                          • School Bus

                          • Tank Vehicle

                          • Tow Truck

                          Driver's License

                          Upload a copy of your Driver's license:

                            Emergency Contact Information

                            Name

                              Relationship

                                • Spouse

                                • Parent

                                • Child

                                • Sibling

                                Phone number

                                  Address

                                    Additional Information

                                    Have you had any violations in the last 3 Years?

                                    Have you ever had a DUI, DWI, or OVI?

                                    Have you been involved in a road accident in the last 3 years?

                                    References

                                    Name

                                    Role/Position

                                    Phone Number

                                    Terms and Conditions

                                    1. Compliance with Federal and State Regulations: I understand and agree to comply with all federal and state regulations governing commercial driving, including maintaining a valid commercial driver's license (CDL) and adhering to all hours-of-service rules.

                                    2. Consent to Background Checks: I authorize [Your Company Name] to conduct background checks, including but not limited to my driving history, criminal record, and employment history, to determine my suitability for the truck driver position.

                                    3. Drug and Alcohol Testing: I consent to undergo drug and alcohol testing as required by the Department of Transportation (DOT) regulations and [Your Company Name]'s policies. I understand that refusal or failure to pass these tests may result in immediate disqualification or termination.

                                    4. Accurate Information: I certify that all the information provided in this application is accurate and truthful. I understand that any false or misleading information may result in disqualification from consideration or termination if employed.

                                    5. Health and Fitness Requirements: I agree to meet all health and fitness requirements as mandated by DOT regulations, including maintaining a current Medical Examiner's Certificate. I understand that failure to meet these requirements may impact my eligibility for employment.

                                    6. Responsibility for Equipment and Cargo: I acknowledge my responsibility for the safety and security of the vehicle, equipment, and cargo assigned to me. I agree to report any issues or damages immediately and follow all procedures for maintaining and operating the vehicle properly.

                                    • I read, understand, and agree to the terms and conditions listed above.

                                    Name:

                                    Date:

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