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First Name (*)
Last Name (*)
Date of Birth (*)
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Zipcode (*)
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When is the best time to contact you?
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Basic Driving Information
Current Driver Type (*)
Company Driver
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Please select atleast 1 driver type.
Trailer Experience (*)
Tanker
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What endorsements do you have?
Hazmat
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TWIC Card
What routes are you willing to drive?
(OTR jobs offer higher pay)
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How much verifiable OTR experience do you have?
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What type of CDL do you have?
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How recent is your Class A CDL driving experience?
0 - 12 Months
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Total Truck Experience(years)
none
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Additional Information
CDL number
CDL expiration
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Social Security Number (optional)
Are you currently a team driver
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If so, are you a husband/wife team?
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Do you speak spanish?
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Yes
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Do you have any military experience
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Work History
(most recent)
Employer Name
Employer Phone
Start Date
-Month-
January
February
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October
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-Day-
1
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1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
End Date
-Month-
January
February
March
April
May
June
July
August
September
October
November
December
-Day-
1
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4
5
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17
18
19
20
21
22
23
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25
26
27
28
29
30
31
-Year-
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
State
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Alaska
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California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
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Iowa
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Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
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Montana
Nebraska
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New Hampshire
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Ohio
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Washington
West Virginia
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May we contact them?
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