CDL Driver Application

Please Have the Following Information Ready

Social Security Number
Home address history for the past 3 years
Current drivers license number and drivers license history for the past 3 years
Employment history up to 10 years.
History of traffic accidents, violations, and / or convictions from the last 5 years (including DUI or reckless driving convictions and license suspensions)
Military history (if applicable)

Please be aware that providing incomplete information may lead to delays in processing your application or could prevent it from being submitted altogether. As a company, we adhere to Federal and State equal employment opportunity laws. Therefore, all qualified applicants are considered for any available position without regard to race, color, religion, sex, national origin, age, marital status, veteran status, non-job related disability, or any other protected group status.

Personal Information

First Name*

Middle Name

Last Name*

Email*

Phone Number*

Social Security Number*

Date of Birth*

Current Address

Street Address*

City*

Zip Code*

State*

Drivers License Information

State*

License Number*

License Type*

Date of Issue*

Expiration Date*

Is this the only current commercial driver’s license held?*

Yes

No

If not, explain

Physical History

Date of last physical examination*

Do you have a current D.O.T. Physical*

Yes

No

Traffic convictions (Skip if none)

Date

State

City

Charge

Add another conviction?

Yes

No

Traffic convictions (Skip if none)

Date

State

City

Charge

Add another conviction.?

Yes

No

Traffic convictions (Skip if none)

Date

State

City

Charge

Education

List highest grade completed*

Work History (Skip if none)

Company Name

Supervisor Name

Supervisor Phone

Position Held

From

To

Reason for leaving?

Add another employer?

Yes

No

Work History 2 (Skip if none)

Company Name

Supervisor Name

Supervisor Phone

Position Held

From

To

Reason for leaving?

Add another employer?.

Yes

No

Work History 3 (Skip if none)

Company Name

Supervisor Name

Supervisor Phone

Position Held 3

From

To

Reason for leaving?

Criminal Record

All Applicants: Do not disclose information regarding arrests, charges, and/or convictions that have been sealed, expunged, annulled, erased, statutorily eradicated, or judicially dismissed. Answering yes to any of the questions below will not automatically disqualify you from employment and instead will be considered, on an individualized basis, only as it relates to the job in question.

Have you ever been convicted of a criminal offense?*

Yes

No

If Yes, please explain

Be sure to include specifics about whether it was a felony or misdemeanor, the nature of the crime, the state of the conviction, the date of conviction, the fine or sentence imposed, and whether the sentence has been completed, and if so when.

Do you currently have any criminal actions pending in which you are a defendent?*

Yes

No

If Yes, please explain

Be sure to include specifics about whether it was a felony or misdemeanor, the nature of the alleged crime, the state the action is pending in, and if applicable, any scheduled trial date or other date which the matter will be resolved.

Final Step

How did you hear about us*

CDL School

Refferal

Google

Facebook

Job Board Ad

Other

Consent*

I agree that information in it are true and complete to the best of my knowledge.

It is agreed and understood that any misrepresentation given on this application for qualification shall be considered an act of dishonesty.
I give the motor carrier and its agents or representatives the right to investigate all references and to secure additional information about my employment background. I herby release from all liability
for damages the motor carrier and its agents or representatives for seeking such information an all other persons, corporations or organizations for furnishing such information.
I agree to furnish such additional information and complete such examinations as may be required to complete my employment file. It is agreed and understood that this application f or qualification
in no way obligates the motor carrier to employ me. It is agreed and understood that if qualified to operate motor carrier equipment, I may be on a
probationary period, during which I may be disqualified without recourse. This certifies that this application was completed by me, and that all entries on it and information in
it are true and complete to the best of my knowledge.

Comments

This field is for validation purposes and should be left unchanged.

CDL Driver Application

Application form

Please Have the Following Information Ready

Personal Information

Current Address

Drivers License Information

Physical History

Driving Experience

Driving Experience

Accident Record (Skip if none)

Accident Record (Skip if none)

Accident Record (Skip if none)

Traffic convictions (Skip if none)

Traffic convictions (Skip if none)

Traffic convictions (Skip if none)

Driving Experience

Education

Work History (Skip if none)

Work History 2 (Skip if none)

Work History 3 (Skip if none)

Criminal Record

Final Step

Let’s Make Things Happen

Contact Info