Online Trucking Job Application

Please Note: Your application will NOT be submitted to any company that you are not interested in, nor will we share any of your personal information with anyone other than the company / companies in which you are applying for. Once you submit the application a representive of the company / companies you applies for will be in contact with you shortly.

Please only submitted one application per driver, if you would like to apply to multiple companies please check the checkbox next to the appropriate company / companies in which you would like to apply for.

Part 1:  Personal Information
	*First Name:
	*Last Name:
	*Address:
	*City:
	*State: AK-Alaska AL-Alabama AR-Arkansas AZ-Arizona CA-California CO-Colorado CT-Connecticut DC-District of Columbia DE-Delaware FL-Florida GA-Georgia HI-Hawaii IA-Iowa ID-Idaho IL-Illinois IN-Indiana KS-Kansas KY-Kentucky LA-Louisiana MA-Massachusetts MD-Maryland ME-Maine MI-Michigan MN-Minnesota MO-Missouri MS-Mississippi MT-Montana NC-North Carolina ND-North Dakota NE-Nebraska NH-New Hampshire NJ-New Jersey NM-New Mexico NV-Nevada NY-New York OH-Ohio OK-Oklahoma OR-Oregon OT-Other PA-Pennsylvania RI-Rhode Island SC-South Carolina SD-South Dakota TN-Tennessee TX-Texas UT-Utah VA-Virginia VT-Vermont WA-Washington WI-Wisconsin WV-West Virginia WY-Wyoming
	*Zip Code:
	Email Address:
	*Primary Phone: ( )   -
	Secondary Phone: ( )   -
	*Date of Birth:
	*Social Security Number:
Part 2: Driving Position Information
	*Position Desired: -- Select One -- Need CDL Schooling Recent Grad Solo Driver Team Driver Owner Operator Lease Purchase
	*Companies Applying For: Apply to All Companies CCC Transportation Celadon Trucking CTL Transportation Epes Transport Greatwide Heartland Express Hunt Transportation Interstate Dist. Co. Lisa Motor Lines MCT Pride Transport Roadlink Roadrunner Transportation Sharkey Transportation Swift Transportation Transport America U.S. Xpress USA Truck Willis Shaw Express
Part 3: CDL Information
	*License Number:
	CDL Type:
	CDL State: AK-Alaska AL-Alabama AR-Arkansas AZ-Arizona CA-California CO-Colorado CT-Connecticut DC-District of Columbia DE-Delaware FL-Florida GA-Georgia HI-Hawaii IA-Iowa ID-Idaho IL-Illinois IN-Indiana KS-Kansas KY-Kentucky LA-Louisiana MA-Massachusetts MD-Maryland ME-Maine MI-Michigan MN-Minnesota MO-Missouri MS-Mississippi MT-Montana NC-North Carolina ND-North Dakota NE-Nebraska NH-New Hampshire NJ-New Jersey NM-New Mexico NV-Nevada NY-New York OH-Ohio OK-Oklahoma OR-Oregon OT-Other PA-Pennsylvania RI-Rhode Island SC-South Carolina SD-South Dakota TN-Tennessee TX-Texas UT-Utah VA-Virginia VT-Vermont WA-Washington WI-Wisconsin WV-West Virginia WY-Wyoming
	CDL Expiration Date:
	Endorsements: None Tank Triples Haz-Mat Doubles Other:
Part 4: Driving History
	*DUI/DWI in the last 5 years? Yes No
	*Tested positive or refused a required drug or alcohol test in the last 3 years? Yes No
	*Number of Tickets in the last 5 years? -- Select One -- 0 1 2 3 4 5 6 7 8 9 10
	*Number of Accidents in the last 5 years? -- Select One -- 0 1 2 3 4 5 6 7 8 9 10
	*Felony in Lifetime: Yes No
	If yes, please explain:
Part 5:Driving Experience
	*OTR Experience Level -- Select One -- Need Schooling Recent Grad None 1-3 Months 3-6 Months 6-12 Months 1 Year 2 Years 3 Years 4 Years 5+ Years
	*Number of Jobs in the last 3 years? -- Select One -- 1 2 3 4 5 6 7 8 9 10+
	*Trailer Experience: Flatbed Tanker Van Triples Piggy Back Specialized Car Hauler Doubles Reefer None Other:
Part 6: Employment History
	*Current Employer:
	How Long?
	Reason for Leaving: -- Select One -- Still there Resigned Laid off Terminated
	*Previous Employer:
	How Long?
	Reason for Leaving: -- Select One -- Still there Resigned Laid off Terminated
	Second Previous Employer:
	How Long?
	Reason for Leaving: -- Select One -- Still there Resigned Laid off Terminated
	Additional Info:
	*Aggrement: I agree to a background check and that all the above information is true and correct.