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Application

Ready to start your new career on the road as a professional truck driver? Apply today and we will match you with the best truck driving schools in your area.

*Application Type:
*First Name:
Middle Initial:
*Last Name:
*DATE OF BIRTH - Month
*Day:
*Year:
*Social Security Number: (Required by Department of Transportation)
*Phone:
Cell Phone:
Email Address:
*PRESENT ADDRESS - Street Address:
*City:
*State:
*Zip:
*How long have you lived at your present address?
*PREVIOUS ADDRESS - Street Address:
*City:
*State:
*Are you 21 years or older? Yes
No
*Are you legally eligible for employment in the U.S.? Yes
No
Current or most recent employer:
*Job Title:
*From: (month/year)
*To: (month/year)
I am currently working for this employer.
*May we contact your current employer? Yes
No
*Street Address:
*City:
*State:
*Zip Code:
*Phone Number:
*Reason for leaving:
Additional Employment Information:
*Have you had any Traffic Citations on record in the past 3 years? Yes
No
If yes, list details of citations including; date, location, charge, and penalty:
*Have you had any motor vehicle accidents in the past 3 years? Yes
No
If yes, list details of accident(s) including; date, vehicle type, nature of accident, who was at fault, fatalities, and injuries:
*Have you ever been denied a licence, permit, or priviledge to operate a motor vehicle? Yes
No
*Has any license, permit, or privilege been suspended or revoked? Yes
No
*Have you ever been convicted of any alcohol related driving offense? Yes
No
*Have you ever been convicted of possession, sale, or use of a narcotic drug, amphetamine, or other controlled substance? Yes
No
*Have you ever been convicted of a crime? Yes
No
*Have you ever tested positive or refused to test on any pre-employment Drug or Alcohol test administered by an employer to which you applied for, but did not obtain employment during the past two years? Yes
No
*DRIVING EXPERIENCE - Class of Equipment: Straight Truck
Tractor and Semi-Trailer
Tractor Two Trailers
Other
None
*Type of Equipment: Van
Tank
Flat
Other
None
If driving experience selected above, please state type, dates, and approximate total miles.
*CAN YOU DO THE FOLLOWING THINGS? - Get in and out of a semi-truck? Yes
No
Get in and out of a semi-trailer? Yes
No
*Get under unit to perform duties, such as checkng brakes and visual inspection of equipment? Yes
No
*Raise and lower trailer dollies when under a load? Yes
No
*Unload insulation? Yes
No
Apply enough pressure to release fifth wheel pin? Yes
No
*Apply enough force to open and close semi-trailer doors? Yes
No
*Repeatedly lift and carry cargo weighing up to 70 lbs. per item? Yes
No
*Sit stationary in driver's seat for long periods of time? Yes
No
Apply enough pressure to trailer tandem lever to release locking pins when sliding tandems? Yes
No
Be on duty the maximum hours allowed by DOT Hours of Service Regulations? Yes
No
Can you read and write the English language? Yes
No
How did you find us?
Addition Information and/or Comments:
*I have read the DISCLOSURE AND RELEASE statement below and I agree to the terms. Accept
Decline

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By submitting this application I certify that I personally completed this application and that all of the information is true and correct. I hereby request and authorize National Truck Driving Jobs, Inc and their agents or contractors that receive this application to cause to be conducted, at any time, an investigation of my background for employment purposes, which may include, but is not limited to, any information relating to my character, general reputation, personal characteristics, mode of living, criminal history, past work experience, educational background, alcohol or drug test results, or failure to submit to an alcohol or drug test, driving record, or any other information about me which may reflect upon my potential for employment gathered from any individual, organization, entity, agency, or other source which may have knowledge concerning any such items of information. I have completed this application of my own free will and hold harmless of all liability all companies, agents and associated parties for the use of this application.