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 you are applying with. Once you submit the application a representive of the company / companies you apply for will be in contact with you shortly.
Please submit only one application per driver. If you would like to apply to multiple companies, please check the box next to the appropriate company / companies you would like to apply for.
*
denotes required fields
Part 1: Personal Information
*
First Name
*
Last Name
*
Address
*
City
*
State
Select
Alaska
Alabama
Arkansas
Arizona
California
Colorado
Connecticut
District of Columbia
Deleware
Florida
Georgia
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusettes
Maryland
Maine
Michigan
Minnesota
Misouri
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Vermont
Washington
Wisconsin
West Virginia
Wyoming
*
Zip Code
*
Primary Phone (xxx-xxx-xxxx)
Email
(Email not required but highly recommended)
Secondary Phone
*
Date of Birth (mm/dd/yyyy)
*
Social Security Number (xxx-xx-xxxx)
Part 2: Driving Position Information
*
Position desired (if unsure, choose Solo Driver):
Select
Need CDL School
Recent Grad
Solo Driver
Team Driver
Owner Operator
Lease Purchase
*
Companies Applying For:
Apply to All Companies, or...
Select specific companies below (remember to uncheck "Apply to All")
Celadon Trucking
CTL
Epes Transport
Greatwide
Hunt Transportation
Interstate Dist. Co.
Lisa Motor Lines
Pride Transport
Roadrunner Trans.
Sharkey Transportation
Swift Transportation
Transport America
US Xpress
USA Truck
Willis Shaw Express
Part 3: Career Information
CDL Info
*
CDL type:
Select
None
CDL Permit
Class A
Class B
Class C
State:
Select
Alaska
Alabama
Arkansas
Arizona
California
Colorado
Connecticut
District of Columbia
Deleware
Florida
Georgia
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusettes
Maryland
Maine
Michigan
Minnesota
Misouri
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Vermont
Washington
Wisconsin
West Virginia
Wyoming
License Number:
Expiration (xx/xx/xx):
Have you ever had a
*
DUI
Select
No
Yes
If so, when? (MM/YYYY)
*
Felony
Select
No
Yes
If so, when? (MM/YYYY)
If so, describe the felony:
*
Ever tested positive or refused a required
drug or alcohol test in the last 3 years?
Select
No
Yes
*
Moving Violations in past 3 years:
0
1
2
3
4
5
*
Accidents/Incidents in past 3 years:
0
1
2
3
4
5
Endorsements
(Important: select
all
that apply)
Tank
Doubles/Triples
Haz-Mat
Experience
(Important: select
all
that apply)
Van
Flatbed
Tanker
Reefer
Doubles
Piggy Back
Specialized
Car Hauler
Drop Deck
*
Years of Driving Experience
Select
None
1 to 3 months
4 to 6 months
7 to 9 months
1 year
2 years
3 years
4 years
5 years
6 years
7 years
8 years
9 years
10 years
More than 10 years
If Experience is None:
School:
Location:
Owner Operators please indicate:
Truck Make:
Truck Model:
Truck Year:
Do you own a trailer?:
Select
No
Yes
If so, what type of trailer?:
Part 4: Employment History
Please note: DOT requires 3 years of work history.
*
Number of jobs in last 3 years:
Select
0
1
2
3
4
5
6
7
8
9
10
Most Recent Employer
(The first employer is required. If you have never been employed, then answer none.)
*
Name:
*
Phone:
Address:
Dates of employment (mm/dd/yyyy):
From:
To:
*
Number of states covered:
n/a
1
2
3
4
5
6
7
8
9
10 or more
*
Reason for leaving:
Select
None
Still there
Laid off
Quit
Terminated
2nd Most Recent Employer
Name:
Phone:
Address:
Dates of employment (mm/dd/yyyy):
From:
To:
Number of states covered:
n/a
1
2
3
4
5
6
7
8
9
10 or more
Reason for leaving:
Select
Still there
Laid off
Quit
Terminated
3rd Most Recent Employer
Name:
Phone:
Address:
Dates of employment (mm/dd/yyyy):
From:
To:
Number of states covered:
n/a
1
2
3
4
5
6
7
8
9
10 or more
Reason for leaving:
Select
Still there
Laid off
Quit
Terminated
4th Most Recent Employer
Name:
Phone:
Address:
Dates of employment (mm/dd/yyyy):
From:
To:
Number of states covered:
n/a
1
2
3
4
5
6
7
8
9
10 or more
Reason for leaving:
Select
Still there
Laid off
Quit
Terminated
5th Most Recent Employer
Name:
Phone:
Address:
Dates of employment (mm/dd/yyyy):
From:
To:
Number of states covered:
n/a
1
2
3
4
5
6
7
8
9
10 or more
Reason for leaving:
Select
Still there
Laid off
Quit
Terminated
Additional info or comments:
Agreement:
I agree to a background check and that all the above information is true and correct.
