DRIVER APPLICATION

Please fill out the form below and click the submit button.

MUST BE A U.S. RESIDENT

All Fields with an asterick (*) are required.

1Contact and Personal Information:

2Current Driver's License Information (license required unless a student):

Class:

Endorsements:

3Driving History & Driving Information:

You are currently a(n): *

If an Owner Operator:

Driver School Graduate?

Number of Accidents

(past three years)

Traffic Convictions/Violations

Experience if not a student:

Regions you prefer to run (check all that apply):

4Employment Information:

CURRENT EMPLOYER:

PAST EMPLOYER 1:

PAST EMPLOYER 2:

PAST EMPLOYER 3:

PAST EMPLOYER 4:

5Criminal Record (if any):

Have you ever been convicted of a felony?

Have you ever been convicted, or are any charges pending, for driving while under the influence of alcohol, a narcotic drug, amphetamines or derivatives thereof?

Have you ever been denied a license, permit or privilege to operate a motor vehicle?

Has any license, permit or privilege ever been suspended or revoked?

Have you ever been convicted, or are any charges pending, for reckless or careless operation of a motor vehicle?

Have you ever been convicted, or are any charges pending, for possession, sale or use of a narcotic drug, amphetamines, or derivatives thereof?

Have you ever been refused any type of insurance or been denied bonding?

Have you ever been discharged or suspended?

6Application Disclaimer:

I have read and agree with the terms, conditions and use of information I am providing and I give permission to obtain consumer reports about me from HireRight/DAC.

Please click the Submit button only once and wait just a moment for a confirmation page to load.

Thank you very much for applying.

*** Know that we only share your application information with Trucking Companies looking to hire truck drivers. We in no way supplement information from an application submitted to or with any other sources.***

For further questions, please call (973) 465-3800

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