First Name *

Last Name *

Phone *

Email *

Postal code *

Do you currently have your CDL License?

Yes

No

When did you receive your CDL?

Do you have OTR or Regional driving experience in the last 12 months?

Yes

No

In how many states have you driven a Class A vehicle in the last 12 months?

How Many Total Years and Months of Class A driving experience do you have?

Years
Months

How much of your driving experience has been OTR?

Years
Months

Do you have an automatic restriction on your CDL?

Yes

No

Have you attended trucking school?

Yes

No

Do you have a graduation certificate from a trucking school?

Yes, I have a copy

No, but I can request a copy

No, I can't get one

Do you have any accidents in CMV or personal vehicle in the past 7 years?

Yes

No

Do you have any moving violations in the past 5 years in any vehicle?

Yes

No

Have you ever failed a random or pre-employment drug test?

Yes

No

If yes, did you complete the SAP Program?

Yes

No

Have you ever been terminated from a driving job?

Yes

No

Can you pass a hair follicle drug test?

Yes

No

Do you have any felonies in your lifetime?

Yes

No

Do you have any misdemeanors in your lifetime?

Yes

No

Do you have a TWIC card?

Yes

No

Are you open to touching freight on your next position?

How soon would you like to start with a new company?

How soon will you be available to go to orientation?

How did you hear about CDL Job Connect?

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