Contact and Personal Information
(All * are required fields.)

* Full Name
A value is required.

* Street Address
A value is required.

* City
A value is required.

 

 

* State
Please select an item.

A value is required.


A value is required.

* Zip/Postal Code
A value is required.

 

 
* Day Phone
A value is required.		 * Evening Phone
  
* Best Time to Call    
* Date of Birth
A value is required.		 *Social Security #
A value is required.		  
* E-mail Address
A value is required.Invalid format.		    

* Years of tractor trailer driving experience:
Please select an item.


* You are currently a(n):
Owner Operator
Company Driver
Student Please make a selection.


If an Owner Operator:
How many trucks do you own?

Driver School Graduate?
Yes No

I Would Like to Run
Single
Team
Husband/Wife

Number of Accidents
(past three years)

Traffic Convictions/Violations
(past three years)

Experience if not a student:

HHG

Tanker

Flatbed

Van

Reefer

Specialized

Auto Carrier

Hazmat

Double/Triple


Freight type you prefer to pull:

HHG

Tanker

Flatbed

Van

Reefer

Specialized

Auto Carrier

Hazmat

Double/Triple


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

Southeast

Southwest

Midwest

Northeast

Northwest

Local


Interested in leasing/buying a Tractor with a Carrier Plan?
Yes
No

Have you ever been convicted of a felony?

Yes or No   Date:

   

Have you ever been charged, convited, or have any charges pending for driving under the influence of drugs or alcohol?

Yes or No   Date:

   

Have your driving privileges ever been suspended or denied?

Yes or No   Date:

   

Do you have any license or permit suspensions on your record?

Yes or No   Date:

   

Do you have any pending charges or convinctions for careless or wreckless operation of a motor vehicle.

Yes or No   Date:

   

Do you have any charges pending for or ever been convicted of possession, use of, or sales of narcotics, ampthetamines, or related drugs?

Yes or No   Date:

   

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

Yes or No   Date:

   

Have you ever been suspended or discharged?

Yes or No   Date:

Additional Comments To Tell Recruiters:

Current Employer:

Company Name:



Street / City / State / Zip:

Starting Date:

Phone Number:


Past Employer 1:

Company Name:



Street / City / State / Zip:

Starting Date:

Ending Date:

Phone Number:


Past Employer 2:

Company Name:



Street / City / State / Zip:

Starting Date:

Ending Date:

Phone Number:


Past Employer 3:

Company Name:



Street / City / State / Zip:

Starting Date:

Ending Date:

Phone Number:


Past Employer 4:

Company Name:



Street / City / State / Zip:

Starting Date:

Ending Date:

Phone Number:

Attach Your CV:

Application Disclaimer:

Upon submission of this application, I  (the applicant)do herby certify that all of the information is true and correct to the best of my knowledge.


I, (the applicant) also give permission for Elite Trucking Jobs to run necessary background checks as required by DOT including but not limited to DAC  Report Services.  The information gathered therein will only be used by Elite Trucking Jobs .com and affiliate companies for the purpose of finding a suitable employer for my work qualifications.

I certify that I have read the release.  I give full permission for Elite Trucking Jobs to gain consumer reports from DAC Services.

Yes   |   No



Please Click the Submit Button Once.

Thank you very much for applying