Driver Application

Ready to get this
show on the road?

Please fill out this driver application and one of
our team members will contact you. Thanks!

 

IF YOU DO NOT HAVE A TWIC CARD, DO NOT APPLY.

A TWIC CARD IS NOT REQUIRED FOR DALLAS APPLICANTS

Need more information about obtaining a TWIC card?Click HERE.
Name
Email Address
Street Address
(City, State, Zip)
Birthdate
Social Security #
Home Phone Number (US)
 (   )   - 
Home Phone Number (International)
Best Time to Call
Driver's License # and State
Hazmat Endorsement
Yes    No
TWIC Card
 Yes    No
When would you want to start orientation with TCI (if approved)?
How did you hear about TCI?
CDL
 Yes    No
Driver's School Graduate?
 Yes    No
Education
 Elementary
High School
College
Experience
 Flatbed
Van
Reefer
Specialized
Container Experience
Yes    No
I am now a:
 Owner Operator    Company Driver    Student
Owner / Operators: How many trucks do you own?
Tractor Trailer Driving Experience
 Less than 1 year    1-3 years   4-5 years   6+ years
Years with present carrier
 Less than 1 year    1-3 years   4-5 years   6+ years

Equipment you presently operate:
Tractor Make & Year
Conventional   Cabover   Sleeper   Single Axle   Tandem
Trailer Make, Year & Length
Dryvan   Reefer   Flatbed  

I prefer to pull

 Dryvan   Reefer   Flatbed  
I would like to run

Single
Team
Husband / Wife

Employment History:
Past 10 years

Last / Current Employer

  
Company
Address
(City, State, Zip)
Phone Number
 (   )   - 
Starting Date
Ending Date
If left, reason for leaving
May we contact this employer?
 Yes    No

1. Past Employer

  
Company
Address
(City, State, Zip)
Phone Number
 (   )   - 
Starting Date
Ending Date
If left, reason for leaving
May we contact this employer?
 Yes    No

2. Past Employer

  
Company
Address
(City, State, Zip)
Phone Number
 (   )   - 
Starting Date
Ending Date
If left, reason for leaving
May we contact this employer?
 Yes    No

3. Past Employer

  
Company
Address
(City, State, Zip)
Phone Number
 (   )   - 
Starting Date
Ending Date
If left, reason for leaving
May we contact this employer?
 Yes    No

4. Past Employer

  
Company
Address
(City, State, Zip)
Phone Number
 (   )   - 
Starting Date
Ending Date
If left, reason for leaving
May we contact this employer?
 Yes    No

Driver's Licenses:
Past 5 years

1. Driver's License

  
State
License #
Class
Endorsements

Expiration Date

2. Driver's License

  
State
License #
Class
Endorsements

Expiration Date

3. Driver's License

  
State
License #
Class
Endorsements

Expiration Date

Traffic Convictions & Forfeitures:
Past 3 years

1. Conviction or Forfeiture

  
Date
State
Charges (if speeding, how fast?)
Penalty

2. Conviction or Forfeiture

  
Date
State
Charges (if speeding, how fast?)
Penalty

3. Conviction or Forfeiture

  
Date
State
Charges (if speeding, how fast?)
Penalty

4. Conviction or Forfeiture

  
Date
State
Charges (if speeding, how fast?)
Penalty

5. Conviction or Forfeiture

  
Date
State
Charges (if speeding, how fast?)
Penalty

Accident Record:
Past 5 years; Accidents other than parking violations (on and off duty, and while in personal vehicle

1. Accident

  
Date
Type of Vehicle
Preventable?
 Yes    No
Fatalities
Injuries
Amount of Property Damage
City / State

2. Accident

  
Date
Type of Vehicle
Preventable?
 Yes    No
Fatalities
Injuries
Amount of Property Damage
City / State

3. Accident

  
Date
Type of Vehicle
Preventable?
 Yes    No
Fatalities
Injuries
Amount of Property Damage
City / State
 
Have you ever been convicted of a felony?
 Yes    No
Have you ever been denied a license, permit or privilege to operate a motor vehicle?
 Yes    No
Has your motor vehicle operator's license, permit or privilege ever been suspended or revoked?
 Yes    No
Have you ever been disqualified from driving a motor vehicle under DOT regulations?
 Yes    No
Have you ever been convicted for driving under the influence of alcohol or drugs?
 Yes    No
Have you ever been convicted for possession, sale, or use of narcotic drugs?
 Yes    No
Have you ever been convicted of a serious traffic violation (such as careless, reckless, or willful reckless driving, etc.)?
 Yes    No
 

Within the last two years have you:
Undergone an alcohol test in which a concentration of .04 or greater has been indicated?
 Yes    No
Undergone a controlled substance test in which a positive result has been verified?
 Yes    No
Refused to undergo either an alcohol or controlled substance test?
Yes    No

Home Address History:

Beginning with your present home address, list the requested information on all residences you have maintained during your lifetime. If unable to provide specific street addresses or county information, you must provide the City and State Information
Street Address City State County

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10

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Other Information or Comments