In order for us to process your application quickly, please fill out all the information completely. We will be contacting you as soon as possible.
Applicant Type -- Pick the one that best describes your situation.
School Applicant I do not have a Class A CDL, but am interested in a career in over the road trucking and would be interested in enrolling in your training program.
Team Driver I am an experienced driver with a Class A CDL with most of my driving done in a team environment.
Solo Driver I am an experienced driver with a Class A CDL with most of my driving done alone.
 
Name
First Initial Last
Address
Street
City State Zip Code
Personal
Birth City State
SSN
Phone (include area code)
2nd Phone (include area code)
E-mail
How and when is the best way to contact you?
Date of Birth
Availability Date
How did you hear about Trailiner?
If other or referral please specify:
Have you ever been employed by Trailiner? Yes No
If so, when?
Are you legally eligible for employment in this country? Yes No
Have you ever been to a truck driving school? Yes No
If you answered yes above, what was the name and location of the school?
Graduation date
Driver License Information
Number State
Expiration
Driving Record
Do you have a Class A Commercial Drivers License? Yes No
Years of experience driving a tractor trailor
Haz-Mat Endorsement? Yes No
Have you had any tickets in the last 5 years? Yes No
If you answered yes please list each ticket giving date, location, charge and penalty:
Have you had any accidents in last 3 years? Yes No
If you answered yes please list the following for each accident: date, if it was preventable, any injuries, total damage amount, tickets given, who was at fault, where accident occured and brief description of accident.
Have you ever been arrested for driving while intoxicated? Yes No
If you answered yes please list each arrest giving: date, location, and a brief description of what happened.
Has your license ever been suspended or revoked? Yes No
If you answered yes please list each suspension, the date, why your license was suspended or revoked and for how long.
Have you ever been convicted or charged with a Felony? Yes No
If you answered yes please list each conviction or charge, the date and a brief description of the charge.
 
Experienced drivers: We are required to gather 10 years of work history.
All applicants:
1) Please explain all gaps in employment over 3 months in the comments sections at the end of this application.
2) If the space provided is inadequate, please list your additional work history in the comments section at the end of this application.
Previous Employer 1
From to
Company Name
Address
City State
Zip Code
Phone (include area code)
Job title
Reason for leaving
Previous Employer 2
From to
Company Name
Address
City State
Zip Code
Phone (include area code)
Job title
Reason for leaving
Previous Employer 3
From to
Company Name
Address
City State
Zip Code
Phone (include area code)
Job title
Reason for leaving
Previous Employer 4
From to
Company Name
Address
City State
Zip Code
Phone (include area code)
Job title
Reason for leaving
Previous Employer 5
From to
Company Name
Address
City State
Zip Code
Phone (include area code)
Job title
Reason for leaving
Comments/Questions/Suggestions/Additional space
By submitting this application I certify that I personally completed this application and that all of the information is true and correct. I hereby request and authorize Trailiner Corporation and its agents or contractors that receives this application to cause to be conducted, at any time, an investigation of my background for employment purposes, which may include, but is not limited to, any information relating to my character, general reputation, personal characteristics, mode of living, criminal history, past work experience, educational background, alcohol or drug test results, or failure to submit to an alcohol or drug test, or any other information about me which may reflect upon my potential for employment gathered from any individual, organization, entity, agency, or other source which may have knowledge concerning any such items of information. I have completed this application of my own free will and hold Trailiner Corporation harmless of all liability for providing this application for my use.