Secure Driver Application

Start Your Trucking Career Today!

Contact Information

Please enter your contact information in the fields below.

Required fields have been highlighted.

First name:

Last name:

Street address:

Apt / Suite:

City:

State / Province:

Zip / Post code:

Are you willing to relocate?

Email address:

Confirm your email address:

Phone number:

Citizenship:

How Old Are You?

Please enter your date of birth using the fields below.

Date of birth:

Do You Have a CDL?

If you have a CDL please specify which class you have so we can match you with the right job opportunities.

CDL class:

How Long Have You Been Driving?

Some positions may require a minimum amount of driving experience.

I've been driving for:

What Type of Driver Are You?

Are you an Owner Operator? Company Driver? Part of a team? We'll match you with the perfect job opportunities.

What type of driver are you?

Working preference:

Solo or team driver?

Team member's name:

Do You Own a Truck?

If you own a truck please complete the fields below.

Do you own a truck?

If yes, what year?

What Type of Job Are You Looking For?

Please select at least one of the options below. Check all, Uncheck all

Do You Have Expediting Experience?

If you have any experience in expedite trucking please check the box below.

Yes, I have expediting experience.

Do You Have Any Endorsements?

Please select all of the options below that apply. Check all, Uncheck all

Hazmat

Doubles / Triples

Tanker

Passenger

Statement of Understanding

I certify that I am authorized to complete this application and that all of the information is true and correct. I authorize represented companies and their agents to obtain any and all information (including, but not limited to, work history, alcohol/controlled substance testing, training records, and criminal history) from previous and current employer(s), Medical Review Officers or their agents, DAC services, or other consumer reports, in accordance with State and Federal laws. I authorize my previous and current employer(s) to release any information requested by the above companies and hold them guiltless of all liability from release of said information. I have read and understand the above statements and acknowledge by affixing my digital signature below.

I have read and understand the above statements.

Please type your full name:

How did you hear about us?

Please make sure that you have completed all of the required fields before continuing.

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