Name
*
First Name
Last Name
Email
*
Phone
(###)
###
####
Preferred Method of Contact:
Phone
Email
Driving Experience
*
How many years of truck driving experience do you have ?
0-1 year
1-3 years
3-5 years
5+ years
What type of Equipment do you currently operate or have experience operating ?
Flatbed
Refrigerated
Tanker
Dry Van
Other:
Availability & Work Schedule
Full-time
Part-time
Flexible (on call or as needed)
What type of schedule do you prefer ?
Day Shifts Only
Night Shifts Only
Mixed Shifts (days and nights)
Flexible hours, can adapt to various schedules
How many days/nights are you willing to be away from home ?
Home every night
Home every few days (2-3 days)
Out 5-7 days per week
Extended periods (2-3 weeks away at a time)
Route Preference
What type of routes do you prefer ?
Local (wiothin a 100-mile radius)
Regional (across state lines, within 500 miles)
Over-the-road (long hauls, nationwide)
No preference
Do you prefer driving in certain geographic regions ?
Yes, I prefer to stay within certain areas (e.g., Northeast, West Coast, Midwest)
No, I'm open to all regions
Specific areas I avoid:
Job Environment & Type
What type of freight do you prefer to haul ?
Dry Van
Refrigerated (Temperature-controlled)
Flatbed
Tanker
Heavy Haul
Specialized Freight (Hazmat, oversized, etc.
No preference
Do you prefer a job with minimal physical activity (no loading/unloading) ?
Yes
No
No preference
Are you comfortable with hauling hazardous materials (Hazmat) ?
Yes
No
Not sure (I would like to know more about this)
Driver Endorsements
What driver endorsements do you hold ?
T - Double/Triple Trailers
L - Air Brake Restriction
N - Tanker
H - Hazardous Materials
X - Tanker/Hazmat
Compensation & Benefits
What type of pay structure are you most comfortable with ?
Hourly
Mileare-based
Salary
Percentage of load
No preference
Do you prefer a steady paycheck or are you comfortable with performance-based pay (e.g., bonuses, incentives) ?
Steady paycheck
Performance-based pay
A mix of both
What benefits are important to you ?
Health insurance
Paid time off (vacation/sick days)
Retirement plans (401K, etc.)
Bonuses and incentives
Flexible schedules
Other:
Lifestyle and Personal Preferences
Do you have family or other commitments that require a flexible work schedule ?
Yes
No
Occasionally
How important is if for you to have regular home time (e.g., weekends off, time to spend with your family) ?
Very important
Somewhat important
Not very important
Do you prefer to drive independently or as part of a team ?
Independently (by yourself)
Team (with someone else)
No preference
Do you prefer to drive for a large company or a smaller, more personalized company ?
Large company
Smaller company
No preference
Future Goals and Career Development
Are you looking for career advancement opportunities (e.g., leadership, fleet management) ?
Yes
No
Maybe in the future
Do you have interest in further training or certifications (e.g., Hazmat, tanker, advanced driving skills) ?
Yes
No
Maybe in the future
Additional Preferences
Are there any specific job features or benefits you would like to see included in a trucking job (e.g., specific equipment, type of freight, home time, technology used, etc.) ?
Any other comments or questions you would like to provide ?