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Driver Application Form
First Name
Last Name
Year of Birth
Phone number
Email Address
City
State
Country
How many year of experience do you have?
Select One Option
Less than 1 year
1-2 years
2-3 years
3-5 years
5+ years
Which state are you looking to work in?
Select One State
FL
CA
AZ
GA
TX
WI
OH
MI
WA
Which type of employment are you looking for?
Select One Option
W2
1099
Leased Owner operator
Type of route you are looking for?
Line Haul
Local Delivery
OTR-Long Haul
OTR-Regional
Regional
Teams
Yard Jockey
Others
Type of equipment you are looking to drive?
Straight Truck
Semi - Truck
Box Truck
Dry Van
Faltbed
StepDeck
Reefer
Hazmat
Tanker
Dump Truck
Double
Low Boy Trailer
Other
When is your CDL expiring?
When is your DOT medical card expiring?
License issuing state?
Select One Option
FL
CA
WA
WI
TX
License Class?
Class A
Class AZ
Class B
Class C
Class D
Class E
Class F
Class O
Class R
Class 1
Class 2
Class 3
Class 4
Class 5
Class A Permit
Class G
Class G1
Class G2
Have you had any moving violations or traffic convictions in the past 3 years?
Yes
No
Were you involved in any accidents/incidents in the last 3 years (even if not at fault)?
Yes
No
Are you a protected veteran?
Select One Option
Yes, I identify as a protected veteran
I am not a protected veteran
I decline to identify
Do you have a disability?
Select One Option
Yes, I have a disability (or previously had a disability)
No, I don't have a disability
I decline to identify
By submitting this form online I agree to the terms and conditions mentioned in the privacy policy
"I agree"
Would you like to receive information concerning future opportunities or promotions from ConvoyR, LLC. by email, text, call or other electronic communications?
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No
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