State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Do you have a valid Class A CDL?*

•    Yes
•    No

Driving Experience * 0 to 6 months 6 to 12 months 1 to 3 years 4 to 7 years 8 to 10 years 10+ years Do you have 2 yrs verifiable tractor trailer experience, with at least 12 months in past 24 months?*

•    Yes
•    No

Have you tested positive on drug and/or alcohol tests in past 5 years? *

•    Yes
•    No

Do you have any license suspensions / revocation for more than 60 days as due to accidents/convictions/ traffic violations in the past 5 years*

•    Yes
•    No

How many carriers have you worked for in the past 5 years? 1 2 3 4 5 More than 5 Do you have more than 3 total moving violations and/or preventable accidents in past 3 years?*

•    Yes
•    No

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