Organization
*
US DOT Number
Primary Contact
*
Job Position
Phone
*
Email
*
Website
Who referred you to our company?
What type of equipment do you need a driver for?
*
Choose all that apply
Dry Van
Reefer
Flatbed Trailer
Step Deck / Drop Deck
Lowboy Trailer
Tanker (Non-Hazmat)
Tanker (Hazmat)
Hopper Bottom / Grain Trailer
Pneumatic Tanker
Livestock Trailer
Auto Transport
Intermodal / Container Chassis
B-Train / Double Trailer
Logging Trailer
Dump Trailer
Straight Truck / Box Truck
Dump Truck (Single Unit)
Concrete Mixer Truck
Garbage / Refuse Truck
Bucket / Utility Service Truck
Tow Truck / Wrecker
Passenger Bus
School Bus
Transit Bus
Emergency Vehicle (Fire Truck)
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Equipment Details
Make
Model
Year
Is your truck automatic?
Yes
No
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Does your truck have an inverter?
Yes
No
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What amenities do you provide?
New Mattress
Refrigerator
Wi-Fi
iPad/ Tablet
Others
How soon do you need drivers?
ASAP
1 week
2 weeks
3 weeks
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Do you need a CDL licensed driver?
CDL - A
CDL - B
No
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Number of drivers needed
*
Which city do you need the driver from?
*
And which state is that in?
*
Can trucks be taken home during home time?
Yes
No
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Is it forced dispatch?
Yes
No
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Do you accept SAP Drivers?
Yes
No
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What type of position do you offer?
*
OTR (Over-the-Road)
Local
Regional
Dedicated
Others
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How often do you need the driver on the road?
3 weeks out / 4 days home
2 weeks out / 3 days home
Mon-Fri / weekends off
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What are the average miles a driver run per week?
How many years of experience do you need the driver to have?
*
1 Year
2 Years
3 or more years
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Lanes/Routes
*
East Coast
West Coast
Mid West
Southern
What type of Drug screen do you have?
Hair
Urine
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Payment method
*
Pay by percentage
Pay by mile
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Offered Pay Per Mile (CPM)
75-84
85–94
95–104
105–114
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Offered Pay Percentage
25%
30%
40%
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Do you provide sign in bonus? If so, explain your payout breakdown.
What benefits do you provide?
Health
Dental
Vision
401K
Vacation Time
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