Accurate Transportation: MASTER_TEMPLATE
Master test form with all questions that sync to A-Suite
"
*
" indicates required fields
Name
*
First Name
Last Name
Phone Number
*
Email
How much CDL-A Experience?
*
None
Less than 1 year
1 - 2 years
3 - 4 years
5+ years
Zip Code Where You're Located
*
Which license type do you currently hold?
*
CDL A
CDL B
CDL C
Non-CDL
Other
Which endorsements do you currently have?
*
Select all that apply.
None
Hazardous Materials
Tank Vehicles
Double/Triple Trailers
Passenger
School Bus
Air Brakes
Other
If other, please explain
List other endorsements
Which equipment do you have experience with?
Select all that apply.
Tractor and Semi-Trailer
Tractor - 2 or 3 Trailers
Tanker
Motorcoach
Bus
None
Other
Please describe the equipment you have experience with:
Were you referred by an employee?
Yes
No
Who referred you?
Do you drive solo or as part of a team?
Solo
Team
Are you an owner operator?
Yes
No
Are you at least 21 years of age?
Yes
No
Are you at least 25 years of age?
Yes
No
Are you eligible to work in the United States?
Yes
No
Have you had a positive drug test in the last 3 years?
Yes
No
Have you had any preventable accidents in the last 3 years?
Yes
No
Have you had one or more DUIs in the last 3 years?
Yes
No
Have you had any moving violations in the last 3 years?
Yes
No
Have you had any accidents in the last 3 years?
Yes
No
Have you ever had your license suspended or revoked?
Yes
No
Do you have more than one valid license?
Yes
No
Have you ever been terminated from a safety-sensitive position?
Yes
No
Have you ever worked for our company before?
Yes, I am currently
Yes, but I quit
Yes, but I was terminated
No
Do you have a current DOT Physical?
Yes
No
Do you have a TWIC Card?
Yes
No
Can you drive a manual?
Yes
No
Do you have experience hauling any of the following?
Select all that apply
Aggregate
Dry Bulk
Farm
Hazardous Materials
Passengers
Liquid
Liquid Gas
Oversize
Other
Please describe the hauling experience you have
Which liquid gas do you have experience hauling?
Select all that apply
None
LPG
CO2
NH3
LIN
LAR
Other
Please describe the liquid hauling experience you have
How many years of Motorcoach experience do you have?
None
Less than 1 year
1 - 2 years
3 - 4 years
5+ years
How many years of Hazmat experience do you have?
None
Less than 1 year
1 - 2 years
3 - 4 years
5+ years
How many years of Driveaway experience do you have?
None
Less than 1 year
1 - 2 years
3 - 4 years
5+ years
How many years of Bus experience do you have?
None
Less than 1 year
1 - 2 years
3 - 4 years
5+ years
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