First Name Initial Last Name
Home Address
City Province Postal Code

Home Phone Cell Phone Fax

Email Address
Confirm Email Address

Date of Birth

1. What do you enjoy most about driving a truck?

2. What is the most frustrating thing about your job?

3. What are your short term and long term career goals?

4. What are you looking to be paid for? (i.e. waiting time, fuel, plates, etc.)

5. Is there a type of assignment that you refuse to do?

If you answered yes, please indicate the reason: (i.e. Type of product to haul, destination, etc.)

6. What are the three most important criteria that a company needs to fulfill in order for you to be content as an employee/owner operator?

7. What type of license and certifications do you have? (Please check all that apply)

8. What type of job do you currently have?

If you chose "Owner Operator", please answer the following:
a) Do you own your own truck?
b) What is the make of the tractor?
c) What is the year of the tractor?
d) What is the truck weight?
e) What is the truck mileage?
f) Do you own your own trailer?
g) What is the trailer type?
h) What is the fifth wheel height?
i) What is the wheel base?

9. What type of experience do you have? (Please check all that apply)

10. What type of driving opportunities are you interested in? (Please check all that apply)

11. Please indicate if you have a current copy the following:
Drug Testing:

12. Has your license ever been suspended?
If yes, for how many years?

13. Do you have any DUIs?
If yes, what year?

14. How many moving violations have you had in the past 3 years?

15. How many preventable accidents have you had in the past 3 years?

16. Are you interested in cross border assignments?

17. How much cross border experience do you have?

18. How much experience do you have with keeping and entering logs?

19. Are you experienced in computerized and/or manual logs?

20. Are you willing to relocate?

If yes, where would you be willing to relocate?

21. How often do you want to be home?

By completing this survey, I signify that I have read the privacy policy and agree to the terms and conditions. I give permission for certified company(s) to order CVOR, Background Checks, Abstracts etc.