Veteran Trucking Online Application Form Personal Information: First Name* Middle Last Name* SuffixJr.IISr.IIIIVV SSN / SIN* Date of Birth* Address: Current Street Address (line 1)* Current Street Address (line 2) Country* City* State* Zip Code* Residence address for 3 or more years?*YesNo If “No”, Please supply ALL residence addresses within the last 3 years in the box below include start and end dates of residence at each addressExample: 123 E. 15th St. Tulsa, OK 74133 9-2001 to 12-2004 Contact: Primary Phone* SMS NoticeI accept to receive SMS from shipveteran.com I consent to receive Conversations (between employees) text messages from Veteran Trucking LLC. Reply STOP to opt-out; Reply HELP for support; Message and data rates apply; Messaging frequency may vary. Visit https://www.shipveteran.com/privacy-policy/ for privacy policy and https://www.shipveteran.com/privacy-policy/ for Terms of Service. Cell PhoneIf your cell phone is also your primary phone, enter it in both fields below. Email Address* Promotional Information To CONTACTYes, I agree to receive information concerning future opportunities or promotions from VETERAN TRUCKING HOLDINGS LLC by email or other commercial electronic communications. Promotional communication THRU TEXTYes, Would you like to receive communication from VETERAN TRUCKING HOLDINGS LLC via text message? By participating, you consent to receive text messages sent by an automatic telephone dialing system, which may contain recruiting/advertising messages. Consent to these terms is not a condition of being hired, contracted, or leased. You may opt out at any time by texting STOP to unsubscribe. You also agree that VETERAN TRUCKING HOLDINGS LLC’s service provider receives in real time and logs your text messages with VETERAN TRUCKING HOLDINGS LLC. General Information: What Position are you applying for?*Company DriverOwner OperatorFleet OwnerDriver for Owner Operator If you answered “Owner Operator” or “Fleet Owner”, Enter Equipment Description (tractor):Type, Year, Make, Model, Color, VIN, Weight, Mileage, Fifth Wheel Height Are you legally eligible for employment in the United States*YesNo What Location are you applying for?* Are you currently employed?*YesNo If “No”, What date did your last employment end? Have you ever worked for this company before?*YesNo If “Yes”, Reason for leaving? Enter start and end dates, location, position, and reason for leaving: Do you have a current TWIC card?*YesNo If “Yes”, Enter Expiration date: Have you ever been known by any other name(s)?*YesNo If “Yes”, Enter name(s) How did you hear about us?*Driver ReferralCraigslistFacebookDriver PulseNewspaperWebOther If “Driver Referral”, Please enter the driver’s name If “Other”, Please explain Driving Experience: For each class of equipment, select years of experience. If no experience in a class, select “None”. Straight Truck*NoneLess than 1 year1-2 years2-3 years3-4 years4-5 years5-6 years6-7 years7-8 years8-9 years10+ years Tractor and Semi-Trailer*NoneLess than 1 year1-2 years2-3 years3-4 years4-5 years5-6 years6-7 years7-8 years8-9 years10+ years Tractor – Two Trailers*NoneLess than 1 year1-2 years2-3 years3-4 years4-5 years5-6 years6-7 years7-8 years8-9 years10+ years Other License Details: license Number* Country* Licensing Authority*AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFlordiaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew hampshireNew JerseyNew MexicoNew YorkNorth CariolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming License Expiration Date* DOT medical card Expiration Date* Is this your current driver license?*YesNo Is this a commercial driver license?*YesNo If “Yes”, Select License Class:NoneClass AClass AZClass BClass CClass DClass EClass FClass OClass RClass 1Class 2Class 3Class 4Class 5Class A PermitClass GClass G1Class G2 EndorsementsNoneOtherTankerDoubles / TriplesX EndorsementHazMat Upload LicenseOr text to your Dispatcher or Recruiter Employer / Contract Information Have you been employed, contracted, or attended a company orientation in the last 3 years?*YesNo If “Yes”, Please fill out. Start / End Date, Address, Telephone, Position held, Reason for leaving Were you terminated/discharged/laid off?YesNo If “Yes”, Please Explain 1. Is this your current employer?YesNo 2. May we contact this employer at this time?YesNo 3. Did you operate a commercial motor vehicle?YesNo 3a. If “Yes”, Were you subject to the Federal Motor Carrier or Transport Canada Safety Regulations while employed/contracted by this employer/contractor?YesNo 4 Did you perform any safety sensitive functions in this job, regulated by DOT, and subject to drug and alcohol testing?YesNo Areas Driven Miles driven weekly0-500500-10001000-15001500-20002000-25002500-30003000-35003500+ Most common truck drivenTankerBus – StraightBus – ArticulatedCabover TractorClass B VehicleConventional TractorTractor – TrailerDay CabDay Cab Conventional Dump TruckLC TruckStraight TruckYard HorseOther Most common TrailerFlatbedVanContainerDoubles Lift gateReefer TrailerTank TrailerStep DeckRGNCar HaulerLog TrailerOther Pay Range (cents/mile) Trailer length35 feet or less32 to 44 feet42 to 52 feet53 feet or moreOther Unemployment Information: Have you been unemployed at any time within the last 3 years?*YesNo Start Date End Date(If you are currently unemployed, please enter the current month and year as the End Date) Comments Driver Training School: Have you attended a driver training school? *YesNo If “Yes”, Please fill out. Start / End Date, Address, Telephone, Did you graduate?YesNo Were you subject to the Federal Motor Carrier or Transport Canada Safety Regulations while attending this truck school?YesNo Did you perform any safety sensitive functions at this truck school, regulated by DOT, and subject to drug and alcohol testing?YesNo GPA Hours10+20+30+40+50+60+70+80+90+100+110+120+130+140+150+160+170+180+ Which of the following skills were trained in your program?(Select all that apply)Border CrossingLog BooksFederal Motor Carrier RegulationsHazardous Materials School Attended: Have you attended a school (not related to truck driving) in the last 3 years?*YesNo If “Yes”, Please fill out. Start / End Date, Address, Telephone, Major, Graduation Date (leave blank if no graduation) FMCSR: ⓘ DOT regulations require us to ask about the 7 years of history, if you operated a commercial motor vehicle. 1. Under FMCSR 391.15, are you currently disqualified from driving a commercial motor vehicle? [49 CFR 391.15]*YesNo If “Yes”, Provide additional detail 2. Has your license, permit, or privilege to drive ever been suspended or revoked for any reason? [49 CFR 391.21(b)(9)]*YesNo If “Yes”, Please provide additional details, including the dates of the suspension/revocation 3. Have you ever been denied a license, permit, or privilege to operate a motor vehicle?[49 CFR 391.21(b)(9)]*YesNo If “Yes”, provide additional detail, including relevant dates 4. Within the past two years, have you tested positive, or refused to test, on a pre-employment drug or alcohol test by an employer to whom you applied, but did not obtain, safety-sensitive transportation work covered by DOT agency drug and alcohol testing rules [49 CFR 40.25(j)]YesNo If “Yes”, provide additional details about what happened Date of last positive or refusal 5. In the past three (3) years, have you ever been convicted of any of the following offenses committed during on-duty time [49 C.F.R. 391.15 and 49 C.F.R. 395.2]: – Driving a commercial motor vehicle with a blood alcohol concentration (“BAC”) of .04 percent or more– Driving under the influence of alcohol, as prescribed by state law – Refusal to undergo drug and alcohol testing as required by any jurisdiction for the enforcement of Federal Motor Carrier Safety Act regulations– Driving a commercial motor vehicle under the influence of any 21 C.F.R. 1308.11 Schedule I identified controlled substance, an amphetamine, a narcotic drug, a formulation of an amphetamine, or a derivative of a narcotic drug– Transportation, possession, or unlawful use of a 21 C.F.R. 1308.11 Schedule I identified controlled substance, amphetamines, narcotic drugs, formulations of an amphetamine, or derivatives of narcotic drugs while you were on duty driving for a motor carrier– Leaving the scene of an accident while operating a commercial motor vehicle-Or any other felony involving the use of a commercial motor vehicle*YesNo If “Yes”, In the three years before the conviction you identified above, had you been convicted on a separate occasion of either the same offense or one of the other offenses listed above?[49 C.F.R. 391.15(c)(3)]YesNo Date of most recent conviction identified above Please provide additional detail on each conviction for which you answered “Yes” above: Accident Details: Please enter detailed information about this accident below, whether the accident was chargeable, recordable, reportable, or your fault: Were you involved in any accidents/incidents with any vehicle in the last 5 years (even if not at fault)?*YesNo Date of Accident / Incident Type of Accident / IncidentNon-InjuryInjuryFatality Hazmat Accident / IncidentYesNo Was the Vehicle towed away?YesNo City StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFlordiaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew hampshireNew JerseyNew MexicoNew YorkNorth CariolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Were you in a commercial vehicle?YesNo If “Yes”, was this a Department of Transportation recordable accident?YesNo Were you at fault?YesNo Were you ticketed?YesNo Please enter detailed information about this accident, whether the accident was chargeable, recordable, reportable, or your fault Incident Details: Have you had any moving violations or traffic convictions in the past 3 Years?*YesNo Violation Date Charge Description Were you in a Commercial Vehicle?YesNo StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFlordiaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew hampshireNew JerseyNew MexicoNew YorkNorth CariolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Penalty / Fine (check all that apply)FineSuspensionRevocationCommunity ServiceOther Fine account (if applicable)$0-$99$100-$199$200-$299$300-$399$400-$499$500+ CommentsIf you answered “Other” to any question, please provide additional detail: Military Service: Were you ever in the military?*YesNo Country BranchU.S ArmyU.S Marine CorpsU.S NavyU.S Air ForceU.S Space ForceU.S Coast GuardAir National GuardArmy National Guard Can you obtain your DD214?YesNo Start Date End Date(If you are currently in the military, please enter the current month and year as the End Date) Rank at discharge Criminal Record: Have you ever been convicted of a crime?*YesNo Do you have any deferred prosecutions?*YesNo Do you have criminal charges pending?*YesNo Have you ever pled “guilty” to, been convicted of, or pled “no contest” to a felony?*YesNo If you have any felony convictions, do you currently hold a minister’s permit to enter or exit Canada?*YesNo Have you, within the last five years, pled “guilty” to, been convicted of, had prosecution deferred in connection with, or pled “no contest” to a misdemeanor?*YesNo If “Yes” to any of the above criminal questions, Please describe.Be sure to include specifics (felony or misdemeanor), Date of conviction, (fine or sentence, If pardoned, etc. | Location, dates of deferral, and / or pending charges etc. | Date of conviction, the fine or sentence, etc. | Acknowledgements: ⓘ Click The links: A Summary of Your Rights Under the Fair Credit Reporting Act , IMPORTANT-DISCLOSURE , Disclosure For Consumer Reports , and read. Name* Acknowledgement*By checking this box, I (a) acknowledge that I have read and understand the federal FCRA Summary of Rights and have been given the opportunity to copy/print the Summary of Rights and (b) agree to use an electronic signature to demonstrate my consent. An electronic signature is as legally binding as an ink signature.* Name* Important Disclosure*By checking the box, I (a) acknowledge that I have read and understand the PSP Disclosure and Authorization and also have been given the opportunity to copy/print it, and (b) agree to use an electronic signature to demonstrate my consent. An electronic signature is as legally binding as an ink signature. Name* Acknowledgement* By checking the box, I (a) acknowledge that I have read and understand the above and also have been given the opportunity to copy/print it, and (b) agree to use an electronic signature to demonstrate my consent. An electronic signature is as legally binding as an ink signature. Acknowledgements: ⓘ Click The links: APPLICANT-CONSENT-TO-DRUG-TESTING , Consent for Limited Queries of the Federal Motor Carrier Safety Administration (FMCSA)Drug and Alcohol Clearinghouse and read. Name* Acknowledgement*By checking the box, I (a) acknowledge that I have read and understand the above and also have been given the opportunity to copy/print it, and (b) agree to use an electronic signature to demonstrate my consent. An electronic signature is as legally binding as an ink signature. Name* Acknowledgement*By checking the box, I (a) acknowledge that I have read and understand the above and also have been given the opportunity to copy/print it, and (b) agree to use an electronic signature to demonstrate my consent. An electronic signature is as legally binding as an ink signature. Acknowledgements: ⓘ Click The links: Disclosure for Consumer Reports , Investigative consumer report(s) and read. Name* Acknowledgement*By checking the box, I (a) acknowledge that I have read and understand the above and also have been given the opportunity to copy/print it, and (b) agree to use an electronic signature to demonstrate my consent. An electronic signature is as legally binding as an ink signature. Name* Acknowledgement*By checking the box, I (a) acknowledge that I have read and understand the above and also have been given the opportunity to copy/print it, and (b) agree to use an electronic signature to demonstrate my consent. An electronic signature is as legally binding as an ink signature. Sign: ⓘ Please Review All Information Listed Above. Initials* Upload Signature Photo IDIf unable upload, text to your Dispatcher or Recruiter Submit Tenstreet Privacy Policy© Copyright 2006-2026, Tenstreet
