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DRIVER PRE-QUALIFICATION FORM
Contact Us
First Name: *
Last Name: *
Address: *
City: *
State: *
Zip Code: *
Phone Number: *
Cell Phone Number: *
Email Address: *
Do you have a valid Class A CDL? *
Yes
No
Do you have doubles/triples endorsement? *
Yes
No
Are you 21 years or older? *
Yes
No
Did you attend a truck driving school? *
Yes
No
Do you have previous commercial driving experience? *
Yes
No
Are you willing to run teams? *
Yes
No
Are you willing to be on the road for five days at a time? *
Yes
No
Have you ever failed or refused to take a drug test in the last five years? *
Yes
No
Do you have more than one (1) moving violation in the last three years? *
Yes
No
Do you have more than one (1) preventable accidents in the last three years? *
Yes
No
Have you been convicted of or plead guilty to a felony or misdemeanor in the past 10 years? *
Yes
No
Have you been convicted or plead guilty to a DUI or OVI in the past five years? *
Yes
No
Thank you for contacting us.
We will get back to you as soon as possible.
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ENCORE EXPRESS LTD
DREW DRAY:
330-233-0483
OFFICE: 330-538-9200
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