Encore Express LTD
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Driver Pre-qualification Form
*
Required
First Name
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Last Name
*
Address
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City
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State
*
Zipcode
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Phone Number
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Cell Phone Number
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Email Address
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Do you have a valid Class A CDL?
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Yes
No
Do you have doubles/triples endorsement?
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Yes
No
Are you 21 years or older?
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Yes
No
Did you attend a truck driving school?
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Yes
No
If yes, please provide dates.
What school did attend?
Do you have previous commercial driving experience?
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Yes
No
How long?
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Are you willing to run teams?
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Yes
No
Are you willing to be on the road for five days at a time?
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Yes
No
Have you ever failed or refused to take a drug test in the last five years?
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Yes
No
Do you have more than one (1) moving violation in the last three years?
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Yes
No
Do you have more than one (1) preventable accidents in the last three years?
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Yes
No
Have you been convicted of or plead guilty to a felony or misdemeanor in the past 10 years?
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Yes
No
Have you been convicted or plead guilty to a DUI or OVI in the past five years?
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Yes
No