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Driver Questionnaire
 For consideration in becoming an Expediter Freight System driver, please complete and submit this form. We will contact you to confirm receipt of your questionnaire.

Name *
E-mail Address *
Street Address *
City *
State *
Zip Code *
Phone *
Fax
Social Security Number *
Drivers License Number *
Age *
Date of Birth *
Years of Driving Experience *
Are you at least 23 years of age? * Yes
No
Do you have a Class A CDL? * Yes
No
Is your truck a 1995 or newer? * Yes
No
Does your truck weigh 18,500 pounds or less? * Yes
No
Do you have an IRP plate with at least Indiana, Illinois, Kentucky, Michigan, Missouri, Ohio and Tennessee with 80,000 pound gross weight per state? * Yes
No
Do you have more than two moving violations in the past 12 months? * Yes
No
Do you have more than three moving violations in the past 36 months? * Yes
No
Do you have any moving violations in excess of 15 mph over the limit in the past 36 months? * Yes
No
Do you have any DWI, DUI or chemical failures on your Motor Vehicle Record (MVR)? * Yes
No
Do you authorize Expediter Freight System, Inc. to run a Motor Vehicle Report (MVR)? * Yes
No
Do you have a minimum of two years driving experience in the past three years? * Yes
No

* Fields marked with an asterisk are required fields

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