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Apply for Chicago Regional Intermodal

Apply for Chicago Regional Intermodal

Short truck driver application/contact form.

"*" indicates required fields

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Email*

Do you have a Class A CDL License?*

Yes

No

Type of Driver*

Owner/Operator

Company Driver

Lease Purchase

Solo

Team

Entry Level

Current experience level:*

Driving Class A CDL with a 53'+ trailer

No Experience

Less than 1 year

1-2 Years

2+ Years

If less than 1 year experience, please provide truck driving school information:

Name & Address of CDL school and your Graduation date

What type of equipment have you operated?*

10-Speed Manual Transmission

13-Speed Manual Transmission

18-Speed Manual Transmission

Automatic Transmission

I have an Auto Restriction on my CDL

What types of 53'+ trailers have you hauled?

Dry Van

Refrigerated

Tanker/Pneumatic Tanker

Flatbed

Doubles/Triples

RGN/Stretch RGN

Conestoga

Car Hauler

What type of freight have you hauled in the past?

Check all that apply

Dry Van

Refrigerated

Flat Bed

Car Hauler

Dry Bulk

Oversize

Heavy Equipment

What type of freight are you wanting to haul?

Check all that apply

Dry Van

Refrigerated

Flat Bed

Car Hauler

Dry Bulk

Oversize

Heavy Equipment

What type of route do you currently drive?*

Check all that apply

Local

Regional

Short Haul

OTR Long Haul

Dedicated

I'm not currently employed

What type of route are you looking for?

Check all that apply

Local

Regional

Short Haul

OTR Long Haul

Dedicated

What endorsements/credentials do you have?

Check all that apply

Tanker

Hazmat

Double/Triple Trailer

TWIC Card

Passport

Do you have a resume?

Attach resume here

Max. file size: 50 MB.

Comments

This field is for validation purposes and should be left unchanged.

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