Submit An Application

Online Owner Operator Pre-Qualification Form


CDL LICENSE


EDUCATION


U.S. ARMED FORCES






SAFETY RECORD

I certify that the following is a true and complete list of traffic violations (other than parking) for the past 5 years.


TRAFFIC VIOLATION 1






TRAFFIC VIOLATION 2






TRAFFIC VIOLATION 3






DO NOT HAVE TRAFFIC VIOLATION

Please check this box if you do not have any traffic violations


NOTE:

If NO VIOLATIONS are listed above, I certify that I have not been convicted or forfeited bond on any violation required to be listed during the past 5 years.










CONVICTED OR CHARGES PENDING FOR:






ACCIDENTS


Please explain below.

ACCIDENT 1










ACCIDENT 2











ACCIDENT 3











PLEASE READ, CHECK BOX, AND ENTER SECURITY CODE BEFORE SUBMITTING

I certify that I personally completed this Pre-Qual Form and that all information is true and correct. I authorize Enterprise Truck Line to conduct a complete investigation of my background, including but not limited to all information from previous employer, or their agents to release information concerning any of my past controlled substance tests, employment and training records and hold them harmless from release of said information. I understand that false or misleading information will disqualify me from further consideration.







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