CDLLife New Account Form

    How would you like to receive your applications?

    If you'd also like to have leads sent to a recruiter's e-mail, which format would you prefer? (Optional)

    When do you want to start your campaign?

    Tell us how to handle your budget this month:

    Company Logo

    Company Photos (Optional)

    Driver Type:
    Student/Recent GraduateSolo Company DriverSolo Lease PurchaseSolo Owner OperatorTeam Company DriverTeam Lease PurchaseTeam Owner Operator

    Trailer Types(s):
    Dry VanTankerHousehold GoodsAuto HaulerRefrigerated (Reefer)Doubles/TriplesFlatbedIntermodalSpecializedDry Bulk & PneumaticHazmatDouble Pups

    Job Type:
    Over the RoadLocalRegionalDedicated LaneDedicated AccountNon Driving

    What states are you hiring in?

    Hiring in Partial States? Please upload an Excel file with your hiring areas or paste them into the text field.(Optional):

    Minimum Required Driving Experience:
    In CDL School NowCDL Grad, No Experience1-5 Months6-11 Months12-23 Months2 Years3 Years4 Years5+ Years

    Maximum number of accidents in the last 3 years:

    Maximum number of moving violations in the last 3 years:

    Endorsements Needed:
    Note: You will only receive leads from applicants with the specified endorsements.
    NoneH - Hazardous MaterialsN- Tanker VehiclesT- Doubles or TriplesTWIC Card

    Are leads required to have a Class A CDL?

    Would you like to receive unqualified leads?

    CDLLife Sales Rep

    How did you hear about us?

    Please click the button below to confirm