Company Name
Contact Name
Phone Number
Email Address
Job Tracking Phone Number If you'd like to use more than one phone number to track your leads, please list them here separated by commas and indicate which jobs you'd like to use for them.
How would you like to receive your applications? Tenstreet IDEBEDriverReachTruckRightJobCastEmail
Recruiting Software ID or Email Address
If you'd also like to have leads sent to a recruiter's e-mail, which format would you prefer? (Optional) HTML (recommended)PlaintextJSON
Recruiter's email? (Optional)
Monthly Budget
Accounting Contact
Accounting Contact Phone Number
Accounting Contact Email
Billing Address
When do you want to start your campaign? 1st of next monthImmediately
Tell us how to handle your budget this month: Use my full budget this monthPro-rate my budget this month
Company Bio:
Company Logo
Job Description (Please include a strong call-to-action.)
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? All 48 statesALARAZCACOCTDEFLGAIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWYPartial States
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Hiring in Partial States? Please upload an Excel file with your hiring areas or paste them into the text field.(Optional):
If you want us to send applicants to your full app, we would also need your application redirect URL (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: 012345+
Maximum number of moving violations in the last 3 years: 012345+
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? YesNo
Would you like to receive unqualified leads? YesNo
CDLLife Sales Rep —Please choose an option—April DunstonMatt RolandMitzi WrightSean HayesJamie AdcockRandy DyeCraig RenfroCasey O'DonnellOther/None
How did you hear about us? —Please choose an option—LinkedInEmailPodcastTradeshowOther
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