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?
    All 48 statesALARAZCACOCTDEFLGAIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWYPartial States

    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 Experience Yet1-5 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?
    YesNo

    Would you like to receive unqualified leads?
    YesNo

    CDLLife / Veterans In Trucking Sales Rep

    Please click the button below to confirm