Apply Online - Atlantic Truck Lines

General Information

Please complete the form below.

What position are you applying for? *

Full Name *

First

Last

Email *

Phone

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Have you been at this address for 3 or more years? *

Previous Addresses

Date of Birth *

Social Security Number

Have you ever been known by any other name? *

Please List Name(s)

If hired, can you furnish proof you are eligible to work in the United States? *

Are you at least 23 years of age or older?

Have you held a VALID US license for the past 36 months? *

License Class *

Drivers License Number *

State of Issue *

License Expiration Date *

Expiration Date of DOT Physical Card

CDL Information

Please complete the form below.

CDL Endorsements *

None
Tanker
Doubles/Triples
Hazmat
X Endorsement
TWIC

Hazmat Expiration

TWIC Expiration Date

Please list any licenses held in other states for the previous 5 years, include license numbers if you can.

Have you been to truck driving school? *

School Name

School Phone

School Address

Address Line 1

Address Line 2

City

State

Zip Code

GPA if available

Current/Previous Employer

Please complete the form below.

Start Date *

Ending Date *

Employer Name *

Employer Address

Address Line 1

City

State

Employer Phone *

Position Held *

Reason for Leaving *

Is this your current employer? *

May we contact this employer at this time? *

Was this a driving position? *

Type of Truck(s) *

Day Cab
Conventional Sleeper
Straight Truck
Box Truck
Dump Truck
Mixer

Type of Trailer(s) *

Van
Flatbed
Reffer
Tanker
RGN Lowboy

Trailer Length(s) *

24' - 38'
38 - 44'
45 - 53'

Previous Employer

Please list current or most recent first.

Start Date #2

Ending Date #2

Employer Name #2

Employer Address #2

Address Line 1

City

State

Employer Phone #2

Position Held #2

Reason for Leaving #2

May we contact this employer at this time? #2

Was this a driving position? #2

Type of Truck(s) #2

Day Cab
Conventional Sleeper
Straight Truck
Box Truck
Dump Truck
Mixer

Type of Trailer(s) #2

Van
Flatbed
Reffer
Tanker
RGN Lowboy

Trailer Length(s) #2

24' - 38'
38 - 44'
45 - 53'

Additional Information

Please answer the following questions.

Have you had any moving violations in the last 5 years? *

Please list City, County and State, month, year and nature of offense and any fines involved. Please list miles over limit for speeding.

Has your license ever been suspended? *

Please give date and length of supension. List reason why, city, county and state.

Have you had any accidents in the last 5 years? *

Please give date, explaination, city, county and state and if you received ticket/fine (amount).

Have you ever had a DUI, DWI, or OVI? *

Please list date of offense, jail time, fine and or suspension time. We must have complete information to satisfy isusance carrier requirements.

Have you ever been convicted of a felony? *

Please give date and nature of offense, city, county, state and any fines and time served Please list EVERYTHING asked for per isurance requirements.

Have you ever been convicted of a misdemeanor? *

Please list date and nature of offense, city, county and state. also jail time, probation, or fines Please list EVERYTHING asked for.

References

References: Please list name, address, phone and years known.

Reference Name

Reference Phone

Reference Address

Address Line 1

Address Line 2

City

State

Zip Code

Agree to Information Request *

I grant Atlantic Truck Lines permission to request any and all personal information from my previous employers, to access DAC, and to search by any other reasonable means to verify my background. I certify this information to be true and correct.

Agree to Employer Check *

I agree Previous Employer Check

Signature *

Clear Signature