Landstar Recruiting - Driver Bridge

Prairie Solutions Inc. - An Agent of Landstar

General Requirements

If you prefer to download the form to fillout by hand, click here.

Full Name (First-Middle-Last)
Phone (with area code)
Address
City
State
Zip
Email
Pager/Mobile/Cell
Birthdate (Month-Day-Year)

Experience (Over-the-Road)	Years
Class A CDL	Yes No
CDL Number
CDL State
Own Truck	Yes No
Own Trailer	Yes No
Hazmat Endorsement	Yes No

# of Moving Violations (past 3 years)
# of Accidents (past 3 years)
Cited for DWI or DUI (past 5 years)	Yes No
Criminal Convictions (felony)	Yes No

Comments

Upon submission of this form, a Landstar representative will be contacting you shortly to discuss your responses. Once it's determined that you meet general requirements, your MVR and DAC will be pulled and examined.