Summit Trucking

First Name

Middle Name

Last Name

Cell Phone

Email Address

Street Address

City

State

Zip Code

Do you hold a current, valid Georgia CDL license? Yes No

If not, in what state was your CDL issued?

What is your current CDL License Number? (Note: Georgia CDL is 9 numeric digits)

What is your date of birth?

How many years have you had your CDL(s)?

In what states, other than Georgia, have you had CDLs?

Are you currently working as a CDL truck driver now? Yes No

When are you available to start working?

Are you a citizen of the United States? Yes No

Social Security Number:

Full name as it appears on your Social Security Card:

Have you ever pled "guilty", or "no contest", or been convicted or a crime? Yes No

Note: Answering "yes" to this question does not constitute an automatic rejection.

Have you ever tested Positive for a Controlled Substance? Yes No

Have you ever had a confirmed Blood Alcohol Test (BAC) of .02 or higher? Yes No

Application Progress:

1 / 3 Pages

Note: Your application is not considered complete until all 3 pages are complete.