Appply To Operator Full Name Suffix Jr. II Sr. III IV V SSN / SIN Date of Birth First Equipment Details Year Make Model 2nd Equipment Details Year Make Model 3rd Equipment Details Year Make Model Current Street Address(Line 1) Current Street Address(Line 2) Country USA Australia UK CANADA City State/Province Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip/Postal Code Residence address for 3 or more years? yes No Primary Phone Cell Phone Email Address Preferred Method of Contact Best Time To Contact You? I agree to receive job alerts from US Xpress and those acting on its behalf. This includes receiving emails about trucking job opportunities at the email address I have provided. I understand that I am not required to provide my consent as a condition of submitting this form. My information will not be used for any other purpose. I may opt out at any time. Thank you for providing your information above so that you may be contacted regarding your current application. By clicking “Yes” here, you agree to receive recruiting alerts regarding future opportunities from Variant, and those acting on its behalf, at the telephone number you have provided (or will provide) to U.S. Xpress. You agree that these alerts may come via autodialed calls, pre-recorded messages, and text messages. What position are you applying for? Experienced Company Driver (DRV-EX) Independent Contractor - Lease Purchase (OWN-LP) Independent Contractor - Owner Operator (OWN-OO) What is your Preferred Language? English Spanish Arabic French German Other How much OTR driving experience in the past 3 years? * 0-6 months 1-2 years 6-12 months 2+ years Have you attended truck driving school in the past 5 years? * Yes No Have you had a major preventable accident in the last 12 months? ( Rollover, lane change, rear end, loss of control, side impact crashes) * Yes No Willing to work as a team? Yes No How much truck driving experience do you have? Yes No Are you legally authorized to work in the U. S.? Yes No Are you currently a member of the Active Reserves or National Guard? yes No Are you a U.S. Military Veteran? Yes No Do you read, write, and speak English sufficiently to converse with the public, to understand traffic signs and signals, to respond to officers' questions, and to make entries on reports? Yes No Have you ever worked for USXpress, Inc. before? Yes No Have you ever been known by any other name? Yes No Were you referred by an employee? Yes No Full Name Phone Address City State Zip Code Relationship CHILD FRIEND GRANDPARENT PARTNER SIBLING PARENT SIGNIFICANT OTHER SPOUSE OTHER Straight Truck Tractor and Semi-Trailer Other What states have you driven in regularly? Business Name Country USA Australia UK CANADA Mexico Licensing Authority License Expiration Physical Expiration Is this your current driver license? Yes No Is this a commercial driver license? Yes No Endorsements None Other Tanker Doubles/Triples X Endorshment Hazmat Send message
