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First Name
First name
Last Name
Last Name
Email address
Email address
Phone number
Phone number
Address 1
Address 1
Address 2
Address 2
City
City
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DC
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SC
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State
Zip Code
Zip
Are you at least 21 years or older?
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Yes
No
Do you have a Class A Commercial Driver's License?
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Yes
No
Class A Driving Experience
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Experienced Class A Driver
Have Class A CDL, But Need Training
Need Schooling to Obtain Class A CDL
Currently Enrolled in Truck School
Previously Worked for Swift
Have you ever been convicted of a DUI/DWI?
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Yes
No
How many DUI/DWI's have you had in a lifetime?
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No DUIs
1 DUI
2 DUIs
3 DUIs or More
Number of moving violations in the past 2 years?
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No Violations
1 Violation
2 Violations
3 Violations or More
Number of accidents in the past 2 years?
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No Accidents
1 Accident
2 Accidents
3 Accidents or More
Is your license currently suspended or revoked?
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Yes
No
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