Your Inquiry will be submitted to only those companies who offer a Lease-Purchase Program with our
Trucking Job - Lease Purchase Search Service.
There is No fee to Apply.

 
Lease Purchase a Semi Truck, Truck Financing, Truck Driver Lease Purchase, Owner Operator, Lease Purchase Truck Inquiry
  Complete Form Below & Click Submit Button Only Once
 * Indicates Required Answer to Allow Form to Submit
         
* First Name You Must be at least
21 years of age and a
US citizen to apply.		  
* Last Name  
  Middle Initial  
         
* Date of Birth mm/dd/yy  
  Social Security # optional  
         
* Address Where you hang your hat when off the road  
* City  
* State  
* Zip Code    
       
* Primary Phone # (area code) #  
  Alternate Phone # (area code) #  
  Email Address  
       
* Last Date You Drove   You Need RECENT tractor trailer driver experience & it must be verifiable  
  a Tractor Trailer (verifiable) mm/dd/yy or N/A  
         
* CDL Number You must have a valid CDL Class A License  
* CDL Graduation Date mm/dd/yy  
       
* CDL Expiration Date mm/dd/yy or N/A CDL State  
       
* Your Need Hold Down the CTRL key while making more than 1 selection  
* Years of Driving Experience  
* Trailer Experience List all that apply separated by a comma
  
       
* Felony in Lifetime? Yes No A Felony in your lifetime may not disqualify you from employment or a lease purchase  
  If Yes, When? mm/yy
Charge? 		 
* DUI/DWI in Last 5 yrs? Yes No  
  If Yes, When? mm/yy  
* Ever Failed a Drug Test? Yes No  
      If you have more than
3 moving violations or more than 1 over 15 mph speeding ticket, more than 3 preventable accidents in the last 3 years you may not qualify
for a Lease Purchase		  
* Traffic Tickets in Last 3 yrs? Yes No  
  If Yes, How Many?  
* Preventable Accidents in Last 3 Years? Yes No  
  If Yes, How Many?  
       
  Brief Work History    
       
* Most Recent Employer Give Employer Information from the current or most recent back to the 3rd last Employer in chronological order. Give Driving & Also Non-Driving if applies  
  Phone # N/A  
* Position Held  
* Hire Date mm/yy  
  End Date mm/yyStill There  
* Reason for Leaving  
       
  Previous Employer 1 If you have no other work history you can skip either or both Previous Employer sections  
  Phone # N/A  
  Position Held  
  Hire Date mm/yy    
  End Date mm/yy    
       
  Previous Employer 2  
  Phone # N/A  
  Position Held  
  Hire Date mm/yy  
  End Date mm/yy  
       
  Do You Own a Truck Now? If so please give details If you already own a truck or trucks please give details here or skip this section.  
  Wheel Base Truck Year Model  
  Odometer Miles # Trucks to Lease On?  
     
         
  Comments?  
       
* Authorization
I certify that I personally completed this application for the purpose of employment and-or to lease purchase a tractor trailer truck and that all the information herein is true and correct. I authorize any employer receiving this electronic application to do a complete background investigation in accordance with federal and state laws. In accordance with FMCSR Sections 382.405, 382.413, & 391.23. I authorize release of any information, including all information related to my alcohol and controlled substances testing and training records by my former employers and hold them harmless of any liability from release of said information.
 
     
We must have your Authorization in order to submit your request to the companies who will receive it.  
 
 
 
 
   
     
* Required: Type in your full name below to agree for a background check to be conducted by the companies who will receive this inquiry. Only DFN approved companies will receive your inquiry. X
 		  
     

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