dpsdark.gif (4316 bytes)Driver Placement Services, Inc.
Driver Pre-Employment Application


Please fill out the information below.  We will review your qualifications and contact you as soon as we locate a position matching your qualifications:

Name:

Address: 

City:    State   Zip: 

Phone Number:      

Pager/Other Phone:

E-Mail Address: 

Driver's License: Class A      Class B     # Years of Experience: 

DMV Record - # of points:   

Comments about DMV record: 

Endorsements:

Air Brake      Hazmat       Tanker      Double/triple      Passenger  

Other

Last Verified Hourly Wage ($/hr.) 

Specialized Skills: 

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