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Professional Drivers Academy
Application For Training

Completion of this application is to determine your

qualifications for training. This is not a contract.

All answers are confidential.

PERSONAL INFORMATION
U.S. Citizen?
Reasons for furthering your training:
PHYSICAL FITNESS
Are you in good health?
Do you have atleast 20/40 visions in both eyes with glasses?
Do you have use of both arms, hands, legs and feet?
Do you have good hearing?
Do you have any condition which could cause fainting spells?
Use of intoxicants:
Have you ever had a drug test?
Can you pass a drug test today?
Any physical defects?
EDUCATION
Highest education completed:
Do you have a diploma, G.E.D. or Correspondence certificate?
DRIVING RECORD
Ever been revoked or suspended?
Have you ever been convicted of driving under the influence of alcohol/drugs?
Have you ever been bonded?
Bond ever refused?
EXPERIENCE
Do you have any experience in truck driving?
If yes, how many years?
FOR VETERANS ONLY
Have you ever received Vet benefits?

PDA admits, trains, and refers students without regard to race, color, sex, or national origin. PDA does not guarantee employment.

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I understand that in completing this application, PDA is under no obligation to accept me, nor am I under obligation to PDA.

 

It is agreed and understood that the answers to the foregoing questions are true and correct, and that any misrepresentation of information given above shall be considered an act of dishonesty. 

Thanks for submitting! We'll get back to you soon.

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