Short Application Owner-Operator Inquiry Thank you for your interest in driving for MLM Trucking. By filling out this short survey, I authorize MLM Trucking to access my Motor Vehicle Record and to contact me regarding owner-operator opportunities. Information collected is for pre-screening for employment purposes only. Additional screening will be required. None of the information collected is shared with any other entities without written consent. In compliance with Federal and State equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status, veteran status, non-job related disability, or any other protected group status.Name:* First Last Address:* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Cell Phone #:*Email:* CDL #:*Date of birth:* Social Security No.:*Years of experience:*Have you had a DUI or DWI in the last 10 years?*YesNoDo you have more than 3 moving violations or 2 preventable accidents in the past 3 years?*YesNoPreferred method of contact:*Best time to contact:* : HH MM AM PM Δ
