About YouName First Last Preferred Name Username Referral Code (if any) Email PhoneCity State Password Enter Password Confirm Password Please enter the last 4 digits of your CDL Driving SnapshotWhat type of driver are you? Contract Driver Owner Operator Owner Operator with Authority What class is your commercial license? Class A Class B Class C When did you start driving commercially? MM slash DD slash YYYY How many total commercial miles have you driven?How many accidents in last 3 years?How many moving violations in last 3 years?How many points are against your CDL?When did you last drive? MM slash DD slash YYYY Do you already have a DQF? Yes No Are you currently in a consortium or random drug pool? Yes No HiddenYears as a commercial driverHave you ever had a felony conviction?Having a conviction will not show on your profile Yes No Have you ever been convicted of a DUI or Reckless? Yes No Authority InformationUSDOT NumberFederal MC Number State DOT/MC Numbers Truck Insurance Coverage AmountHiddenBreakEveryone has their own reasons. Why do you want to join SlipSeat?Consent I have read and agree to be bound by the SlipSeat Terms of Service & Privacy Policy.CAPTCHAHiddenAdminHiddenExperienceHiddenAccidentsHiddenViolationsHiddenPass 1 TotalHiddenCost - ScreeningHiddenCost - MVRsHiddenCost - PoolHiddenCost - Drug ScreenHiddenCost - InsuranceOne monthHiddenCost - TotalHiddenFail 1HiddenFail 2HiddenFail 3HiddenFail totalHiddenApproved? (Admin-only) Approved
