Trailer Repair, Tire Repair
Trucking Company Application
Company Information
Website Address:
# of Years in
Business
Company Name
Address
 City
 State
 Zip Code
How many offices
in your company
Recruitment Dept.
Phone #
Recruitment Fax
Tax Identification No.
Main Phone Number
 Fax Number
Contact Information
Enter Mailing Address if different
from above including City & State
Recruiter's First & Last Name
 Email Address
 Direct Phone Number
 Direct Fax No.
Accounting Dept
Phone No.
 Accounting Dept
Fax No.
Account Payable Dept.
Contact Name
Email Address
Truck Drivers Requirements
Minimum
Age
 Minimum Years of
Experience
 Maximum Traffic Violations
Allow with-in the past 3 years
 Maximum number of accidents
allowed with-in the past 3 years
 Felons
Allowed?
 Explanation of the previous
questions in this section
Maximum
Age
Will Consider
No Felonies
Type of Driver (Mark all that apply)
Solo Driver
Owner Operator
Local Driver
Team Drivers
Over the Road Driver
Company Driver
No Preference
Both Types
Both
Required Endorsements
Multiple Selections Permitted (+Ctrl)
List additional driver requirement
information.
YoungLine DRP (driver referral program) charges a fee only when a truck driver is referred
by us and hired by you. Fees are required to be paid within 30 days from the date of hire. If
your company requires a longer period for a driver to maintain employment (probation
period) to pay referral fees, drivers are subject to sign an agreement to pay your company
back the referral fee paid to us should his employment with your company ends before his
probation period ends and our fees has been paid. After your submission of this online
application, you will receive by fax or email our referral options, pay structure, terms and
agreement. Please email us your questions or concerns at drp@ylservice.com