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  1-800-243-9300


Online NTTS Student Application


By submitting this form, I am giving express written consent to receive text messages and/or telephone calls from or on behalf of National Tractor Trailer School at the phone number(S) I provided using automated technology. I understand that standard text and/or usage rates may apply and that I am not required to provide consents as a condition of any sale of a good or service.

Areas and Fields marked with Must be completed unless otherwise noted. Applicant Must fill out this form him / herself.


Education

Origin / Ethnicity

Please answer Yes or No to all the following questions

Do you have any moving violations/speeding tickets in the last 3 years?

Has your license been suspended or revoked in the last 5 years?

Were you convicted of careless/reckless driving or following too close in the last 5 years?

Were you convicted of D.W.I.(s) or D.U.I.(s) in the last 10 years?

Have you had more than one preventable motor vehicle accident in the last 5 years?

Do you have any felony or misdemeanor convictions?

Medical (Must be D.O.T. qualified)

Do you have eyesight that is 20/40 or better (corrected?)

Do you have any hearing loss?

Do you have all of your fingers and toes?

Do you have high blood pressure?

Do you have heart trouble?

Do you have color blindness?

Do you have epilepsy?

Do you have diabetes?

Do you have any sleeping disorder, pauses in breathing while asleep, daytime sleepiness or loud snoring?

Have you ever had a sleep test?

Character Reference (that may be contacted)

Employment Record - List Past Three (3) Years of Employment



Occupational Interests

I hereby certify that the information presented on this form is factual to the best of my knowledge. I also certify that I am Drug Free. I authorize NTTS to perform a background check including a credit history on myself. I release NTTS and any persons providing information from all liability relating to the gathering or furnishing of information.