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General Information

Truck Driver Training Diesel Technician Training

Current Address

Previous Address


Personal Information

Single Married Separated Divorced

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Truck Driving Applicants


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1 day 5-7 days 10-14 days More than 2 weeks

Driver's License Information

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Education Information

H.S. Diploma GED Neither
1 2 3 4


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Military Information

Active Reserves



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Criminal Background Information

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Personal Health Information

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(Please read carefully and select yes or no. If you answered yes, please explain below.)
Do you have or do you have a history of the following:

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Employment Information



















I understand by completing this application, TDDS Technical Institute is under no obligation to accept me, nor am I under any obligation to TDDS Technical Institute. I hereby authorize TDDS Technical Insitute to research my employment, educational, credit, medical, military, driving history and maintain a permanent student record, the contents of which may be made available at the discretion of TDDS Technical Institute to prospective employers or governmental agencies. It is also agreed and understood that the answers to the foregoing questions have been supplied by me and are true and correct to the best of my knowledge, and that any misrepresentation of information given above shall be considered an act of dishonesty.