Please don't use punctuation, unless specified.
SSN - This will be collected from you by the enrollment counselor.
Please answer the following questions and select YES or NO to questions 2-13. If required, please explain your answers in the space provided.
14) What is your educational background? (You will be required to provide proof)
Did not finish high school
GED or Equivalent
High School Diploma
More than 4
15) What source of advertisement brought you to IITR?
Top Trucking Schools Website
Agency Counselor (who)
Newspaper: (which one)
Trucking company referral: (which company)
Former Student: (Please name student)
Phone book: (which phone book)
TV (which station)
16) What is your previous employment experience? (what kind of work have you done)
17) What type of employment would you like if you attend and graduate?
Long Haul Solo
Long Haul Team
Any of these
18) If I attend, I plan to pay my tuition by the method selected below:
Cash, Debit, or Credit Card
IITR Internal Student Load (answer Q: 19)
Combination of these (please explain)
Other (please explain)
19) If applying for an IITR Internal Student loan: My Credit is:
I have no Credit
Mandatory questions required by our Licensing Agencies
American Indian or Alaska Native
By Submitting this form you CLEARLY UNDERSTAND: IF I ANSWERED YES TO ANY OF THE QUESTIONS 2-13 ON THIS FORM, I MAY STILL ATTEND BUT IT MAY PROHIBIT ME FROM OBTAINING EMPLOYMENT AS A TRUCK DRIVER AND I MAY BE REQUIRED TO SIGN A PLACEMENT WAIVER. FUTHERMORE: I HEREBY CERTIFY THAT BY SUBMITTING THE FORM, THAT THE SUBMISSION ACTS AS MY SIGNATURE THAT ALL ENTRIES ON THIS FORM ARE TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE.
YOU MUST TAKE AND PASS A DRUG SCREEN. DO NOT ENROLL IF YOU THINK OR SUSPECT THIS MAY BE A PROBLEM. Please type your initials and the phrase: I UNDERSTAND in the comment area as an indicator that you acknowledge this. | | Submit | |