5 Star CDL Academy Enrollment

Please complete the form below to begin your enrollment process.

First Name

Last Name

Address*

City*

State / Zip Code

Phone Number

Email Address

Date of Birth

Month

Day

Year

Driver License Number

State of Issue

Are you willing to attend training at our Fort Wayne, Indiana campus if accepted into the program?

Select preferred schedules you are interested in. (You can select more than one)

Schedule A (7:00 am - 11:00 am)

Schedule B (11:30 am - 3:30 pm)

Schedule C (4:00 pm - 8:00 pm)

How did you hear about us?

Referred by:

Do you have your CDL Permit and D.O.T Physical?

Please tell us about any prior commercial driving or CDL training experience you may have. Previous experience is not required to enroll in our program

How soon would you like to start?

Do you have any company sponsorships? If yes, who?

How do you plan to pay for tuition?

Self-Pay

Employer Sponsored

Financing

Unsure- Need Information About Financing Through 5 Star CDL Academy

Please provide name, phone number, relationship and address for emergency contact:

Signature

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I understand that I am responsible for providing complete and accurate information on all enrollment forms and related documents submitted to 5 Star CDL Academy. I certify that all information provided by me is true, complete, and accurate to the best of my knowledge.

By submitting this form, I consent to receive phone calls, text messages, and emails from 5 Star CDL Academy regarding CDL training, scheduling, financing options, and enrollment information. Message and data rates may apply. Message frequency may vary.

Student Enrollment Form

5 Star CDL Academy Enrollment