Driver Application

1

Personal Information

Full Legal Name

Phone Number (Mobile)

Email Address

Date of Birth

Street Address

City, State, ZIP

2

Driver's License

License Number

State of Issue

License Class

Expiration Date

3

Availability & Service Area

4

Vehicle Information

Vehicle Make / Model

Year

Vehicle Type

Vehicle Capacity / Size

Current Insurance Provider

Insurance Policy Number

Registration & Ownership

Current Reg.OwnLease

5

Experience

Years of Experience

Types of Deliveries

Previous Employers / Contracts

Areas of Expertise

Accidents / Violations (Last 3 Years)

6

Technology & Communication

Smartphone Type

Comfortable w/ Apps?

GPSDelivery

Preferred Contact

PhoneText

Response Time Expectation

7

Independent Contractor Acknowledgment

I understand I would be working as an independent contractor (1099), not an employee. I understand I must use my own vehicle and maintain my own valid auto insurance. I understand I am responsible for my own gas, maintenance, and operating expenses. I understand toll reimbursements are handled per company procedures. I understand route opportunities are not guaranteed and are based on business needs.

Driver Full Name (Print)

Signature (Type Full Name)

Date

By signing above, you confirm understanding of all terms and attest that the information provided is accurate.

Driver Pre-Screening Questionnaire