Independent Contractor Candidate Form Date* MM slash DD slash YYYY Name* First Middle Last Vehicle Make* Vehicle Model* Vehicle Year* Dims of Cargo Area* Max Legal Load Weight* Email Address* Address* Street Address City State / Province / Region ZIP / Postal Code Home Phone*Mobile Phone*Mobile Carrier* Emergency Contact Name* Emergency Contact Phone* Date Available* MM slash DD slash YYYY Specific Hours of Availability*Which Statement Best Describes You?*I prefer this type of work as a primary source of incomeI prefer this type of work to supplement my incomeI prefer this work, but favor a traditional “9-5” way to source my incomeI prefer to try this work to see if it could become my primary source of incomeWe utilize only the best Independent Contract Couriers in the industry. A motor vehicle report and a criminal background check is performed for every candidate.
