Careers - Courier One Express

Application for Consideration as an Independent Contractor

Please fill out the following form to be considered as an independent contractor for Courier One Express. This application is for consideration purposes only. Once we have needs for drivers we will review your application and contact you if necessary. Applications are good for six months. If you already have a resume, there is no need to fill out the entire application. You may simply fill out the required information and scroll to the bottom of the page and copy and paste your resume into the resume textbox and hit submit.

All information submitted through this application is confidential and will not be sold or redistributed to anyone.

Required fields are denoted by an * (asterisk).

Basic Information
*First name:
*Last name:
*Date of birth (mm/dd/yyyy):	/ /
*Address:
*City, State, Zip:
*Primary phone number:
Secondary phone number:
Email:
*Are you eligible to work in the US?	Yes No
*Legal status:
Emergency contact:
Name:
Phone:
. . . . . . . . . .

Employment History

*How many years of experience do you have working as a courier driver and in the transportation industry?

Please fill out the following information regarding your 3 most recent employers, if applicable.

Employer 1:
Title/Position:
Company:
Duties/Description:
Location (city and state only):
Supervisor:
Contact number:
May we contact this employer?
Employer 2:
Title/Position:
Company:
Duties/Description:
Location (city and state only):
Supervisor:
Contact number:
May we contact this employer?
Employer 3:
Title/Position:
Company:
Duties/Description:
Location (city and state only):
Supervisor:
Contact number:
May we contact this employer?
. . . . . . . . . .

Vehicle Information

*Please check all vehicles that you own or operate and will use if offered to become an independent contractor for Courier One Express.

Car Mini Van Cargo Van Truck

. . . . . . . . . .

*If contracted, Courier One Express requires that drivers maintain automobile liability insurance with minimum limits of 100, 300, and 100. If contracted, will you be able to meet this requirement?
Yes No

. . . . . . . . . .

References

Please include a business and a personal reference that we may contact. Do not include any relatives.

Business:
Name:
Title:
Company:
Address:
Telephone:
Personal:
Name:
Title:
Company:
Address:
Telephone:
. . . . . . . . . .

More Information

*Have you ever been convicted of a felony, other than minor traffic violations? Answering "yes" does not disqualify you from consideration. Your answer to this question, including the whole application, is kept confidential. Although, as "yes" or "no" answer is required, you may leave the explanation blank if you will.
Yes No

If so, please explain in the following box.

. . . . . . . . . .

Resume

If you have a resume, copy and paste in the textbox below.

. . . . . . . . . .

By submitting this application, you acknowledge and agree to the following:
1. I am submitting this application to be considered as an independent contractor for Courier One Express.
2. The information entered is accurate to the best of my knowledge.
3. Courier One Express may request more information and documentation to verify the information included in this form. COE may also request my drivers license and vehicle insurance.
4. COE may also request random drug/alcohol tests and/or background checks and I must comply in order for consideration and contracting.
5. This application is for consideration purposes only.

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