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DELIVERY SOLUTION PROFESSIONALS
Application for Delivery Solution Professionals
Please fill out the application without leaving any blank. Where you have no answer, please type
"Not Applicable"
*
Indicates required field
Full Name
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First
Last
Name on your Identification Card
Company Name or DBA
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Address
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Line 1
Line 2
City
State
Zip Code
Country
Email Address
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Daytime Phone Number
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The best Phone To Contact You
Evening Phone Number
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First date you can provide contract services
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Are you currently a commercial driver?
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select
No
Yes
Can you provide us with a MVR?
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select
No
Yes
Have you previously contracted with DAO Logistics ,Inc?
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Select
No
Yes
if yes, when?
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Delivery Vehicle Year
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Delivery Vehicle Make
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Delivery Vehicle Model
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Upload a contract work history document listing Client's Name, Dates Contracted, Type of Job and Reason for Leaving.
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Have you ever been convicted of a felony?
*
Select
Yes
No
If yes, please explain:
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Are you a citizen of the United States?
*
Select
Yes
No
Are you a Resident Alien?
*
Select
No
Yes
Do we have permission to obtain and provide you a copy of the background check report?
*
Select
No
Yes
Reference #1 - Please provide the name, address, phone # and number of years known.
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Reference 2
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Reference 2 Address and Contact Phone
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Reference 3
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How long have you driven as an Independent Contractor?
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Reference 3 Address and Contact Phone
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How many accidents/collisions have you been involved in within the last 3 years?
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Major moving violations in the last 3 years (Check all that apply.)
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Hit & Run; leaving the scene of an accident
DWI, DUI; driving while intoxicated
Reckless, negligent or careless driving
License suspension or revocation
Speeding less that 15 MPH over posted limit
Speeding at least 15 MPH over posted limit
Have you had 3 or more moving violations in a year
Any felony, homicide or manslaughter involving the use of a motor vehicle
None of these moving violations in the last three years
None of the above
How did you hear about DAO Logistics?
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Internet (Google, Yahoo, Bing Etc.)
DAO Logistics Online
Craigslist
Job Fair / Tradeshow
Newspaper
Referral
Other (specify below)
Specify other form of marketing
*
Upload File
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Max file size: 20MB
Submit
