FOR THE DRIVER ONBOARDING PACKET

• Full Name:
   
• Phone Number:
   
• Email Address:
   
• Date of Birth:
   
• Current City & State:
   
• How did you hear about us? (Friend / Website / Social / Flyer / Other)
   

  Driving & Vehicle Information 

Vehicle                                                          Adjustment

• Do you have a valid driver's license? (Yes/No)
   
• Driver's License State:
   
• Driver’s License Expiration Date:
   
• What vehicle will you use for deliveries?
  (Select one)
   
  • Car
     
  • SUV
     
  • Minivan
     
  • Cargo Van
     
  • Sprinter Van
     
  • Box Truck
     
• Vehicle Year/Make/Model:
   
• Vehicle Insurance Expiration Date:
   
• Vehicle Registration Expiration Date:
   
• Does your vehicle have a clean interior? (Yes/No)
   

  Experience & Certifications 

• Do you have courier or delivery experience? (Yes/No)
   
• If yes, how many years/months?
   
• Which industries have you delivered for? (Select all)
   
• Medical
   
• Pharmaceutical
   
• Legal
   
• Office Supplies
   
• Food (not preferred)
   
• Other __________
   
• Do you have any of the following certifications?
  (Check all that apply)
   
• TWIC
   
• HIPAA
   
• OSHA
   
• Bloodborne Pathogens
   
• First Aid / CPR
   
• Hazmat
   
• None
   
• Upload copies (optional):
   
• Upload License
   
• Upload Registration
   
• Upload Insurance
   
• Upload Certifications