Step 1 of 6– Contact Info

First Name *

Last Name *

Email *

Phone *

Address

Street Address

City

State

Country

Country

Postal Code

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Step 2 of 6 –

Driver’s License

License Number *

Issuing State *

Expiration Date *

Upload Driver's License *

By providing your driver’s license details you authorize Strong Haul Logistics to verify your driving record.

Step 3 of 6 –

Vehicle Information

Primary Vehicle Type *

Car
Suv
Pickup Truck
Minivan
Cargo Van
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Year *

Make

Plate Number

Model *

Insurance Provider *

Policy # *

Insurance Expiration *

Upload Insurance Card *

Upload Vehicle Registration *

Step 4 of 6 – Work Eligibility & Preferences

Eligible to work in the U.S.? *

Yes
No
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Over 21? *

Yes
No
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Available Days *

Mon

Tues

Wed

Thur

Fri

Sat

Sun

Available Times *

Mornings

Afternoon

Evenings

Overnight

Home Base (region) *

Max Trip Radius (miles) *

Preferred Loads *

Small Parcels

Medical

Legal

Freight

Same-day

Overnight

Step 5 of 6 –

Experience & References

Years of Delivery Experience *

Companies You’ve Run For *

Reference #1 (Name, Phone, Email)

Reference #2 (Name, Phone, Email)

Resume / Certifications

Consent to background check? *

yes
no
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SSN *

Signature *

Signed Date *

*

I have read and agree to the terms stated above.

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