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Professional Courier - Independent Contractor

Preliminary On-Line Information Request
Position Interested In:	Professional Couriers - Huntington WVProfessional Couriers - Greensboro, NCProfessional Couriers - Wilmington, NCProfessional Couriers - Hickory, NCProfessional Couriers - Wando, SCProfessional Couriers - Kernersville, NCProfessional Couriers - Middletown OhioProfessional Couriers - Utica NYProfessional Couriers-Brockton MAProfessional Couriers - Midwest RegionProfessional Couriers - Harrisburg PAProfessional Couriers - Greensburg PAProfessional Couriers - Norristown, PAProfessional Couriers - Plymouth Meeting PAProfessional Couriers - Jacksonville FloridaProfessional Couriers - Tallahassee FloridaProfessional Couriers - Cheswick PAProfessional Couriers -Lakeland FLProfessional Couriers-Tuscaloosa, ALProfessional Couriers - Southeast Region
How did you hear about us?

Your Contact Information
*First Name:				*Last Name:
	Address:		*City:		*State:
*Home Phone:				Cell Phone:
	*Email Address:

Your Vehicle Information (vehicle you will utilize as an owner operator)
*Type Vehicle:		Small Pickup w/Topper Full Size Pickup w/Topper S.U.V. Mini-Van Full Size Cargo Van Box Truck
*Make:		*Model:
*Year:		*Odometer Mileage:

Pre-Contract Questionaire (Required)
Have you ever been employed or applied for a position with us?				Yes	No
If yes, when/where?:
Why are you interested in a career with our organization?
List at least six (6) of your personal qualities:
1			4
2			5
3			6