Technician Application Form
Please complete all sections below to help us set you up in our system. Ensure all information is accurate. If a field doesn’t apply to you, enter “N/A
Your Name
*
First Name
Last Name
Business Name
*
Address
*
Street Address
Street Address 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Country
Time Zone
*
Please Select
Eastern (EST): UTC-5
Central (CST): UTC-6
Mountain (MST): UTC-7
Pacific (PST): UTC-8
Alaska (AKST): UTC-9
Hawaii-Aleutian (HAST): UTC-10
Type of Phone for Field service app
*
Please Select
Android
iPhone
Tablet
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Alternate Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Geographical area covered? (daily one way mileage)
*
Please Select
0-50
0-100
0-200
Any
Contact Preference?
*
Call
Text
Email
No Preference
Have you worked for Handsfree before?
*
Yes
No
Willing To Travel for Projects? (overnights)
*
Yes
No
Are you 18 years of age or older?
*
Yes
No
Doyou have a valid driver's license?
*
Yes
No
Do you have your own tools?
*
Yes
No
Areyou legally authorized to perform contract work in the United States?
*
Yes
No
Are you willing to complete and authorize any background screening required by Handsfree Group or its customers as a condition of performing certain projects?
*
Yes
No
Certifications Held
*
Samsara
MECP
ERail
TWIC
Geotab
Motive
Other
Other Certifications
*
Do you have reliable transportation?
*
Yes
No
Products you have Installed
*
Geotab
Verizon
Lytx
Mobileye
PeopleNet
Standard 3-Wire GPS
Standard Dashcam
Hub/DVR Camera system
Starter Interrupt
Side Cameras
Rear Cameras
Trash Trucks
GPS Trackit/Zonar
Samsara
Motive
Netradyne
Pedestrian Detection Systems
Speed Limiter Systems
Multiplexer
360/Birdseye Systems
School/Yellow Bus
Coach Bus
Police/Emergency Vehicles
Forklifts
Yellow Iron/Heavy Machinery
How would you rate your skill set?
*
Basic/Entry Level
Intermediate/Mid Level
Highly Skilled/Advanced Level
Master
Any additional information regards your skill set that you would like Handsfree to know?
Do you run a team of Techs?
*
No
Yes
If Yes, How Many?
*
Do you have a scheduler other than the primary technician?
*
No
Yes
Name of Job Scheduler if different than Technician
*
Scheduler First Name
Scheduler Last Name
Scheduler Email
*
example@example.com
Scheduler Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Submit
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