Delivery Driver Position Application Form

Halo On The Go- Delivery Driver Position Application Form

Please complete the entire application.
🔒 Privacy Notice
The information collected in this application will be used solely for employment screening, background checks, driving record verification, and payroll processing for Halo On The Go, a service of Harbor Halo, LLC. Your data is encrypted during transmission and stored securely. Access is limited to authorized Harbor Halo personnel only. We do not share your personal information with third parties except as required for legal, insurance, or payroll purposes. All sensitive information is deleted when no longer required for operational or legal purposes.
Applicant Information
Full Name*

First NameMiddle NameLast Name
Date of Birth

MonthDayYear
Date
Phone Number*
Email Address*
example@example.com
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Number of years at address?*
Daytime Phone Number*
Evening Phone Number*
Mobile Phone Number*
Mobile Phone Provider*
Mobile Phone Data Plan*
Emergency Contact
Name*

First NameLast Name
Relationship to you*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Driver Questionnaire
Applying for what city?*
Are you available to work in other areas?*
Whats your Availablity?*

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Please list any days you can not work within the next 30 days. if you were hired on by our company:*
How did you hear about us?*
Do you have friends or relatives that work for us?*
If so who?
Have you applied to our company previously? *
If yes, when?
Motor Vehicle Record (MVR) Consent
Do you have reliable transportation? *
Year, Make & Model
Are you at least 21 years old? (Required for insurance)*
If offered employment, when would you be available to begin work?*

MonthDayYear
Date
If hired, are you able to submit proof that you are legally eligible for employment in the United States?*
Yes or No
Do you authorize Halo On The Go to obtain your Motor Vehicle Record (MVR) for the purpose of evaluating your eligibility to drive on behalf of the organization?*

YesNo
This information is for internal screening purposes only and will not be shared or sold.
Upload a Photo or Scan of Your Driver’s License*

Cancelof
Upload a Photo or Scan of Your Vehicle Insurance*

Cancelof
Anything else we should know about your driving record?(Examples: Suspensions, points, DUIs, etc.)
Use for transparency, not disqualification
Applicant Employment History
Employer Name*
Supervisor Name

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Are you still with employer
Job Duties*
Reason for Leaving*
Employer Name
Supervisor Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Are you still with employer?
Job Duties
Reason for Leaving
References

List any two non-relatives who would be willing to provide a reference for you.
Name*

First NameLast Name
Phone Number*
Relationship*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Name*

First NameLast Name
Phone Number*
Relationship*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Applicant Skills
List any skills that may be useful for the job you are seeking.
Background Check Consent
Are you willing to undergo a background check?

YesNo
Other Info
Were you referred by someone?*

YesNo
If yes, please put their name here
Please provide any other information that you believe should be considered, including whether you are by any agreement with any current employer:
Legal Disclaimer for Independent Contractor Driver Application
By submitting this application, I certify that all information provided is true and complete to the best of my knowledge. I understand that any false or misleading information may result in disqualification from the application process or removal from the Halo On The Go contractor network.

I authorize Halo On The Go and its affiliates to verify the information provided, including but not limited to background screening and driving record checks (MVR), for the purposes of evaluating my eligibility to serve as an independent contractor.

I understand that submitting this application does not constitute an offer of employment or guarantee of work, and that if selected, I will be engaged as an independent contractor. As such, I am not entitled to employee benefits, and I am solely responsible for my own taxes, insurance, and business-related expenses.
Signature*

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Date Signed

MonthDayYear
Date
Please verify that you are human*
By submitting this application, you consent to the collection and secure storage of your information as described above.
Should be Empty:

Halo On The Go- Delivery Driver Position Application Form

Motor Vehicle Record (MVR) Consent

Background Check Consent

Legal Disclaimer for Independent Contractor Driver Application