W L Consortium Contractor Interest Form
Please provide your contact details, availability, vehicle information, experience, and complete the fit questions to express your interest in courier opportunities.
Contact Information
Name
*
First Name
Last Name
Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
City and State
*
Availability
Days Available
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Preferred Hours
Weekly Availability (Hours per Week)
*
Vehicle Details
Vehicle type
*
Please Select
Bicycle
Motorcycle
Car
Cargo Van
Box Truck
Straight Truck
Other
Vehicle year, make, and model
*
Current paperwork and insurance?
*
Yes
No
Delivery Experience
Do you have prior delivery experience?
*
Yes
No
If yes, please describe your delivery experience, including years, types of deliveries, and any relevant details.
Do you have medical or time-sensitive delivery experience?
*
Yes
No
If yes, please describe your medical or time-sensitive delivery experience.
General Equipment
Do you have a smartphone with data?
*
Yes
No
Are you able to lift packages if needed?
*
Yes
No
Are you willing to complete the required onboarding steps?
*
Yes
No
Fit Questions
Why are you interested in this opportunity?
*
Describe your experience working under pressure.
*
What does reliability mean to you in this role?
*
How do you communicate delays or problems?
*
What makes you a strong fit for this role?
*
Acknowledgments and Signature
Acknowledgment of Contractor Opportunity
*
I understand this is a contractor opportunity, not employment
I understand I am responsible for my own taxes and expenses
I understand participation is subject to qualification review
Additional Acknowledgments
I confirm the information provided is accurate
I agree to comply with applicable site and safety requirements
I understand eligibility may depend on scoring or review
Typed Signature
*
Date
*
-
Month
-
Day
Year
Date
Valid driver's license?
*
Please Select
Yes
No
Valid registration?
*
Please Select
Yes
No
Valid inspection?
*
Please Select
Yes
No
Valid insurance?
*
Please Select
Yes
No
Availability Score
*
Fit Score - Why are you interested?
*
Fit Score - Working under pressure
*
Fit Score - Reliability
*
Fit Score - Communicating delays
*
Fit Score - Strong fit for role
*
Overall Score
Drivers Rank
1
2
3
4
5
Submit Application
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