This field is hidden when viewing the formDate MM slash DD slash YYYY This field is hidden when viewing the formUser EmailThis field is hidden when viewing the formRoleCompany InformationDOT NumberMotor Carrier NameMain PhoneFaxTaglineWebsite Social Media Carrier Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country This field is hidden when viewing the formGeocoderDate Founded MM slash DD slash YYYY Carrier Type— Select —PrivateFor-HireDOT Type— Select —InterstateIntrastateBlendedAsset Type— Select —Asset basedNon Asset BasedBlendedBrokerTrucking type— Select —LocalRegionalOTRMixLoad Type— Select —TruckloadLTLMixRun PSPs on drivers— Select —YesNoDo you require a TWIC— Select —YesNoNo, but its helpfulFelony OK?— Select —YesNoDUI OK?— Select —YesNoReckless OK?— Select —YesNoJob hopper OK?— Select —YesNoMinimum Age of Applicant— Select —None18212325Use drug pool as pre-employ— Select —YesNo# Trucks# DriversBenefits Offered Vacation (1 week) Vacation (2 weeks) Vacation (3 weeks) Medical Insurance Dental Insurance Vision Insurance Life Insurance Disability Insurance Retirement Savings Plans (401K) PTO Unlimited PTO Flexible Work Arrangements Tuition Reimbursement Wellness Programs (gym) Employee Assistance Programs (EAP) Parking/Transit Subsidies Flexible Spending Accounts (FSAs) Stock Options / Profit Sharing Childcare Assistance Other What other benefits do you offer?What types of drivers do you use? Truck Drivers Contract Drivers Owner Operators Independents ***DEFINITIONS*** Truck driver = W2 Driver, no Truck Contract driver = 1099 Driver, no Truck Owner Operator = 1099 Driver + Truck Independent = 1099 Driver + Truck + Authority = 1 Truck MCWhat license classes do drivers utilize? Class A Class B Class C What vehicle types do you utilize? Commercial Pickups Box/Straight Trucks Tractor Trailers LCVs Contact InformationName First Last Cell PhoneWork PhoneEmail Enter Email Confirm Email Password Enter Password Confirm Password What is your title?Special EmailsEnter Catch-all Email Enter Email Confirm Email I will BCC this email address on all internal and external correspondence Enter DQF Email Enter Email Confirm Email I will email DQF docs – organize alphabetically to create DQF baseDriver InformationAccident ThresholdViolation ThresholdMinimum Years of Experience— Select —01234571015Minimum Miles of Experience— Select —050,000100,000200,000250,000300,000500,000750,0001,000,000What products do you haul? General Freight Household Goods Metal; Sheets, Coils, Rolls Motor Vehicles Drive Away/Towaway Logs, Poles, Beams, Lumber Building Materials Mobile Homes Machinery, Large Objects Fresh Produce Liquids/Gases Intermodal Containers Passengers Oil Field Equipment Livestock Grain, Feed, Hay Coal, Coke Meat Garbage, Refuse, Trash U.S. Mail Chemicals Commodities Dry Bulk Refrigerated Food Beverages Paper Products Utility Farm Supplies Construction Water Well Recyclable Metals Select Must-Have Driver Experience (Deal Breakers)Select experience(s) that you seek in all of your drivers Tractor Trailer Box Truck Boom Truck Bus Car Carrier Dump Truck Fire Truck Fuel Truck Garbage Truck Mixer Plow Truck Service Truck Tank Truck Tow Truck Water Truck Wrecker Yard Dog Pallet Jack Fork Lift (certified) Fork Lift (uncertified) Front Loader Skid Steer Back Hoe Scissor Lift Telehandler Excavator Rain Snow Mountains Desert Flatbed Reefer Tarping Blind Backing Ports Rail yards Other What experience must a driver have?Select Preferred Driver Experience (Value Add)Select experience(s) that would add value to your operation Tractor Trailer Box Truck Boom Truck Bus Car Carrier Dump Truck Fire Truck Fuel Truck Garbage Truck Mixer Plow Truck Service Truck Tank Truck Tow Truck Water Truck Wrecker Yard Dog Pallet Jack Fork Lift (certified) Fork Lift (uncertified) Front Loader Skid Steer Back Hoe Scissor Lift Telehandler Excavator Rain Snow Mountains Desert Flatbed Reefer Tarping Blind Backing Ports Rail yards Other What other experience should the ideal candidate haveHow recently must a driver have driven, for insurance purposes?— Select —No Restrictions – We'll hire them regardless90 days6 months12 monthsCase by CaseRenewal Interval (*)— Select —Every 6 monthsEvery 12 monthsHow often do you want to rescreen drivers? Standard is 1 year. Best practice is 6 months.This field is hidden when viewing the formYears in businessThis field is hidden when viewing the formPublic Contact Name First Last Savings CalculatorEnter # Users# Job Ads per Mo# Apps received per Job AdThis field is hidden when viewing the formAd SavingsThis field is hidden when viewing the formStage 0 Savings (100%)This field is hidden when viewing the formDQFsThis field is hidden when viewing the formStage 1 Savings (60%)This field is hidden when viewing the formStage 2 Savings (20%)This field is hidden when viewing the formOffer Stage Savings (1)Monthly Estimate (3 yr Commit)Estimated Monthly Hours SavedEstimated Cost per Hour SavedThis field is hidden when viewing the formAdminAuto-progression (*)Do you want me (Maude – your AI assistant) to control candidate screening, automatically advancing candidates that meet your criteria? If you select no, then a human will need to click 1 button to advance applicants. This provides a fail safe in case I go rogue or become self aware 😉 Yes No (recommended) Application Policy (*) Always accept new applications Only accept them when a job is open Example: You have no open driver positions when someone with 10 years experience and a clean MVR wants to apply to work with you. Do you want the application?This field is hidden when viewing the formLink to DOT App (Apply)(*) This field is hidden when viewing the formLink to Mx0 Start (*) This field is hidden when viewing the formLink to Mx9 Non DOT App (*)
