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Independent Contractor Profile
Thanks for your interest in contracting with Delivery Express!Please fill out the following form to provide us with more feedback on your experience and availability as a contract delivery driver. After we review your information we will be able to match your experience and availability to one of our numerous delivery opportunities.
* required field
PERSONAL INFORMATION
*
First Name
*
Last Name
*
Email
*
Zip/Postal Code
Primary/Home Phone
Mobile Phone
Address
City
State/Province
(AA) Armed Forces Americas
(AE) Armed Forces Europe
(AP) Armed Forces Pacific
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
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
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
U.S. Minor Outlying Islands
Utah
Vermont
Virgin Islands of the U.S.
Virginia
Washington
West Virginia
Wisconsin
Wyoming
ADDITIONAL INFORMATION
Legal Age Requirement
Date of Birth
Month
January
February
March
April
May
June
July
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Day
1
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Year
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2004
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2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
*
Age Range
Please Select
Under 21 yrs
Over 21 yrs
Available Vehicle Information
*
Vehicle Type
Bicycle
Car
Pickup
SUV
Minivan
Cargo Van
Box Truck
Drivers License and Experience
*
Valid Drivers License
Yes
No
Drivers Licence #
Drivers License State
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
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
*
How many driving incidents (i.e. speeding tickets, failure to stop, etc. ) do you have on your driving record for the past three years?
*
Please describe your delivery driving experience and other information you would like us to know about
Hours of Availability (i.e. 8am - 4pm)
Weekdays
Monday
From
until
Tuesday
From
until
Wednesday
From
until
Thursday
From
until
Friday
From
until
Weekends
Saturday
From
until
Sunday
From
until
Thank you for your interest!
Renton, Washington, 98057
425-251-3533
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