Bicycle Foot Motorized

Bonus Code (if provided to you):

Your Last Name:

Your First Name:

Your Middle Initial*:

Name that you use for your courier business:

Street Address Line 1:

Street Address Line 2:

City:

State:

ZIP Code:

TELECOMMUNICATIONS:(please include area codes)

Home Phone:

Nextel Phone:

(If available)

Nextel Private ID#:

(If available)

Alternative Mobile Phone:

Pager:

E-mail Address:

BUSINESS INFORMATION:

Social Security Number or Federal EIN:

Operating Region:

Transport Vehicle Type:

Number of years of experience as a courier:

Please provide the name of the company that you have done the most amount of courier work for (if applicable):

Availability:

availability:

Country of Citizenship

Highest level of education:

Have you ever been convicted of a felony?

How did you learn about us?

If you heard about us from someone else (a referral), please let us know the name of the person who told you about us:


BUSINESS REFERENCES: Please provide us with commercial business references that you have worked with. You should include companies that you have had an affiliation within the past 5 years:

Business Reference 1:

Name of Business:

Nature of Relationship:

Month and Year Affiliation Began:

Month and Year Affiliation Ended:

Name of person worked closely with:

Phone Number:

(Include area code)

Business Reference 2:

Name of Business:

Nature of Relationship:

Month and Year Affiliation Began:

Month and Year Affiliation Ended:

Name of person worked closely with:

Phone Number:

(Include area code)

Business Reference 3:

Name of Business:

Nature of Relationship:

Month and Year Affiliation Began:

Month and Year Affiliation Ended:

Name of person worked closely with:

Phone Number:

(Include area code)


EMERGENCY CONTACT: Please provide info on a contact person in case of an emergency:

First and Last Name of Contact:

Nature of Relationship:

Home Phone Number:

(Include area code)

Cell or Mobile Phone Number:

(Include area code)

Work Phone Number:

(Include area code)


ACKNOWLEDGEMENT AND AUTHORIZATION:
I acknowledge that the information contained herein is correct to the best of my knowledge, and that any misrepresentation of material fact may be cause of termination of my contract. I am providing City Express with authorization to check my references and background information, and I provide permission to call or write or otherwise communicate with persons or companies listed in my profile above, and to investige using public or other sources as deemed necessary by City Express to verify such information.

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Courier-Delivery Driver Application | Courier-Messenger Employment Application

City Express offers same day courier-delivery-shipping messenger services.
Serving Baltimore, Bethesda, Maryland, Columbia, Washington DC, Virginia.

xxx Baltimore | xxx Bethesda | xxx Maryland
xxx Columbia | xxx Washington DC | xxx Northern Virginia

Same day courier-delivery-shipping messenger services at City Express.

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