New Agent Application - CJC Transport

First Name*

First Name

Last Name*

Last Name

Phone Number*

Phone Number

Email Address*

Email Address

How did you hear about us?*

How did you hear about us?

Do you have legal rights to work in the US?*

Do you have legal rights to work in the US?

Yes
No

Current Address*

Current Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Attach Resume*

Attach Resume

Drop files here or

Max. file size: 50 MB.

Current Employer Information

If you aren't currently employed, please put your most recent employer information.

Are you currently employed?*

Are you currently employed?

Yes
No

Employer Name*

Employer Name

Reason for Leaving?*

Reason for Leaving?

Employer Address*

Employer Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Experience

Are you currently acting as a broker or agent for another company?*

Are you currently acting as a broker or agent for another company?

Yes
No

How many years of experience do you have as a freight broker or agent?*

How many years of experience do you have as a freight broker or agent?

What was your total gross sales revenue for the last year you were an agent?*

What was your total gross sales revenue for the last year you were an agent? This number should reflect the most current full year of sales. If you are a new agent with no track record of sales, please put 0.

What was your profit margin for that same year?

What methods do you use for finding new customers and new freight?*

What methods do you use for finding new customers and new freight?

What commodities do you specialize in?*

What commodities do you specialize in?

Are there any regions in the U.S. or internationally you specialize in?*

Are there any regions in the U.S. or internationally you specialize in?

Are you under any restrictions currently, such as a non-compete?*

Are you under any restrictions currently, such as a non-compete?

Yes
No

Do you have a current book of business you'll be bringing with you?*

Do you have a current book of business you'll be bringing with you?

Yes
No

If yes, approximately how many customers?

How familiar are you with the following?

Posting and searching on DAT*

Posting and searching on DAT

No experience
Little experience (I have used it, but not much)
Some experience
A lot of experience - I don't need any training

Posting and searching on Internet Truckstop*

Posting and searching on Internet Truckstop

No experience
Little experience (I have used it, but not much)
Some experience
A lot of experience - I don't need any training

How familiar are you with McLeod Trucking Software?*

How familiar are you with McLeod Trucking Software?

No experience
Little experience (I have used it, but not much)
Some experience
A lot of experience - I don't need any training

How familiar are you with SharePoint?*

How familiar are you with SharePoint?

No experience
Little experience (I have used it, but not much)
Some experience
A lot of experience - I don't need any training

Reference

Reference First Name*

Reference First Name

Reference Last Name*

Reference Last Name

How do you know this person?*

How do you know this person?

Reference Phone Number*

Reference Phone Number

Reference Email Address*

Reference Email Address

How long have you known this person?*

How long have you known this person?

Lastly, describe your ideal brokerage partnership.*

Lastly, describe your ideal brokerage partnership.

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