New Agent Application

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
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?
- None - This is a career change
- 0-1
- 1-3
- 3-5
- 5+
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 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?
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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New Agent Application

Current Employer Information

Experience

How familiar are you with the following?

Reference