Driver/Courier Application Form

First Name *

Last Name *

Email *

Phone *

City *

State *

Are you over the age of 21? *

Do you own or lease a vehicle? *

What type of vehicle do you drive? *

Cargo Van

Car

SUV

Mini Van

What make is your vehicle? *

What model is your vehicle? *

What year is your vehicle? *

Is your phone less than 5 years old? *

Are you able to carry at least 50 pounds? *

What time of day are you available to provide service? *

Mornings

Afternoons

Evenings

Overnight

Are you a United states Citizen? *

Do you have a valid driver's license? *

Did you receive your first driver's license within the last 12 months? *

Do you have an active automobile insurance policy? *

If yes, are you listed as a driver on the policy?

Have you ever been "CONVICTED" of driving under the influence (DUI) ? *

In the last 5 years, have you received any moving violations? *

If yes please state the nature of the moving violation and the date of the violation:

Some Red Fox customers require to be drug tested in order to perform delivery services. Would you be willing to submit a drug test to make deliveries for these customers? *

Why are you interested in becoming a driver for Red Fox? *

When are you available to start? *

I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from the business.