Gwinnett Daily Post Carrier Independent Contractor Information Form

Please indicate the position(s) for which you are applying:

Home Delivery Carrier Single Copy Carrier Either one
Name: Date: (mmddyyyy)
Address: Apt:
City:
State: (i.e. GA)
 Zip:
Home Phone #:
Cell Phone #:
Pager #:
E-mail Address:  
1. Are you currently employed? Yes No

If so, for whom

Do you plan to give up your present job? Yes No

2. Please list your last two employers:

Employer: Location:
Position:
Reason for leaving :
Supervisor: Phone #:
 
Employer: Location:
Position:
Reason for leaving :
Supervisor: Phone #:
3. Have you ever delivered newspapers? Yes No

Have you ever delivered the Gwinnett Daily Post Yes No

If other than the Post, for whom

Reason for leaving:
4. Do you have proof of a valid Georgia driver’s license and current insurance? Yes No
5. Do you have reliable transportation? Yes No

Make and model:
6. Backup vehicle available? Yes No

Make and model:

7. Please answer the following question in priority order:

You are in the middle of your route when your car breaks down. What do you do?

a.

b.

c.

8. Please indicate the area(s) you would like to distribute newspapers:
Auburn Braselton Buford

Dacula
Duluth Grayson Hall County Jackson County
Lawrenceville Lilburn Loganville Norcross
Snellville Sugar Hill Suwanee Winder

9. Why do you want to work as an Independent Contractor and distribute the Gwinnett Daily Post newspapers?

10. How will the newspapers be delivered if you are not able to perform the job?

11. What is the earliest date you could begin? (mmddyyyy)

Independent Contractors must have a valid driver’s license, Social Security card and current insurance card prior to the beginning of the one-year contract. When interviewed, please have these documents ready for copying.