To be completed by Applicant Agent
All INQUIRIES WILL BE HELD IN STRICT CONFIDENCE

The following questionnaire is important for Covenant Transport Solutions, Inc. (CTS) to learn more about your business background. This questionnaire will remain confidential and shall only be used for the purpose of evaluating a potential independent contractor freight agency relationship between CTS and applicant. This is not an application for employment for any groups affiliated with Covenant Transport, Inc. 

NOTE: By submitting this Background Questionnaire, you acknowledge and agree that CTS can contact you for the purposes evaluating a potential independent contractor freight agency relationship with you, and that any such potential relationship shall be subject to such additional investigation, documentation and information gathering as is reasonably determined by CTS. You acknowledge that until a final written agreement is signed between you and CTS, no agency or other relationship is created between you and CTS, and this Background Questionnaire is offered by you solely for the purpose of initiating discussions between the parties, but creates no obligation on the part of either party to pursue or consummate any such relationship.

*First Name
*Middle Name
*Last Name
*Telephone Number
*Email Address
*Fax Number
*Address
*City
*State
*Zip
*How do you want a representative
 from CTS to contact you?
E-mail
Phone
Mail

*

2009 Gross Revenue

*2009 Brokerage Revenue
*2009 Total # of Transactions

*2008 Gross Revenue
*

2008 Brokerage Revenue

*2008 Total # of Transactions

*2007 Gross Revenue
*2007 Brokerage Revenue
*2007 Total # of Transactions