Employment Application

NOTE: Fields marked with "*" are mandatory and must be filled in.

First Name* A value is required.	Last Name* A value is required.	MI
Address* A value is required.
City* A value is required.	State* A value is required.	Zip Code* A value is required.

Home Phone* A value is required.Invalid format.	Cellular Phone Invalid format.
Email Address* A value is required.Invalid format.	Fax Invalid format.

What, if any, experience do you have in the Transportation Industry?*
A value is required.

Are you currently employed in the Transportation Industry?

If yes, in what capacity are you so employed?

Would you be leasing equipment to US Transportation Services, Inc.?

Do you have your own Operating Authority?

What services are you most interested in representing?

Do you know any agents / BCOs currently leased to US Transportation Services, Inc.? (If so, please list)

How did you hear about US Transportation Services, Inc.?

PRIVACY STATEMENT - Your privacy and the privacy of all of our customers and associates has been and remains our first priority. Any information submitted to U.S. Transportation Services, Inc. will be used for the sole purpose of filling your rate inquiry in the most efficient manner possible, and will NEVER be sold, submitted or given to any third party for any reason.

NOTICE TO APPLICANTS - Federal and state law requires that all applications be considered without regard to race, religion, sex, age, or origin. We believe in and fully support the principle of equal employment opportunity and will fulfill our obligation to the fullest.