Independent freight agent questionnaire INDEPENDENT FREIGHT AGENT QUESTIONNAIRE The information obtained from this questionnaire is kept strictly confidential and will not be shared. Please enable JavaScript in your browser to complete this form.Name *FirstLastState *Other (Located Outside of US)AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahUtahVirginiaWashingtonWest VirginiaWisconsinWyomingIf located outside of US, which country?Phone *Alternate PhoneEmail *Checkboxes * Bing FacebookFamily / Friend Google AdGoogle Search Instagram LinkedIn Pinterest YahooYouTube Zip Recruiter Zip RecruiterWhat is your current position?Agent (1099)Agent (1099)Agent (1099)Non-Agent Industry ExperienceDescribe all past and present work experience. *How many years of freight brokerage experience do you have? *Do you have a customer following? *YesNoHow many customers? * How many loads per week? *Gross sales the last 12 months? * Gross profit the last 12 months? *Profit margin per load? *Submit