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SPI Field Representative Application
Applicant information
Date
Name
*
First
Last
Address
Address Line 1
Address Line 2
City
State / Province / Region
Postal Code
Country
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia (Plurinational State of)
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo (Democratic Republic of the)
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland (Republic of)
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea (Democratic People's Republic of)
Korea (Republic of)
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia (Republic of)
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia (Federated States of)
Moldova (Republic of)
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine (State of)
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russian Federation
Rwanda
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Province of China
Tajikistan
Tanzania (United Republic of)
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom of Great Britain and Northern Ireland
United States of America
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela (Bolivarian Republic of)
Viet Nam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Country
Phone
Email
*
Business hours
Available 24/7
Yes
No
Normal Availability
DBA Name (if applicable)
Legal Business Name (if applicable)
Business type
Incorporated
Ltd
LLC
LP
How many people do you have in your office?
How many of the people in your office will be joining the SPI network?
Please be advised that each additional person will be required to complete and sign an SPI Network Access Agreement.
If you will be operating from a location other than noted above, please provide the complete physical address, and Zip/PC, and phone/fax if different from above.
Experience (Years)
Experience (Years)
Freight Brokerage
Transportation Sales
Dispatching
Transport Operations
Management
Marketing
Previous Employment Experience
Previous Employment Experience
1-Company
1-City, State/Province
1-From
1-To
1-Position
Section Divider
2-Company
2-City, State/Province
2-From
2-To
2-Position
Section Divider
3-Company
3-City, State/Province
3-From
3-To
3-Position
Current Business
Current Business
LTL
Under 5,000 lbs
Over 5,000 lbs
Full Load
Perishables
Pallet Exchange
Grocery
Bulk
Hazmat
Project Cargo
Service Representatives responsibilities include both Sales and Dispatcher Operations. In this regard please indicate:
1. Equipment for which you have expertise:
Over-Dimensional/Heavy Haul
Vans
Flatbeds
Reefer/Temp Controlled
2. Modes of transport you have experience in:
Ocean
Air
Inter-modal
Rail
Please provide your current statistics (average from last 12 months):
Gross Sales Revenue (per month)
Active Customer Count
Margin(Gross Profit)/Load
Total Load/Shipment Count (month)
Revenue Per Invoice
Margin(Gross Profit)/Load
Carriers you work with (count)
Average Miles per load
Gross Profit per Month
Reasons for changing your current freight brokerage partner/network?
Future Business Plan
Future Business Plan
Provide your business goals as an independent business in the SPI Freight Transportation Network. We will do our best to help you achieve your goals.
How many Loads/Shipments planned to move?
1st Month
3rd Month
6th Month
how many loads plan to move 1st month
how many loads plan to move 3rd month
how many loads plan to move 6th month
Section Divider
Your expected average gross profit per load?
1st Month
3rd Month
6th Month
Expected average gross profit per load 1st month
Expected average gross profit per load 3rd month
Expected average gross profit per load 6th month
Divider
Average invoice amount to customer per load?
1st Month
3rd Month
6th Month
Average invoice amount to customer per load 1st month
Average invoice amount to customer per load 3rd month
Average invoice amount to customer per load 6th month
Divider
Personal Income target during?
1st Month
3rd Month
6th Month
Personal Income target during 1st month
Personal Income target during 3rd month
Personal Income target during 6th month
Divider
Personal Income target during?
1st Year
2nd Year
3rd Year
Personal Income target during 1st year
Personal Income target during 2nd year
Personal Income target during 3rd year
Field Representative Checklist
Field Representative Checklist
Type of computer
Desktop
Laptop
Tablet
Screens
Single
Multiple
Computer experience
Basic
Intermediate
Experienced
Microsoft Office (or similar) Experience
Basic
Intermediate
Experienced
Posting service requested
DAT
ITS
Field Representative Requirements
Field Representative Requirements
To conduct business with the SPI Network, you will need daily access to the following equipment and / or services:
Standard desktop or laptop computer with a modern web browser installed (Chrome, Firefox).
SPI TMS Software (supplied by SPI at no charge).
High Speed Internet Connection, such as cable or ADSL if possible.
Copier/Scanner/Fax Equipment
Two incoming phone lines with voice mail
Cell phone with voice mail and email. Any type of smart phone is recommended.
Disclaimer and Signature
Disclaimer and Signature
Thank you for your interest in becoming part of the SPI Network. It is important that you complete all questions on this form for us to fully assess your potential for success within the SPI Network. Please complete this APPLICATION and return by email to getmorenow@spitransport.com or fax to 1-866-383-0393, along with a covering letter and a copy of your resume or business profile. I certify that my answers are true and complete to the best of my knowledge. If this application leads to an SPI contract, I understand that false or misleading information in my application or interviews may result in my contract being terminated.
Date
Message
Continue to Signature