| Experience |
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| Number of years of brokerage experience: |
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Number of years of dispatch (career) experience:
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| Number of years of sales (shipper) experience: |
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| Productivity |
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| Number of loads per week: (average) |
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| Gross sales (revenue) per week: (average) |
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| Gross sales is defined as the dollar amount that is billed to the customer. |
| Gross margin per week: (average) |
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Gross margin is defined as the difference between what the shipper pays you for the load and what you pay the carrier.
For example, the shipper pays you $1,200 and you pay the carrier $1,000. The Gross Brokerage is $200 |
| Margin (percentage) per load: (average) |
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| In the example above the margin is 20% ($200 / $1000) |
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| Type of Equipment and Freight |
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| Please mark each of the following types of equipment that you have worked with in your career |
Van
Reefer
Flatbed
Tanker
Specialty |
| Type of freight, which percentage of your freight fits into each of the following categories (numbers should add up to 100%) |
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| Shipper Relationships |
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| How many shippers do you have relationships with? |
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| What percentage of your business comes from your top shipper? |
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| What percentage of your business comes from your top 3 shippers? |
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| What percentage of your business comes from your top 5 shippers? |
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| Carrier Relationships |
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| How many carriers do you have relationships with? |
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| What percentage of your business do you cover with your top 5 carriers? |
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| Computer Skills |
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| What brokerage program are you familiar with? |
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What software programs are you familiar with?
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| Skill Analysis |
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| Do you have supervisory experience? |
Yes
No |
| If yes, how many people do you supervise? |
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If you were to start up a new office, do you have any experienced staff that would join you?
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Yes
No |
| If yes, how many? |
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| Do you have any special skills that you think make you an exceptional employee? (e.g., experience with Hazmat, OS/DD, blanket-wrap, etc.) |
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| Education |
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School:
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Major:
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Minor:
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Degree:
(If earned)
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High School:
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How soon could you open a new office in your area?
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| Can you supply supporting documentation of your sales success into an independent third-party |
Yes
No |
| How did you hear about this position? |
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