Driver Application

Complete this form to apply as a Medical Courier Driver, Rideshare Driver, or GoGoMunch Driver. All information is kept confidential for onboarding and tax reporting.

NOTE: By submitting this application you certify that all information is true and that GoGoLiberty Transport may use your information to run background checks and report your income to the IRS.

Position Applying For

Position

Personal Information

First name

Last name

Mobile phone

Current address

Previous address (if at current less than 3 years)

Date of birth

Social Security Number (full) Used for background checks and IRS reporting. Stored securely.

Background & Driving History

Any accidents or moving violations in the past 3 years?

If yes, explain

Have you ever been convicted of a felony?

If yes, describe offense, date, and state

Have you ever been required to register as a sex offender?

If yes, explain

Previous Employment (last 3 years)

Most recent employer

Employer phone

Previous employer

Employer phone

Vehicle Information

Vehicle year

Make

Model

License plate

State of registration

Required Uploads

Vehicle Inspection Form: Download and print the inspection form here: Vehicle Inspection Form – have a licensed mechanic complete it, then upload the signed copy below.

Profile photo (headshot)

Driver license

Proof of auto insurance

Vehicle registration

Vehicle inspection form

Social Security card

Medical Courier Certifications

Only Medical Courier Driver applicants are required to upload these certificates: Bloodborne Pathogens, HIPAA, Defensive Driving, and CPR/First Aid.

Bloodborne Pathogens certificate

HIPAA certificate

Driver Defense / Defensive Driving (PASS) certificate

CPR / First Aid certificate

Agreements

I authorize GoGoLiberty Transport to run background checks, MVR checks, and verify my information.

I understand GoGoLiberty Transport will use my SSN to report earnings to the IRS.