Kokomo Tribune Carrier Inquiry Survey

All carriers for the newspaper are independent contractors who are in business for themselves. The are not employees of the newspaper; and, as such, are not eligible for any benefits of any sort.

If you are interested in delivering the Kokomo Tribune, please completely fill out the form below.

1.Personal information:(Required.)

Name:

Address:

Address 2:

City/Town:

State:

ZIP:

Email Address:

Phone Number:

2.Which of the following categories best describes your employment status?

Employed, working 40 or more hours per week, and inquiring about supplemental income

Employed, working 1-39 hours per week, and inquiring about supplemental income

Not employed, and inquiring about supplemental income

Retired, and inquiring about supplemental income

3.How long have you lived in the area?(Required.)

4.Please list the type of route you would prefer.(Required.)

Type of route

Motor (primarily tubed in county)

Type of route

City (primarily porch delivery)

Type of route

Either type

Type of route

5.Please list the delivery areas you would be interested in driving. Check all that apply.(Required.)

Delivery area

City of Kokomo

Delivery area

Northern Howard County

Delivery area

Southern Howard County

Delivery area

City of Peru

Delivery area

Miami County

Delivery area

Southern Cass County

Delivery area

City of Tipton

Delivery area

Tipton County

Delivery area

6.Do you have any commitments that would keep you from delivering during regular delivery hours on delivery days?(Required.)

Yes

No

If yes, please explain:

7.Have you delivered a newspaper route before?(Required.)

Yes

No

If yes, when and where?

8.Do you own a vehicle?(Required.)

Yes

No

If yes, how many? Make and model of each:

9.Do you have proof of current vehicle insurance coverage?(Required.)

Yes

No

10.Do you have a valid driver's license?

Yes

No

Driver's license#