STUDENT INTAKE

Raw Chaos Dispatch Class

LeSheye' Greene · Da Pretty TruckHer RawChaos

Complete the form below before class. When you tap Email My Form, your answers will open in a new email addressed to Raw Chaos—just tap Send.

1. Student Information

Full name *

Preferred name

Email address *

Phone number *

City

State

2. Trucking Background

Currently a truck driver?

YesNo

How long have you been driving?

Own or operate a truck?

YesNo

Planning to become an owner-operator?

YesNoNot sure

Equipment you use or want to learn

Dry vanReeferFlatbedStep deckOther

3. Dispatch Experience

Ever dispatched before?

YesNo

Worked with a dispatcher?

YesNo

What do you already know about dispatching?

What are you hoping to learn?

4. Business Goals

Primary goal *

Dispatch my own truckStart a dispatch businessBothNot sure

Business name

Desired income-start timeline

LLC status

EIN status

5. Knowledge Level

DAT load board

Truckstop load board

Rate confirmations

Broker calls

6. Your Goals

What is the ONE thing you are most confused or nervous about?

What does success look like 90 days after this class? *

Anything else you want LeSheye' to know?

Your answers will be placed into an email addressed to rawchaosdispatch@gmail.com. Review it, then tap Send.

Your email app should open now. If it does not, copy your answers and email them to rawchaosdispatch@gmail.com.

Raw Chaos Dispatching & Logistics · 470.974.0710