Road to Ownership - Nomination Form

I confirm the above statement

I confirm the above statement

I understand the above statement

What is your (DSP) first name?

What is your (DSP) last name?

What is your (DSP) short code?

What station(s) do you (DSP) operate out of?

What is your (DSP) email address?

What is your (DSP) phone number?

What is your (DSP) mailing address?

What is your (DSP) Business Type? AMZLAMXLRSRWalkerE-BikeSSD

Are you a DSP currently operating within the United States? YesNo

Nominee first name

Nominee last name

What is your nominee's email address? Please ensure the email is entered correctly, otherwise we will not be able to share the application link with your nominee

How would you categorize your nominee’s current role? [Check all that apply] DADispatcherLead DriverFleet ManagerHR ManagerOperations ManagerOther

If other was selected, please provide more detail on the current role.

Which areas of DSP operations has your nominee been involved in during their DSP tenure? [Check all that apply] Launching a DSP (supporting a new DSP launch, Pinnacle launch, TCO, expansion, pop-up or other event)Recruiting, Interviewing and HiringCoaching and SafetyScorecard ManagementFleet ManagementOperations (monitoring route commitment, dispatch etc.)Culture building (leading initiatives around retention, enagegement, inclusion)DSP Finances (book-keeping, payroll, P&L/budget management)Building relationships with partners (e.g. rental companies, tire/repair shop, station management etc.)End-to end DSP operations (all of the above)

How many times has your nominee been promoted at your DSP? 0 (Hired in at Current Role)123+

Cumulatively, how long has your nominee been employed by yourself or another DSP? Less than 1 year1-2 years2+ years

Is your nominee related to you, or another DSP, in any way? (Related to you includes, but is not limited to, parent, grandparent, spouse, sibling, cousin, niece, nephew, children, relation by marriage, etc.) YesNo

Please describe the relationship between yourself and your nominee.

Have you nominated this candidate for the Road to Ownership program before? YesNo

If your nominee is selected for Road to Ownership and if they successfully graduate, how confident are you in your nominee’s ability to operate a high quality DSP after graduation? Highly ConfidentSomewhat ConfidentUnsureSomewhat Not ConfidentHighly Not Confident

How did you hear about the Road to Ownership program? Email from DSP CommunicationsDSP Portal Communications CenterIgnite Live or IOTR eventsYour employeeA Business Coach or Business Development ManagerA DSP associated with Road to Ownership (graduate/mentor/nominating DSP)Station staff or marketing materialsOther

Please enter how did you hear about the Road to Ownership program

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