Application Form

Date

Name

Date of Birth

SIN

Address

Phone

Email

Applying for the position of

Long-haul Driver

Local Driver

Owner-Operator

Car owner

Yes

No

Driver’s License

Canadian

Others

Driver’s License Expiration date

Status in Canada

Permanent Resident

Citizen

Open Work Permit

Student

Are you legally entitled to work in Canada

Yes

No

Highest Level of Education

Desired Employment

Full Time

Part Time

What date are you available to start work?

Have you ever been charged with or found guilty of or convicted of any Criminal offence ?

Yes

No

Tell us about your most recent work experience

Company Name

Phone

Consent to contact this employer

Yes

No

Duration of Employment

Reason for leaving

Position Held

Job Duties

Last drawn pay/wage rate

Accident record for the past three years:

Nature of Accident:

Head-on

Rear-end

Other

Traffic convictions and forfeitures for the past three years (other than parking violations):

Date

Location

Charge

Penalty

Are you capable of lifting objects that weigh 30-60 pounds?

Yes

No

Please provide a Reference

Name

Phone

Relationship

Please provide an Emergency Contact

Name

Phone

Relationship

Do you consent to a Drug Test?

option 1

No

Are you fully vaccinated for COVID-19?

option 1

No

*In case of resignation, a mandatory notice period of 15 days is required. In case of a resignation with less than 15 days notice period; the candidate shall not be paid for the entire last 15 days pay period.

Canditate Signature

Clear