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Personal Information
Last Name
*
First Name
*
Initials
Street
*
City
*
Province
*
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Ontario
Prince Edward Island
Quebec
Saskatchewan
Northwest Territories
Nunavut
Yukon
Postal Code
*
Telephone
*
Cell
Email
*
How long at this address?
Position you are applying for?
*
Driver Long Haul
Driver Local Haul
Pneumatic Local
Gravel Local
Long/Local Haul Combo
Casual Driver
When are you available to start?
*
Are you interested in
Full Time or Part Time work?
Full Time
Part Time
Do you have a valid
Class 1 Drivers License?
Yes
No
How many years have you had your Class 1 Drivers License?
Select Years of Experience
Less than 1 year
1 to 2 years
3 to 5 years
6 to 10 years
Over 10 years
Would you be willing to work weekends?
Yes
No
Are you currently employed?
Yes
No
Are you eligible
to cross into the U.S.?
Yes
No
Experience - Truck & Trailer
Class of Equipment
Type of Equipment
Experience
*
Years
Approx # of KMs
Truck & Trailer
Straight & Triple Axles
Yes
No
Select Years of Experience
Less than 1 year
1 to 2 years
3 to 5 years
6 to 10 years
Over 10 years
Truck & Trailer
Super B
Yes
No
Select Years of Experience
Less than 1 year
1 to 2 years
3 to 5 years
6 to 10 years
Over 10 years
Have you ever been denied a license to operate a motor vehicle?
Yes
No
Has your license ever been
suspended or revoked?
Yes
No
Experience - Other
Class of Equipment
Type of Equipment
Experience
Approx # of KMs
Other
Other
Employment Record
Last Employer
Name
*
Address
*
Position Held
*
Length of Employment
*
Reason for Leaving
*
Second Last Employer
Name
Address
Position Held
Length of Employment
Reason for Leaving
Third Last Employer
Name
Address
Position Held
Length of Employment
Reason for Leaving
