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OPERATOR APPLICATION FOR EMPLOYMENT

What position are you applying for?
Company Operator
Owner Operator

 

*First Name:
Middle Initial:
*Last Name:
*Phone Number:
*Email:

Address History

Address history for the last three years. (don't skip any months)

Current Address:

*Street:
*City and Province:
*Postal Code:
*Dates (from - to):
 

Previous Address:

Street:
City and Province:
Postal Code:
Dates (from - to):
 

Qualifications

List current driver's licences you hold. If the name on your licence differs from the name given above, include the actual name on your licence.

Province Or State:
*Licence Number:
Class/Endorsements:
*Status:
Expiry:
A. How long have you had a commercial driver's licence?
B. Have you ever been denied a licence, a permit, or privilege to operate a moter vehicle? Yes  No
C. Has any licence, permit, or privilege to operate a motor vehicle ever been suspended or revoked? Yes  No
D. Do you have a clean drivers abstract? Yes  No
E. Do you have Fast Card Passport US Visa Citizenship PR Card

If the answer to either B or C is yes, enter details below.

Experience

Equipment Class:
Equipment Type:
Dates From:
Dates To:
Approx. # Miles (Total):
 
Equipment Class:
Equipment Type:
Dates From:
Dates To:
Approx. # Miles (Total):
 
Equipment Class:
Equipment Type:
Dates From:
Dates To:
Approx. # Miles (Total):
 
Equipment Class:
Equipment Type:
Dates From:
Dates To:
Approx. # Miles (Total):
 
Do you have the legal right to work in Canada? Yes  No

Accident Record

Accident Record for the Past 3 Years:

Date
Nature of Accident
Fatalities
Injuries
Property Damage
 
Date
Nature of Accident
Fatalities
Injuries
Property Damage
 

Accident Record for the Past 3 Years: (Other than parking violations)

Location
Date
Charge
Penalty
 
Location
Date
Charge
Penalty

Employment Record

Note: 3-year history is required. Use Month/Year for dates, don't skip any months. If you'be been driving longer than 3 years, driving history is required up to 10 years.

Last Employer:

Employer Name
Address
Phone
City
Province
Contact
Position Held
Dates
Salary
Reason for Leaving
 

Previous Employer:

Employer Name
Address
Phone
City
Province
Contact
Position Held
Dates
Salary
Reason for Leaving