Employment Application for Drivers
LASTNAME FIRSTNAME MIDDLE
ARE YOU OVER THE AGE OF 21?
NO YES
TODAYS DATE
DATE AVAILABLE TO START
SOCIAL INSURANCE NUMBER
DO YOU HAVE THE LEGAL RIGHT TO WORK IN CANADA ? NO YES
EXPECTED RATE OF PAY
PHONE
CELL
EMAIL
POSITION APPLIED FOR
ARE YOU NOW EMPLOYED?
HOW LONG SINCE LEAVING LAST EMPLOYMENT?
CURRENT ADDRESS street city province postal
HOW LONG?
You must provide addresses for the past three years
PREVIOUS ADDRESS street city province postal
IN EMERGENCY NOTIFY
EMERGENCY PHONE
WHO REFERRED YOU?
HAVE YOU WORKED FOR THIS COMPANY BEFORE?
EDUCATION/TRAINING
NAME OF SCHOOL
LOCATION
YEARS ATTENDED
DID YOU GRADUATE
COURSE OF STUDY
DEGREE EARNED?
HIGH SCHOOL
N/A
COLLEGE
TRADE/TECH/OTHER
LICENSES
LICENSE TYPE
LICENSE NUMBER
PROVINCE
EXPIRATION
HAVE YOU EVER BEEN DENIED A LICENSE, PERMIT OR THE PRIVILEGE TO DRIVE? IF YES EXPLAIN OR ATTACH DETAILED STATEMENT
HAS ANY LICENSE, PERMIT OR PRIVILEGE TO DRIVE BEEN SUSPENDED OR REVOKED? IF YES EXPLAIN OR ATTACH DETAILED STATEMENT
DRIVING EXPERIENCE
CLASS OF EQUIPMENT
TYPE OF EQUIPMENT
(VAN, TANK, FLAT ETC)
DATES FROM
DATES TO
APPROXIMATE NUMBER OF MILES
STRAIGHT TRUCK
TRACTOR AND SEMI TRAILER
TRACTOR-TWO TRAILERS
OTHER
LIST PROVINCES , STATES, OR TERRITORIES OPERATED IN FOR LAST FIVE YEARS:
LIST SPECIAL COURSES OR TRAINING THAT WILL HELP YOU AS A DRIVER:
LIST ANY OTHER SKILLS OR ABILITIES THAT YOU FEEL WILL HELP IN YOUR WORK FOR THIS COMPANY:
EMPLOYMENT HISTORY (must account for the last ten years)
EMPLOYER
EMPLOYMENT DATES
SALARY
POSITION
NAME
FROM
STARTING
ADDRESS
TO
ENDING
SUPERVISOR
REASON FOR LEAVING
Employment Application for Drivers