Please read the following carefully
Your application must be completed in full, please do not put ‘see resume’ in the work history portion of the application. Complete this section in full with date, name, and type of work, reason for leaving and phone number of previous employers (periods of unemployment must be accounted for).
You are required to include the following documents with your completed application:
- Current Driver’s Abstract, must not be older than 30 days from date of hire. Ontario Drivers, include a copy of C.V.O.R with your Driver’s Abstract
- Copy of proof of Canadian Status (Passport, Certificate of Citizenship/ Permanent Resident card/ Work-Permit)
- Copy of your Driver’s License
- If you have a criminal record, copy of your criminal history details
- Copy of FAST card (if applicable)
- Sub- Contractors are required to provide WCB/WSIB account information.
Incomplete applications and/or applications without the above noted documents will not be processed.
Please send your application to the Recruiting Department
Southern Alberta/Northern Alberta/Western Provinces Calgary Terminal
200 Norman PL, Rockyview, AB, T1X-1K8
Toll free : 1-855-776-0020
Cell: 403-344-0073
Email:
[email protected]
Employment Application
TO BE READ AND SIGNED BY APPLICANT
I authorize you to make such investigations and inquiries of my personal, employment, financial or medical history and other related matters as may be necessary in arriving at an employment decision. (Generally, inquiries regarding medical history will be made only if and after a conditional offer of employment has been extended.) I hereby release employers, schools, health care providers and other persons from all liability in responding to inquiries and releasing information in connection with my application. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand also that I am required to abide by all rules and regulations of the Company. I understand that information I provide regarding current and/or previous employers may be used, and those employer(s) will be contacted, for the purpose of investigating my safety performance history as required by 49 CFR 391.23(d) and (e). I understand that I have the right to: Review information provided by previous employers; Have errors in the information corrected by previous employers and for those previous employers to re-send the corrected information to the prospective employer; and Have a rebuttal attached to the alleged erroneous information, if the previous employer(s) and I cannot agree on the accuracy of the information.
For company Use
Process Record
Termination Of Employment
Applicant To Complete
(Answer all questions-please print)
List your addresses of residency for the past 3 years.
Current Address:
Previous To be filled if less than 3 Yrs in current address
Employment History
All driver applicants to drive in interstate commerce must provide the following information on all employers during the preceding 3 years. List complete mailing address, street number, city, province and Postal Code. Applicants to drive a commercial motor vehicle* in interstate or interstate commerce shall also provide an additional 7 years’ information on those employers for whom the applicant operated such vehicle. (NOTE: List employers in reverse order starting with the most recent. Add another sheet as necessary.
Was your job designated as a safety-sensitive function in any name dot-regulated mode subject to the drug and alcohol
Employer 2
Was your job designated as a safety-sensitive function in any name dot-regulated mode subject to the drug and alcohol
Employer 3
Was your job designated as a safety-sensitive function in any name dot-regulated mode subject to the drug and alcohol
Employer 4
Was your job designated as a safety-sensitive function in any name dot-regulated mode subject to the drug and alcohol
Employer 5
Was your job designated as a safety-sensitive function in any name dot-regulated mode subject to the drug and alcohol
*Includes vehicles having a GVWR of 26, 001 lbs. or more, vehicles designed to transport 16 or more passengers (including the driver) or any size vehicle used to transport hazardous materials in a quantity requiring placarding.
*The Federal Motor Carrier Safety Regulations (FMCSRs) apply to anyone operating a motor vehicle on a highway in interstate commerce to transport passengers or property when the vehicle: 1) weighs or has a GVWR of 10, 001 pounds or more. 2) is designed or used to transport more than 8 passengers (including the driver), OR 3) is of any size and is used to transport hazardous materials in a quantity requiring placarding. *The Federal Motor Carrier Safety Regulations (FMCSRs) apply to anyone operating a motor vehicle on a highway in interstate commerce to transport passengers or property when the vehicle: 1) weighs or has a GVWR of 10, 001 pounds or more. 2) is designed or used to transport more than 8 passengers (including the driver), OR 3) is of any size and is used to transport hazardous materials in a quantity requiring placarding
Accident record for past 3 years or more (attach sheet if more space is needed) if none, write none
Traffic convictions and forfeitures for the past 3 years (other than parking violations) if none, write none
Experience and Qualifications - Driver
List all driver licenses or permits held in the last 3 years.
Driving Experience Check Yes or No
Circle Type of Equipment
Experience and Qualifications - Others
To Be Read And Signed By Applicant
THIS CERTIFIES THAT THIS APPLICATION WAS COMPLETED BY ME, AND THAT ALL ENTRIES ON IT AND INFORMATION IN IT ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE
Request For Information From Previous Employer
for the purpose of investigation prospective Employer as required by Section 391.23 and allowed by section 383.35 of the Federal Motor Carrier Safety Regulations. You are released from any and all liablity which may result from furnishing such information
THIS FROM WAS (check appropriate box)
We appreciate your time in completing, in confidence, the information requested below. Endosed is a business reply enveloped for your convenience. Thank you for your courtesy.
Sincerely
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