Online Application for Employment

INSTRUCTIONS: Please ensure all required fields are completed and that all information is accurate and current.

NOTES for Driver Applicants: In addition to this online application, we require that you send us all the required paperwork. Your application will only be processed once we also receive a current driver's abastract & where applicable a CVOR.

Information contained in this application will be considered confidential.

*Position:		*Date available:
*Where did you hear of this position:	Newspaper: Referred: Website:		Radio Word of Mouth
Competition #:		Preferred Branch: Please SelectCalgary Edmonton Kamloops Lloydminster Moose Jaw Saskatoon Trail No Preference

Section A - Personal Data - All Applicants

*First Name:		*Last Name:
*Address:		*City:
*Province:		*Postal Code:
*How long at   this address:
*Email Address:		*Phone Number:
Previous Address:		City:
Province:		Postal Code:
How long at this address:
Are you legally entitled to work in Canada?		Yes    No
If working under a permit give number and expiry date:
Is there any bar to extension of permit?		Yes    No
If yes, please state particulars:
Do you have reliable means of transportation to and from work?		Yes    No

Section B - Educational Background - All Applicants

	Secondary School	Trade School, College, or University
Name of School & Location
Years Completed
Certificates, Diplomas, Degrees Obtained
Course of Study
List any specialized training, apprentice skills, awards, professional designations, and other Education

Section C - Employment Record - All Applicants

List all jobs including self employment and periods of unemployment for past 10 years, begin with present or most recent.

Name of Company (1):
Address:		City:
Employed From:		Employed To:
Job Held (Title):		Rate of Pay:
Supervisor's Name:		Email:
Telephone:		Fax:
Job Duties:
Reason for Leaving:
*For Drivers Only
Driving Primarily:	Highway       Local       Other
Good/Products Hauled:
Type of Transmission/Trailer's pulled:
Average Kilometers/month:

Name of Company (2):
Address:		City:
Employed From:		Employed To:
Job Held (Title):		Rate of Pay:
Supervisor's Name:		Email:
Telephone:		Fax:
Job Duties:
Reason for Leaving:
*For Drivers Only
Driving Primarily:	Highway       Local       Other
Good/Products Hauled:
Type of Transmission/Trailer's pulled:
Average Kilometers/month:

Name of Company (3):
Address:		City:
Employed From:		Employed To:
Job Held (Title):		Rate of Pay:
Supervisor's Name:		Email:
Telephone:		Fax:
Job Duties:
Reason for Leaving:
*For Drivers Only
Driving Primarily:	Highway       Local       Other
Good/Products Hauled:
Type of Transmission/Trailer's pulled:
Average Kilometers/month:

Name of Company (4):
Address:		City:
Employed From:		Employed To:
Job Held (Title):		Rate of Pay:
Supervisor's Name:		Email:
Telephone:		Fax:
Job Duties:
Reason for Leaving:
*For Drivers Only
Driving Primarily:	Highway       Local       Other
Good/Products Hauled:
Type of Transmission/Trailer's pulled:
Average Kilometers/month:

May we contact your present employer?		Yes    No
If no, please indicate why:

Section D - Experience & Qualifications - Drivers Only

*Driver's License #1

Province		License No.
Class		Endorsements
Restrictions		Date License First Obtained
Expiration Date

*Driver's License #2

Province		License No.
Class		Endorsements
Restrictions		Date License First Obtained
Expiration Date

*Have you ever been denied a license, permit or privilege to operate a motor vehicle?	Yes    No
*Has any license, permit or privilege to operate a motor vehicle ever been suspended or revoked?	Yes    No
If the answer to either question is yes, provide details.

Accident record for past three years

	Dates (YY/MM/DD)	Nature of Accident (Collision, Upset, Damage, Injuries, Fatalities)	Preventable or Non Preventable
Last Accident
Next Accident
Next Previous

Traffic Convictions & Forfeitures for past three years (other than parking violations)

Location (City or Town, Province or State	Dates (YY/MM/DD)	Charge (Speeding, Unsafe Turn, Etc)	Penalty

Driving Experience #1

Class of Equipment: Straight Truck

Type of Goods		Type of Equipment (Van, Tank, Flat, Hopper, Other)
Type of Transmission		Years of Experience
Approx. No. of total kilometers

Driving Experience #2

Class of Equipment: Tractor and Single Trailer

Type of Goods		Type of Equipment (Van, Tank, Flat, Hopper, Other)
Type of Transmission		Years of Experience
Approx. No. of total kilometers

Driving Experience #3

Class of Equipment: Tractor Trains

Type of Goods		Type of Equipment (Van, Tank, Flat, Hopper, Other)
Type of Transmission		Years of Experience
Approx. No. of total kilometers

Driving Experience #4

Class of Equipment: Other

Type of Goods		Type of Equipment (Van, Tank, Flat, Hopper, Other)
Type of Transmission		Years of Experience
Approx. No. of total kilometers

List Provinces, Territories or other areas operated in during last five years:
Completed special courses or training that may help you as a driver:
List safe driving awards held and from whom:

Section E - Experience & Qualifications - All Applicants

Show all trucking, transportation or other experience that may help in your work with this company:

List courses and training other than those shown elsewhere in this application:

List special equipment or technical materials you can work with (other than those already shown):

Section F - To be read and approved by applicant - All Applicants

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. 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. I hereby release employers, schools or persons from all liability in responding to inquiries 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. If employed I agree to abide by all policies, rules and regulations of the company, as permitted by law.

I agree with the above statement. Date: July 3, 2008

Please verify all information before submitting your application.