GENERAL INFORMATION

(To be filled out by all applicants)

What AZ Position are you applying for?

Owner Operator: 
Company Driver: 
 

OWNER OPERATOR TRUCK INFORMATION

(Only if applying for Owner Operator position)

Do you own or lease the truck?: 
 

PERSONAL INFORMATION

(To be filled out by all applicants)

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Province:*
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Are you legally eligible to work in Canada?: 

Do you have a criminal record?: 

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Has your licence ever been suspended / revoked / denied?: 

Can you cross the US border?: 
FAST card?: 
Passport?: 
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Have you worked for us before?: 

Any lost time for illness?: 
Have you been injured on the job?: 
 

PREVIOUS EMPLOYMENT

(To be filled out by all applicants)

Please list your last 5 years of employment (CURRENT JOB FIRST)
You must provide contact information

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Type of truck operated
(Please check all that apply)
Straight truck
Tractor trailer
Standard trans
Bunk truck
Day cab
Type of trailer hauled
(Please check all that apply)
48 / 53 ft
Van
Reefer
Flatbed
Trains
Multi Axle
Lift Axle
Steer Axle
Where did you run?
(Please check all that apply)
Local only
Quebec
Western Canada
Eastern USA
Midwest USA
Western USA Mountains
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EDUCATION

(To be filled out by all applicants)

Have you had Dangerous Goods training in the past 3 years?: 
Highest grade completed: 

DRIVER TRAINING

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DRIVING RECORD

(To be filled out by all applicants)


LIST ANY ACCIDENTS YOU HAVE HAD IN THE LAST 3 YEARS

PLEASE LIST ANY TICKETS WITHIN THE LAST 3 YEARS (CAR OR TRUCK)