Apply Online > Application Form for employment
PLEASE PRINT CLEARLY  
Date:
Name:
Phone:
Cell:
Email:
Address:
City:
Province:
Postal Code:
Previous Address (if current is less than three years):
S.I.N.#
Driver’s License Number #:
Driver’s License Expiry:
Issuing Province:
Has your license ever been: Revoked Denied Suspended
If yes, why?
Position Applying For: AZ Driver DZ Driver G Driver
 
Related Transportation Experience
  
(Please enter years of experience in each area and indicate AZ/DZ)
Tractor/Truck:  
5 speed
6 speed
8 speed
9 speed
10 speed
12 speed
13 speed
15 speed
18 speed
Ottawa Shunt
Other Shunt
Single Axle
Tandem Axle
Sleeper Unit
Trailer/Truck:  
Van 
Flat Bed
Reefer
Step Deck
Float
Tanker
Bulk Tanker
Rack & Tarp
Curtain Side
Dump
Walking Floor
A Train
B Train
Containers
Roll Off
Tri-axle
4 axle
5 axle
Trucking Experience:
Freight Types:
Securing the Load:
Steel:
ARE YOU WILLING TO HANDBOMB? yes no
How did you hear about us?
Training:  
Driving School?
Year
Transportation of Dangerous Goods Where?
Year
Defensive Driving Course Where?
Year
WHMIS
First Aid Where?
Year
Hours of Service?
Year
Have you received any safe driving awards?
List any special courses or training that will help you as a driver:
Are you eligible to do cross border work? If no, explain:
Are you bondable?
Have you ever been bonded?
Name of bonding company:
Have you ever had a job related injury? If yes, give details:
Have you had any accidents within the past three years? yes no

Have you had any violations or motor vehicle laws or ordinances (other than parking) of which you were convicted or forfeited bond or collateral during the past three years?

 yes no
Current Employer
Company: Address:
City: Province:
Phone: First date of employment: Last date of employment:
Supervisor’s name and position:
Position Held:
Reason for leaving / Employer specific comments:
1st Most Recent Employer
Company: Address:
City: Province:
Phone: First date of employment: Last date of employment:
Supervisor’s name and position:
Position Held:
Reason for leaving / Employer specific comments:
2nd Most Recent Employer
Company: Address:
City Province
Phone: First date of employment: Last date of employment:
Supervisor’s name and position:
Position Held:
Reason for leaving / Employer specific comments:
Personal References
Name Phone Number Relationship
In case of emergency please contact:
Accident Details  
Date of Accident:
Were you at fault? yes no
Were there injuries? yes no
Details of the Accident:
   
Date of Accident:
Were you at fault? yes no
Were there injuries? yes no
Details of the Accident:
   
Date of Accident:
Were you at fault? yes no
Were there injuries? yes no
Details of the Accident:
I hereby authorize any of my former employers to furnish their records of my service, my reason for leaving their employ together with any other information they have concerning me whether on record or not. I hereby release them from any liability for damage whatsoever for issuing it. I also grant permission to include me in an unidentifiable resume where identification is possible. It is agreed and understood that the employer or his agents may investigate my background to ascertain any and all information of concern to my employment history, whether same is of record or not. I agree to furnish such additional information and complete such examinations to complete my employment file. I also understand misrepresentation or omission of information or facts may result in my rejection or dismissal. I also certify that all statements above are, to the best of my knowledge are true.
Signed: [please type "I agree"]
Date:
 

 

 
© In Transit Personnel Inc apply@in-transit.com | privacy policy
6200 Dixie Road, Units 112/114, Mississauga, ON L5T 2E1
phone 905 564-9424 fax 905 564-8970 toll free fax 1-866-Staff-It