Accident Records and Traffic Convictions
Qualifications & Driving Experience
On-Duty Hours & Drug Tests Details
Newfoundland and Labrador
Prince Edward Island
Date of Obtaining License
Provide your residency for last 3 years
Current Address Details
How Long? (years/months)
Add Previous Address
Delete Previous Address
Position Applied for
Do you have the legal right to work in Canada?
Date of Birth
Can you provide proof of age?
Have you worked for this company before?
Are you now employed?
Who referred you?
Rate of Pay Expected
Have you ever been bonded?
Have you ever been convicted of a felony?
Is there any reason you might be unable to perform the functions of the job which you have applied for [as described in the attached job description]
Are you a FAST approved driver?
Provide your employment history for last 3 to 7 years (if any)
Add Employment Details
Delete Employment Details
Provide your accident history for last 3 years (if any)
Add Accident Details
Delete Accident Details
Provide your traffic conviction and forfeitures history for last 3 years (if any)
Add Traffic Conviction Details
Delete Traffic Conviction Details
Highest Grade Completed
Select Highest Grade
Select High School
Name of Last School Attended
Last School's Complete Address
Class of Equipment
Tractor and Semi Trailer
Tractor Two Trailers
Tractor Three Trailers
Motorcoach School Bus (More than 8 Passengers)
Motorcoach School Bus (More than 15 Passengers)
List Provinces & States Operated in Last 5 Years
Show special Courses or Training that will help you as a driver
Which safe driving awards do you hold and from whom
How many years experience under your current class of license?
How many years of US commercial driving experience do you have?
Are you currently an?
Experience - Others
Show any trucking, transportation or other experience that may help your work for this company
List courses and training other then as shown elsewhere in this application
List special equipment or technical materials you can work with (Other than those already shown)
Have you ever tested positive, or refused to test, on any pre-employment drug or alcohol test administrated by an employer to which the employee applied for, but did not obtain safety-sensitive transportation work covered by DOT agency drug and alcohol testing rules during the past three years?
List all driver licenses or permits held in last 3 years.
Add License/Permit Details
Delete License/Permit Details
Have you ever been denied a license, permit or privilege to operate a motor vehicle?
Have any license, permit or privilege ever been suspended or revoked?
Select Your Time Zone
Atlantic Time Zone
Central Time Zone
Eastern Time Zone
Mountain Time Zone
Newfoundland Time Zone
Pacific Time Zone
List all traffic violations (other than parking violations) held in last 1 year.
Add Traffic Violation Details
Delete Traffic Violation Details
Last relieved from work at
DRUG & ALCOHOL TEST RESULTS or any other violation (if any in last 6 months).
Add Drug & Alcohol Test Details
Delete Drug & Alcohol Test Details
Trucking Company Employment Information (Minimum 3 years history must be provided)
Add Company Employment Information
Delete Company Employment Information
Claims History (Please describe all accidents you were involved in for the last 3 years regardless of fault)
Add Claim Details
Delete Claim Details
Are you currently working for another employer?
At this time do you intend to work for another employer while still employed by this company?
Upload Resume/CV (if any in docx, doc or pdf format)
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