To apply as a truck driver
Personal Information
Last name:
First name:
Address:
Date of birth:
Telephone :
Telephone (other) :
E-mail:
Education
Level Institution Start date End date Specialization Diploma/certificate
Languages spoken
 French:
basic excellent
English:
basic excellent
Languages written
French:
basic excellent
English:
basic excellent
Driver's licence
Driver's licence number:
Where did you take your
commercial vehicle driver's training ?
Length of training :
End date of training :
Have Class 1 licence since ? (date) :
F and M endorsements ?
Available as of (date):
Number of demerit points on record:
Has your licence ever been
revoked or suspended ?
Yes No
If YES, was it while you were working ?
Yes No
For what reason (Why) :
Have you taken a course on the
transportation of hazardous goods ?
Yes No
In which region would you like to work?
Maritimes
Ontario
United States
Québec
Driving
Have you had a vehicle accident
in the past two years?
Yes No
If yes, specify: Date of the accident :
Employer:
Type of accident:
Work experience
 Please list your last three employers
Employer:
Address:
Telephone:
Start datet:
End date:
Position:
Reason for leaving:
Contact person:
Job description:
Employer:
Address:
Telephone:
Start date:
End date:
Position:
Reason for leaving:
Contact person:
Job description:
Employer:
Address:
Telephone:
Start date:
End date:
Position:
Reason for leaving
Contact person:
Job description: