Application for Employment

Serving GTA, Southwestern Ontario, Southern Michigan and Northern Ohio
Time Sensitive - Same Day Service Since 1985

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Head Office		St Thomas Terminal
2073 Piper Lane		21 Laing Blvd
London, Ontario N5V 3S5		St. Thomas, Ontario N5P 4B5
Phone:	519-451-4349 ext 232/236	Phone:	519-631-9178
Fax:	519-451-4349	Fax:	519-631-9905

Chatham Terminal		Windsor Terminal
48 London Court		3049 Devon Drive
Chatham, Ontario N7L 4G6		Windsor, Ontario N8X 4L3
Phone:	519-360-8489	Phone:	519-972-7156
Fax:	519-360-1102	Fax:	519-972-1584

Stoney Creek (main office)		Stoney Creek (LTL Warehouse)
330 South Service Road		400 Jones Road
Stoney Creek, Ontario L8E 2R4		Stoney Creek, Ontario N8E 6P4
Phone:	905-664-9477	Phone:	905-664-9477
Fax:	905-664-2256	Fax:	905-664-2256

Kitchener Terminal		St. Catharines Terminal
48 Ardelt Avenue		19 Smith Street
Kitchener, Ontario N2C 2C9		St. Catharines, Ontario L2P 3J7
Phone/Fax:	519-742-7635	Phone:	905-687-8849
		Fax:	905-988-9473
Ingersoll Terminal
300 Ingersoll Street		Owen Sound Terminal
Ingersoll, Ontario N5C 3J7		248 9th Ave E.
Phone:	519-485-5074	Owen Sound, Ontario N4K 5R4
Phone:		Phone:	519-376-6300
		Fax:	519-376-8549
Collingwood Terminal
25 Sanford Fleming Dr
Collingwood, Ontario L9Y 3Z5
Phone:	705-445-1461
Fax:	705-445-6306

General Information

* - indicates a required field

*	Terminal

*	Your Phone Number

*	First Name
	Middle Name
*	Last Name

*	Street
*	City
*	Postal Code

	Date of Birth	/ /

	Social Insurance Number	- -

Experience & Qualifications

Driver Licences

	Province	Licence No.	Type	Expiration Date
*				/ /
				/ /
				/ /
				/ /
				/ /

* A. Have you ever been denied a licence, permit, or privilege to operate a motor vehicle?

* B. Has any licence, permit or privilege ever been suspended or revoked?

If the answer to either A or B is Yes, provide a statement giving details below.

Driving Experience

Class of Equipment	Type of Equipment (Van, Tank, Flat, etc.)	From	To	Approximate Number of Miles (Total)
Straight Truck
Tractor & Semi-Trailer
Tractor & Two Trailers
Other

Accident Record for the Past 3 Years or more

Dates	Nature of Accident (Rear-end, Upset, etc.)	Fatalities	Injuries
/ /
/ /
/ /
/ /
/ /

Addresses for the Past 3 Years

		Street	City	Postal Code	How long?
*	1
	2
	3

Employment Record

Note: Show ALL employment for the past three years and all Commercial Driving Experience for the past 5 years

* Last Employer:	Name
	Phone
	Address
	Position Held
		From To
	Salary

	Reason(s) for leaving

Second Last Employer:	Name
	Phone
	Address
	Position Held
		From To
	Salary

	Reason(s) for leaving

Third Last Employer:	Name
	Phone
	Address
	Position Held
		From To
	Salary

	Reason(s) for leaving

Physical History

List any handicap that prevents you from doing certain types of work:

* Are you physically capable of heavy work?

If no, please explain:

* Have you ever been injured on the job?

If yes, give nature and degree of injuries:

* Have you ever been off for any length of time with an illness or injury?

If yes, please provide dates: From / To /

General

* Do you have a Fast Card?

* Have you ever been convicted of a felony?

* Have you ever been known by any name other than the one on this application?

Employment Application Agreement

It is agreed and understood that any misrepresentation of information given above shall be considered an act of dishonesty.

It is agreed and understood that the employer or his agents may investigate the applicant's background to ascertain any and all information of concern to the applicant's record.

It is agreed and understood that this application for employment in no way obligates the employer to employ me: and it is understood that if hired, I will be on a probationary period during which I may be discharged without recourse.

This certifies that this aplication was completed by myself. I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand also that required to abide by all rules and regulations of the company, as permitted by law.

* I agree to the above terms

Serving GTA, Southwestern Ontario, Southern Michigan and Northern Ohio
Time Sensitive - Same Day Service Since 1985