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Company Driver Careers Introduction

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 Employee Information
Name:
First Middle Last
Address:
Street City Province Postal Code
Mailing Address:
If different than above Street City Province Postal Code
Home Phone: Cell Phone: Birth Date:

 Employment Record
 Please provide the last 10 years of employment (listed from most to least current):
Employer Name:
Address:
Street City Province Postal Code
Phone Number:  Dates Employed: From   To 
Reason for Leaving:
Type of Equipment Operated:
Were you operating cross border?
Yes
No
Employer Name:
Address:
Street City Province Postal Code
Phone Number:  Dates Employed: From   To 
Reason for Leaving:
Type of Equipment Operated:
Were you operating cross border? Yes No
Employer Name:
Address:
Street City Province Postal Code
Phone Number:  Dates Employed: From   To 
Reason for Leaving:
Type of Equipment Operated:
Were you operating cross border? Yes No
Employer Name:
Address:
Street City Province Postal Code
Phone Number:  Dates Employed: From   To 
Reason for Leaving:
Type of Equipment Operated:
Were you operating cross border? Yes No
Employer Name:
Address:
Street City Province Postal Code
Phone Number:  Dates Employed: From   To 
Reason for Leaving:
Type of Equipment Operated:
Were you operating cross border? Yes No
Employer Name:
Address:
Street City Province Postal Code
Phone Number:  Dates Employed: From   To 
Reason for Leaving:
Type of Equipment Operated:
Were you operating cross border? Yes No
I authorize you to make such investigations and inquiries of my personal, employment, financial or medical history and other related matters as may be necessary in arriving at an employment decision. (Generally, inquiries regarding medical history will be made only if and after a conditional offer of employment has been extended.) I hereby release employers, schools, health care providers and other persons from all liability in responding to inquiries and releasing information in connection with my application.
In the event of employment, I understand that false or misleading information given in my application or interview may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the Company.
Date:
 

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