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Company Driver Owner Operator Other If you selected 'other', please provide details: AZ DZ Shunter Full Time Part Time Driving Preference: LocalLong HaulSingle or TeamCanada/USCanada Only How often would you want to be home? Daily2-3 Days4-7 DaysMore Than 7 Days
Full Name: Address: City: Province: Postal Code: Phone Number: Cell Phone: Date of Birth: Email Address:
Driver's License Number: License Class: Expected Pay: Are you legal to work in Canada? Yes No Has your license been suspended or Revoked? Yes No Are you currently employed? Yes No Years of experience: List of Provinces, States or Territories you have operated in: Do you have a clean CVOR & Abstract? Yes No Do you have a criminal record? Yes No Do you have any WSIB claims? Yes No
From - To Position: Reason for Leaving: Employer Name: Address: