At Travelers Transportation Services, people are our strength. If you feel your skills and initiative are up to our highest standards,
we'd like to hear from you. Please fill out and submit the form below.
Identification
Last Name
First Name
Address
City
Province
Postal/ZipCode
Area Code
Telephone
Are you a Canadian citizen
YesNo
If not, are you legally permitted to work in Canada?YesNo
Type of equipment:Dry Box:
Position category:Driver-employee:Owner operator:
Languages
What is your knowledge of the english language?
Fluent:Good: Basic:Nil
What is your knowledge of the french language?
Fluent:Good: Basic:Nil
Education
What is your level of education?;
Did you obtain a diploma?Yes No;In what year?
Month and year of truck driving course (mm/yyyy)
Number of hours of instruction:
Would you accept on-road training if necessary?Yes; No
Experience
Number of months experience driving an 18 wheeler in:
Canada:
USA:
Other
If "Other" specify what country:
Number of months of experience with the different trailers:
Dry box:
Flat bed:
Reefer:
Previous Employers (starting with the most recent)
1.
Name:
Address:
City:
Province/State:
Area Code:
Telephone:
Position held:
From(mm/yyyy)
Until(mm/yyyy)
Person to contact:
Reason departed:
2.
Name:
Address:
City:
Province/State:
Area Code:
Telephone:
Position held:
From(mm/yyyy)
Until(mm/yyyy)
Person to contact:
Reason departed:
3.
Name:
Address:
City:
Province/State:
Area Code:
Telephone:
Position held:
From(mm/yyyy)
Until(mm/yyyy)
Person to contact:
Reason departed:
Accidents
Have you had any truck or car accidents during the last 24 months?
Yes No
Number of accidents in a car
Comments
Number of accidents in a truck
Comments
Official Documents
Do you have a valid driver's license?
Yes No
License number:
Class:
Province/State:
Do you have a valid passport?
Yes No
Do you have a Canadian working permit or a visa?
Yes No
Do you have an American working permit or a visa?
Yes No
Do you have the following cards?
Drugs/alcohol screening card
Road test
Hazardous material
U.S.A. medical exam
Written exam (ICC)
Do you have any other transport related competency cards?
Yes No
If yes, which one:
eg. Diesel mechanic, air brakes, etc.
Current driver's abstract
Have you followed any courses on load handling and securing?
Yes No
Could your entry be refused because of a criminal charge for which you have not been pardoned?
Yes, Canada Yes, USA No
Could your entry be refused for any other legal or judicial reason?
(Road accident, highway code violation, problems with American customs,
immigration, internal revenue -IRS- or other departments
Yes, Canada Yes, USA No
Are you presently being prosecuted for a highway code violation or
other criminal charges that could prevent you from working as a truck
driver or that could deny you the right to drive a vehicle in Canada or
USA?
Yes No
Do you have any unpaid traffic tickets or any other unpaid fines?
Yes No
In the past 3 years, have you been sentenced for driving under the influence of alcohol or drugs?
Yes No
If yes, explain
Has your driving licence ever been suspended?
Yes No
If yes, when?
For what reason was your licence suspended?
Health
In the last 3 years, have you had any health problem that prevented you from working?
Yes No If yes, explain:
Presently, do you have any health problems that prevent you from working as a truck driver?
Yes No If yes, explain:
In the last 24 months, have you been submitted to a drugs and alcohol screening by a previous employer?
Yes No If yes, name the employer:
Availability
Are you available for long distance transport in Canada and U.S.A., for a maximum duration of?
1 wk
2 wks
3 wks
More than 3 weeks
Are you available to drive as a team member?
Yes No
For the owner operator
Make of your tractor:
Serial number:
Year:
Net weight:
Tire size:
Ratio:
Type of engine:
Horsepower:
Transmission:
Hitch height (5th wheel):
References
We would like to know how you were referred to TRAVELERS?
By Internet:
By a person:
His/Her Name:
By publicity:
Which one:
Other:
Specify:
Declaration
By sending this form,
I declare that I have answered completely and
honestly all the above questions. I understand that any false
declaration or any willful omission on my part on the application form
or at any time during the hiring process may result in my application
being rejected or in my being dismissed without further notice. I
authorize Travelers Transportation Services and their representatives
to look up my references to confirm the veracity of my statements and
of the information I have given. I also understand that I must
obtain a successfull result on the examination and tests givent to me
by Travelers Transportation Services before my application can be
considered;
I agree to give all other pertinent information or documents to enable Travelers Transportation Services to
fully evaluate my application. I also agree to submit to a medical exam by a
physician designated by Travelers Transportation Services.