Driver Online Application

The application must be completed in full, inlcuding a full work history. Fields marked with an * are mandatory and must be completed to ensure the application is successfully processed

Contact Information

Full Name*:		Street*:
City*:		Province/State:
Postal/Zip:		Email Address:
Home Phone#*:		Alt Phone#:
Fax#:

Experience & Quailifications

License#:		Class:
Accidents in last 3 years:		Tickets in last 3 years:
Driving School Attended:
Driving School Grad Date:

Federal law requires that you be 21 years of age or older to be qualified to operate in interstate commerce. Do you qualify? *	Yes No
Are you a Canadian citizen? *	Yes No
If no, do you have a legal right to live and work in Canada?	Yes No
Have you ever been denied entry into the US?	Yes No
Have you ever tested positive or refused to test on any pre-employment Drug or Alcohol test administered by an employer to which you applied for, but did not obtain employment during the past three years? *	Yes No

Employment History

* We will not contact employers without your consent *

Current/Most Recent Employer

Employer:
Address:
Phone #:
Contact:
Position Held:
Start Date:
End Date:
Are you presently employed?	Yes No
May we call your current employer?	Yes No

Second Last Employee

Employer:
Address:
Phone #:
Contact:
Position Held:
Start Date:
End Date:
May we call this employer?	Yes No

Third Last Employee

Employer:
Address:
Phone #:
Contact:
Position Held:
Start Date:
End Date:
May we call this employer?	Yes No

I certify that I personally completed this questionnaire and that all the information contained herein is true and correct. I authorize Elgin Motor Freight to do a complete background investigation in accordance with provincial and federal laws. I authorize my previous employers to release any information requested by Elgin Motor Freight and hold them harmless of all liability from the release of said information.

Please check this box if you have read and agreed to these terms