Driver – Owner/Operator Application

URL

This field is for validation purposes and should be left unchanged.

Are you applying as a Driver or an Owner-Operator?*

Driver

Owner-Operator

Applicant Name*

First Middle Last

Home Phone*

Cell #*

Email Address*

SIN#*

Current Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

How long have you been at this address?*

If less than 3 years please fill out previous address below.

Previous Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Date of Birth*

Driver’s License #*

Expiry date*

Prov*

Have you worked for Professional Carriers previously?*

Yes

No

If yes, when?*

Are you eligible to drive into the United States today?*

Yes

No

If no, why not?*

Have you ever been convicted of a felony?*

Yes

No

If yes, please explain*

I confirm this driver’s license is the only license I currently have or will possess*

Yes

No

Has any license, permit or privilege ever been suspended or revoked*

Yes

No

How many years have you been driving highway tractor trailer? (Years)

Please enter a number greater than or equal to 0.

Are you currently on prescribed medications that could inhibit your ability to perform your job safely?*

Yes

No

Is there any reason you might be unable to perform the functions of the position?*

Yes

No

Specify*

What are your expectations for: Avg. Weekly miles*

Please enter a number greater than or equal to 0.

Daily Completed Miles*

Please enter a number greater than or equal to 0.

EDUCATION

Circle Highest grade completed:*

College / trade school years completed*

Last School Attended

School Name*

City*

Have you ever attended Driver Training School?*

Yes

No

If yes, please provide a copy of certificate.*

Max. file size: 5 MB.

State any special courses or training that will help you as a driver or in other aspects of this job

For Owner/Operator Completion Only:

Vehicle Information Sheet

Company Name (if applicable)

Tractor Year*

Make*

Model*

Odometer Reading*

Wheelbase (Maximum 244 “)*

Weight (lbs)*

Tractor Monthly Payment: $*

Years in business as a highway owner-operator (Years):*

If you have your own WCB: WBC #*

Clearance Letter Available Y*

Yes

No

Additional Documents

Please provide the following additional documents with your application for review:

Driver License*

Max. file size: 5 MB.

Drivers Abstract (less than 1 month old)

Max. file size: 5 MB.

Criminal Search (less than 3 months old)

Max. file size: 5 MB.

For Owner/Operators:

Letter of Standing from Equipment Financial Institution

Max. file size: 5 MB.

Business Registration/Incorporation Documents

Max. file size: 5 MB.

Application Acknowledgement

Application Acknowledgement – TO BE READ AND SIGNED BY APPLICANT

I authorize you to make such investigations and inquiries of my personal, employment (including driving record), financial or 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, healthcare providers, highway enforcement agencies 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(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the Company.

By signing below, I certify that this application was completed by me and that all entries are true and correct to the best of my knowledge. I also certify that I will submit to drug and alcohol testing requirements as needed.

Name*

Signature*

Date*

Driver – Owner/Operator Application

EDUCATION

Last School Attended

ACCIDENT HISTORY

Last Accident

Next Previous Accident

TRAFFIC CONVICTIONS

SAFETY CODE VIOLATIONS

Commercial Driving Experience

EMPLOYMENT HISTORY

Last Employer

Second Last Employer

Third Last Employer

Fourth Last Employer

Fifth Last Employer

For Owner/Operator Completion Only:

Vehicle Information Sheet

Additional Documents

Please provide the following additional documents with your application for review:

For Owner/Operators:

Application Acknowledgement

Application Acknowledgement – TO BE READ AND SIGNED BY APPLICANT

EDUCATION

Last School Attended

ACCIDENT HISTORY

Last Accident

Next Previous Accident

TRAFFIC CONVICTIONS

SAFETY CODE VIOLATIONS

Commercial Driving Experience

EMPLOYMENT HISTORY

Last Employer

Second Last Employer

Third Last Employer

Fourth Last Employer

Fifth Last Employer

For Owner/Operator Completion Only:

Vehicle Information Sheet

Additional Documents

Please provide the following additional documents with your application for review:

For Owner/Operators:

Application Acknowledgement

Application Acknowledgement – TO BE READ AND SIGNED BY APPLICANT