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General Information


Position Applied For:
Full Name:
Address:
City:
Province:
Postal Code:
Home Phone:
Cell Phone:
Email:


Personal Information


Social Insurance Number
Are you legally permitted to work in Canada?
Yes No
Were you previously employed by this company?
Yes No
Do you have a condition or disability which may affect your ability to work?
Yes No
Are you prepared to take a Company Drug and Alcohol test?
Yes No
Have you had any recent work related incidents?
Yes No


License Information


Do you have a valid Alberta Driver License?
Yes No
What class?
Air Brakes Endorsement?
Yes No
Driver License #:


Driving History


Type Of Truck Years Of Experience
Body Job
B-Train
Super B
Vacuum
Quad
Tri-axle
Semi
List all vehicle accidents (if any) you had in the past three years:


Certifications


Certificate Number Expiry (MM/YY)
H2S Alive
First Aid
TDG
WHMIS
Confined Space
GODI
PST
Other certificates:


Experience


Do you have any relevant experience for the position you are applying for? If so, tell us about it:
All information provided in this application form is true to the best of my knowledge and recollection. I understand that if any statements made are found to be false, it could result in immidiate dismissal from Silverstone Trucking Ltd.