Driver Application - Road Train Express Inc.

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Driver Application

The information you provide as part of, and to support, this application will not be provided to any other individual or business entity without your permission as may be required by law.

Please submit COPIES, not originals, of the following documents:

Class 1 (AZ) driver’s license (Front and Back)
Abstract, C.V.O.R. Must be dated within 30 days of application
Criminal record search. Must be dated within 90 days of application. https://commissionaires.ca/en/services/
Border Crossing Documents
PR Card or Work Permit if applicable

Driver Application

Step 1 of 4

25%

Driving position applied for (mark all that apply):(Required)

Company

Owner OP

Owner OP Employee

CDA Only

CDA/US

Team

Single

Long Haul

Regional

City/Switch

LCV

Container

Applicant Information

Date(Required)

Applicant Full Name(Required)

First Middle Last

Address(Required)

Street Address Apt/Unit# City Province ZIP / Postal Code

Phone (res)

Cell

Email(Required)

Enter Email Confirm Email

Previous Address: if less than 3 years at current address

Street Address Apt/Unit# City Province ZIP / Postal Code

Emergency Contact(Required)

Phone(Required)

General Information

How did you hear RoadTrain Express?

Equipment

Website

Trade Show

Social Media

Referral

Stability

Benefits

Safety

Facilities

Home Time

Pay

Other

Referral Name

Please Specify

Have you ever applied with RoadTrain Express before?

Yes

No

If Yes, when?

Have you ever been employed with RoadTrain Express previously?

Yes

No

If Yes, when?

Reason for leaving?

Check the applicable box for valid Travel Documents you currently hold(Required)

FAST

Passport

U.S. Visa

U.S. Waiver

Work Permit

PR Card

Are you qualified to operate in United States?(Required)

Yes

No

Are you legally entitled to work in Canada?(Required)

Yes

No

Have you ever been denied entry into the U.S.?(Required)

Yes

No

Are you physically capable of heavy work?

Yes

No

If No, list limits

Have you ever been denied a license, permit or privilege to operate a motor vehicle?(Required)

Yes

No

Has you driver’s license, permit or privilege ever been suspended or revoked?(Required)

Yes

No

Have you even been convicted of a serious traffic violation?(Required)

Yes

No

List all Accidents and Violations regardless of fault, severity, or motor vehicle type

Accidents (past 3 years)(Required)

Yes

No

Accidents (past 3 years)

Date

Type of Accident

Convicted?

Violations (past 3 years)(Required)

Yes

No

Violations (past 3 years)

Date

Charge

Penalty

Owner Operators only

Year

Make

Model

Weight

Mileage

Monthly Payment

EMPLOYMENT HISTORY – PAST 10 YEARS

The information requested herein as per Federal Motor Carrier Safety Regulations (383.35)(c) may be used for the purpose of investigating applicant’s previous work history, including contacting applicant’s previous employers for verification purposes. Begin with your current or most recent job and work backwards in order, listing your employers for the last 10 years including all full and part-time employment. All time must be accounted for, including military service, self-employment, and periods of unemployment. Use supplementary sheets if necessary.

Employer Name(Required)

Dates

From

To

Address

Address City Province

Position Held

Experience

CDA

US

Employer Contact(Required)

Name

Email

Phone

May we contact this Employer?

Yes

No

Second Last Employer:

Employer Name

Dates

From

To

Address

Address City Province

Position Held

Experience

CDA

US

Employer Contact

Name

Email

Phone

May we contact this Employer?

Yes

No

Third Last Employer:

Employer Name

Dates

From

To

Address

Address City Province

Position Held

Experience

CDA

US

Employer Contact

Name

Email

Phone

May we contact this Employer?

Yes

No

Fourth Last Employer:

Employer Name

Dates

From

To

Address

Address City Province

Position Held

Experience

CDA

US

Employer Contact

Name

Email

Phone

May we contact this Employer?

Yes

No

Fifth Last Employer:

Employer Name

Dates

From

To

Address

Address City Province

Position Held

Experience

CDA

US

Employer Contact

Name

Email

Phone

May we contact this Employer?

Yes

No

EDUCATION / TRAINING / EXPERIENCE

List any other additional training or driving schools:

Primary Experience

City Local

Yrs

Mos

Short Haul

Yrs

Mos

Long Haul

Yrs

Mos

Mountains

Yrs

Mos

Types of Freight Hauled

Reefer/Heater

Dry Van

Dump

A,B,C Trains

Deck

Other

DRIVER EXPECTATION

If single, are you willing to run team on an exception basis?(Required)

Yes

No

If team, are you willing to run single on an exception basis?(Required)

Yes

No

Are you willing to participate in switches/relays? (ex. Swap loads to keep moving)(Required)

Yes

No

What is your normal monthly mileage expectations?(Required)

What is your normal days out / days off expectations?(Required)

Days Out

Days Off

Are you willing to switch into another truck temporarily, if your assigned truck requires repairs?(Required)

Yes

No

Are you willing to be flexible with the company to achieve your mileage/income expectations, in the event that a scheduled lane or departure day/time has changed for reasons beyond our control?(Required)

Yes

No

Due to the nature of the position you may…(Required)

a. Be required to work weekends
b. Be required to make extra pick-ups, deliveries or empty trailer shunts
c. Need to assist shippers and receivers when required
d. Be required to drive through the night
e. Experience trip related delays as a result of operational needs / customer demands
fg. Be required to lift up to 50lbs

Yes

No

Are there any other specific concerns that you would like to identify, which could have an impact on our partnership? (ex. Upcoming vacations, restrictions hauling certain commodities)

Upload Your Resume(Required)

Upload your resume in .pdf, .doc or .docx format

Accepted file types: pdf, doc, docx, Max. file size: 25 MB.

Driver Name

Driver Name

Date

Recruiter Name

Recruiter Name

Date

Authorization Confirmation(Required)

I have read the above Disclosure Regarding Background Reports provided to me by Prospective Employer and I understand that if I
sign this Disclosure and Authorization, Prospective Employer may obtain a report of my crash and inspection history. I hereby
authorize Prospective Employer and its employees, authorized agents, and/or affiliates to obtain the information authorized above.

I agree

Driver Signature(Required)

Name

Date

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Cross-Border
Domestic
Expedite
Temperature-Controlled
Final Mile
Warehousing/Cross-Docking
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85 HeartLake Rd S Brampton, ON L6W 3K1 905-453-0050
bevan@roadtrainexpress.com
(905) 453-0050

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