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Company Driver Application

PLEASE READ THE FOLLOWING BEFORE YOU SIGN THIS APPLICATION

I certify that I have read and understand this entire application. In consideration of my application, I authorize the Company and/or its agents to conduct a thorough investigation of my past employment, which may include but is not limited to: education, character, mode of living, drug testing history, medical examinations, reference checks, criminal background checks and driving history. I agree to furnish a release for such information to complete my qualification file. I also agree to release the Company, including its officers, employees, agents and representatives from all liability related to this investigation.

I understand that if this application is not fully completed I will be considered ineligible and will be disqualified in the selection process. I herby state that the information given by me in this application is true and complete in all aspects, and I agree that if any information herein is found to be false or incomplete at any time and in any respect, I will be subject to disciplinary action, up to and including termination without notice. I understand that only the Company’s authorized Representative has the authority to change or modify any written agreement, and any modification of an existing agreement must also be in writing and signed by the Company Representative.

I understand that employment with the Company is contingent upon the results of all required examinations. I acknowledge that it is the policy of the Company that all applicants submit to a urine sample for chemical analysis. I further understand that the purpose of the chemical analysis is to determine or rule out the presence of non-prescribed or prohibited controlled substances. I herby consent to the requirement for a urine sample and agree to participate in the Company’s Drug and Alcohol Testing Program.

In consideration of the Company’s provision of its facilities and vehicles for my employment, I agree that I will not use them for any illegal purpose whatsoever. I understand and agree to adhere to the provisions of the U.S. Federal Motor Carrier Safety Regulations (where applicable) and all other federal, provincial/state and local regulations pertaining to motor carriers. I understand that Parts 383 and 391 of the Federal Motor Carrier Safety Regulations contain some requirements that I as a driver must comply with.

As of July 1, 1987 these are:

  1. Possess only 1 License: As a commercial vehicle driver you may not possess more than one motor vehicle operators’ license. If you have more than one license, keep the license from your state of residence and return the additional licenses to the states that issued them. Destroying a license does not close the record in the state that issued it: you must notify the state. If a multiple license has been lost, stolen, or destroyed, close your record by notifying the state of issuance that you no longer want to be licensed by that state.
  2. Notification of License Suspension, Revocation or Cancellation: Sections 392.42 and 383.33 of the Federal Motor Carrier Safety Regulations require that you notify your employer the next business day of any revocation or suspension of your driver’s license, in addition Section 383.31 requires that any time you violate a state or local traffic law (other than parking), you must report it within 30 days to: 1) your employing motor carrier, and 2) the state that issued your license (If the violation occurs in a state other than the one which issued your license). The notification to both the employer and state must be in writing.

I hereby authorize Kencor Heavy Haul Ltd. to request a search of my driving record based on the information available at the Ministry of Transportation for:

  1. A complete Commercial Vehicle driving record covering a 5 year period; and
  2. As part of a yearly update as per requirements from Kencor Heavy Haul Ltd. and or its insurance company, and at any time deemed necessary.

Probationary Employment Agreement: I understand that I will be on a 90 calendar day probationary period from the date of hire. The purpose of this period is to enable the employer to assess my suitability to do the job. During this probationary period, I acknowledge that I can be terminated without notice or wages in lieu of notice.

Unsuitability is determined by: Ability to perform the physical demands of the job requirements; ability to comprehend instruction and implement policy into action; follow directions; interact favourably with customers, public and others within the Code of Ethics as set forth; complete documentation properly; operate within an acceptable time frame for conditions; and be fully literate in speaking, understanding and writing the English language. Without exception, complete safe and legal operations of the vehicle, in both Canada and the United States is demanded and failure to comply within any of the above mentioned conditions, may result in immediate termination.

The individual personal information collected on the application form will be used in determining eligibility for employment. The application form will be retained for the duration of employment plus seven years following termination of employment. Personal information is protected from unauthorized collection, use and disclosure in accordance with the Personal Protection and Electronic Documents Act (PIPEDA).

I authorize and consent the Company to maintain and use my Social Insurance Number and other personal information for the purpose of management and administration of payroll, benefits and records.

Clicking “Submit” on this form certifies that this application was completed by me and that all entries on it and information in it are true and complete to the best of my knowledge.

    Personal Information

    Have you been in the above residence for at least three years?

    If NO, then list below all residences in addition to current residence for a total of three years.

    Please attach a copy of your resume.

    Please attach a copy of your cover letter.

    Please attach a copy of driver's abstract.



    Education


    Employment History

    Beginning with your most recent job, list in order all of your previous jobs (including self-employment) for the past 3 years. All time must be accounted for.

    Did you drive a commercial motor vehicle while you were employed?

    Was your job designated as a safety-sensitive function in any DOT regulated mode subject to Drug and Alcohol Testing requirements?

    Did you drive a commercial motor vehicle while you were employed?

    Was your job designated as a safety-sensitive function in any DOT regulated mode subject to Drug and Alcohol Testing requirements?

    Please attach a separate file if more space is required.


    Periods of Unemployment

    Account for all missing time between positions in the past 3 years including unemployment or school periods.

    Please attach a separate file if more space is required.

    Licenses

    All drivers license held in the past 3 years must be shown.

    Please attach a copy of all licenses.

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

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

    Have you ever been disqualified for violations of the US Federal Motor Carrier Safety Regulation?

    If YES to any of the above, please attach statement giving details.

    Driving Experience

    Please attach a separate file if more space is required.

    Driving Record Information

    Have you had any traffic convictions or forfeitures other than parking violations in the past 3 years ?

    If YES, driving record information for the past 5 years is required.
    If NO, I certify that I have not been convicted or forfeited bond or collateral on any account of any violation required to be listed during the past 5 years.

    Please attach a separate file if more space is required.



    Accident History

    Have you been involved in an accident in the past 5 years?

    Were there fatalities?

    Were there injuries?

    Were there fatalities?

    Were there injuries?

    Were there fatalities?

    Were there injuries?

    If YES, an Accident History for the past 5 years is required. Please attach a separate sheet of paper if additional space is required.



    Other Information

    Have you ever attended a truck driving school?

    Name of School

    Have you ever filed an application with us before?

    If yes, when?

    Have you ever been employed with us before?

    If yes, when?

    Are you legally permitted to work in Canada?

    If no, why?

    Are you able to travel unimpeded in the US?

    If no, why?

    Can you perform the essential functions of the position applied for?

    Have you ever been convicted of a DWI or DUI?

    If yes, when?

    Have you ever been convicted of a felony *?

    If yes, when?

    Do you have any limitations on days or time you are available for work?

    If yes, explain

    * Previous conviction of a felony does not necessarily exclude an applicant from consideration for employment. Conviction of a crime is not an automatic disqualification. All circumstances will be considered, including age at the time of the offence, seriousness and nature of the violation and rehabilitation.


    Source of Application

    How were you referred?

    Please identify - Name of Newspaper, Employment Agency, or Other Source or Person.

    Other Documents

    Please upload any documents you feel are relevant to your application.

    This application will only be considered for ninety (90) days from the date of the applicant’s signature and hire date.  If you have not been hired by us during that period, it will be necessary to file a new form for further consideration.