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Postulation form
Postulation form
Driver class 1
Personal information
* Title
Title
Mr.
Ms.
* First name
* Last name
* Address
Apt.
* City
* Province
Province
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
* Postal code
Email
* Phone
-
-
Cell phone
-
-
Are you legally authorized to work in Canada?
Yes
No
* Have you ever applied or worked at Transport Hervé Lemieux?
Yes
No
If yes when?
Year
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
Antérieur à 2000
Position occupied?
Position wanted and qualifications
*Position wanted
Straight truck driver
Tractor / Semi-Trialer
Flat bed
Dry van
B-Train
Boom truck
Lift
Shunter
Helper
Driver licence
Class 1
Class 3
Air brake indication(F)
Manual transmission indication(M)
Long combination vehicle indication(T)
Number of demerit points?
Expiration date of dangerous goods card
/
/
Experience (in the past three jobs)
Employer
Address
Duties
Supervisor
Reason for leaving
Phone
-
-
Duration
From
To
Employer
Address
Duties
Supervisor
Reason for leaving
Phone
-
-
Duration
From
To
Employer
Address
Duties
Supervisor
Reason for leaving
Phone
-
-
Duration
From
To
Antecedents – accidents/incidents related with a heavy vehicle and injuries
* Have you had any accidents or incidents relatd with a heavy vehicle
over the past 5 years ?
Yes
No
If yes, precise
* Have you ever had an injury at work or outside work ?
Yes
No
1st injury
At work
Out of work
Consolidation
Yes
No
With limitation
Yes
No
Type of injury
2nd injury
At work
Out of work
Consolidation
Yes
No
With limitation
Yes
No
Type of injury
THE FOLLOWING DOCUMENTS ARE REQUIRED FOR AN INTERVIEW
DRINVING RECORD
CRIMINAL CERTIFICATE
DRIVER'S LICENCE
Education
* Course
Secondary
College
University
Heavy vehicle driver training
Date completed
Name & Location of teaching institution
Diploma or certificate
Your availability
Availability ?
Full Time
Part Time
Day time
Week
Weekend
Night time
Week
Weekend
Hours per week ?
Wanted salary
Maîtrise des langues
French
Spoken
Written
English
Spoken
Written
I am fluent in another language
Presentation letter and curriculum vitae
Attach your presentation letter in PDF or Word format
Your resume
Attach your resume in PDF or Word format
Authorization
I hereby authorize any company, institution, corporation, association or any employer (actual or past) mentioned in the present form or any other party acting on behalf of them to render available any information they have on any subject relative to the present form. With this authorization, I free them of any responsibility. I am aware that this information could contain personal information. I also declare that the information within the form is true. I know that any false declaration on my behalf can be considered as a valid reason to cancel this request or to fire me if I am hired.
Date:
December 6, 2019, 8:08 am
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