Postulation form

Driver class 1

Personal information

* Title

* First name

* Last name

* Address

Apt.

* City

* Province

* Postal code

* 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?

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

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

Postulation form

Driver class 1

Personal information

Position wanted and qualifications

Experience (in the past three jobs)

Antecedents – accidents/incidents related with a heavy vehicle and injuries

THE FOLLOWING DOCUMENTS ARE REQUIRED FOR AN INTERVIEW

Education

Your availability

Maîtrise des langues

Presentation letter and curriculum vitae

Authorization

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