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Driver Application Final

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0% found this document useful (0 votes)
15 views11 pages

Driver Application Final

Uploaded by

bahrenault.65
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Thank you for your interest in Armour Transportation Systems

Armour is one of Canada’s 50 Best Managed Companies, is the 10th Largest LTL
Carrier in Canada and was recently recognized as a “Carrier of Choice”.

BEFORE YOU SUBMIT AN APPLICATION, PLEASE CONSIDER THE FOLLOWING:


 To apply, you must have recent verifiable experience (min. 2 years) in the class of equipment
you are applying for or have graduated from a recognized 12-week course. We require a clean
driver’s abstract and clean criminal history.
 If hired, you will be required to attend a paid 3-day Orientation Session at our Moncton
Terminal.
 You will be subject to a 90-day Probation Period (including 30 & 60 day reviews).
 You must complete and pass a pre-employment drug & medical test.
 The position you are applying for may require lifting of upwards of 50 lbs.
 Slip-seating is possible. Trucks are not permitted to be taken home.
 Your schedule may require working weekends and holidays. Each year our company experiences
seasonally adjusted periods and as a result, miles may vary during these months. Wage
smoothing is offered through our Payroll Department.

Application Procedure:

To be considered for a driving position we require the following:

1. Completed application form.


2. Current Driver’s abstract (not older than 30 days)
3. Criminal Search (not older than 90 days)
Please forward completed application and supporting documents to:
New Brunswick, Nova Scotia, Prince Edward Island:
• Kevin Blackman, Ph: (506) 853-4430 Fax: (506) 853-4423 or kblackman@armour.ca

Newfoundland:

• Calvin Churchill, Ph: (709) 782-5538, Fax: (709) 782-7415 or cchurchill@armour.ca

We thank all applicants; however only those selected for an interview will be contacted. Armour
Transportation Systems is an Equal Opportunity Employer. All qualified individuals are encouraged
to apply.

1
Date

EMPLOYMENT APPLICATION
This application is to be used for all subsidiary companies of Armour Transportation Systems.
689 Edinburgh Dr., Moncton, NB E1E 2L4

PERSONAL
SURNAME GIVEN NAME HOME TELEPHONE CELLULAR TELEPHONE

STREET ADDRESS CITY PROVINCE POSTAL CODE

SOCIAL INSURANCE NUMBER TYPE OF WORK DESIRED

MINIMUM HOURLY WAGE REQUIRED FULL OR PART TIME? DATE AVAILABLE

ARE YOU AVAILABLE TO WORK EVENING SHIFTS? YES  NO  ARE YOU LEGALLY ENTITLED TO WORK IN CANADA? YES  NO 
ARE YOU AVAILABLE TO WORK WEEKENDS? YES  NO 

WOULD YOU ATTEND SAFETY MEETINGS? YES  NO 

ARE YOU PREPARED TO TRAVEL OR BE TRANSFERRED TO ACCOMPLISH THE DUTIES FOR WHICH YOU ARE APPLYING? YES   NO

ARE YOU ABLE AND WILLING TO CROSS THE USA BORDER IF IT IS A JOB REQUIREMENT YES  NO  NOT APPLICABLE 

EMPLOYMENT BEGIN WITH MOST RECENT POSITION, We require a minimum of 3 years for all positions, and 10
years for driving positions (if applicable). If additional space is required, please attach separate sheet.
HISTORY
Job 1 Job 2 Job 3 Job 4
DATES EMPLOYED
YEAR/MONTH TO YEAR/MONTH
EMPLOYER

POSITION TITLE

ADDRESS

SUPERVISOR'S NAME

TELEPHONE NUMBER
SALARY

RESPONSIBILITIES

REASON FOR LEAVING

(Rev. March 2014)


EDUCATION AND TRAINING

SCHOOL NAME OF PROGRAM CIRCLE LAST YEAR CERTIFICATE/DEGREE


COMPLETED AWARDED

SECONDARY 10 11 12 YES  NO 
UNIVERSITY 1 2 3 4 YES  NO 
OTHER
(SPECIFY)
YES  NO 
LIST ANY OTHER RELEVANT WORK-RELATED SKILLS OR TRAINING

LIST ANY COURSES/WORKSHOPS ATTENDED

MISCELLANEOUS INFORMATION
HOW DID YOU HEAR OF ARMOUR TRANSPORTATION SYSTEMS?

ARE YOU BONDABLE? YES  NO 


HAVE YOU EVER WORKED FOR US BEFORE? YES  NO 
IF YES, IDENTIFY LOCATION, DATES OF EMPLOYMENT AND REASON FOR LEAVING

FLUENCY IN BOTH OFFICIAL NATIONAL LANGUAGES IS AN ASSET - PLEASE INDICATE PROFICIENCY BY NUMBER

1 - FLUENT - SPEAK, UNDERSTAND, READ & WRITE ENGLISH _______________


2 - VERY WELL - SPEAK UNDERSTAND
3 - LIMITED - UNDERSTAND
4 - NONE FRENCH _______________

REFERENCES
WE REQUIRE 3 PROFESSIONAL REFERENCES FROM PREVIOUS EMPLOYMENT. A RELATIVE, FRIEND OR COWORKER WILL NOT BE ACCEPTED. W E
REQUIRE TWO POSITIVE REFERENCES TO OFFER EMPLOYMENT.

NAME OCCUPATION RELATIONSHIP TO YOU CONTACT NUMBER

(Rev. March 2014)


WORK REQUIREMENTS

ARE YOU ABLE TO PERFORM THE JOB FOR WHICH YOU ARE APPLYING? ( EITHER WITH OR WITHOUT ACCOMMODATION) YES  NO 
IF NO, PLEASE GIVE DETAILS:

DRIVING INFORMATION / HISTORY


DRIVERS LICENCE NUMBER PROVINCE CLASS EXPIRY DATE

HAVE YOU RECEIVED ANY SAFE DRIVER AWARDS OR OTHER DRIVING COMMENDATIONS? YES  NO 
IF YES, PLEASE DESCRIBE.

A) HAVE YOU EVER BEEN DENIED A LICENSE, PERMIT OR PRIVILEGE TO OPERATE A MOTOR VEHICLE? YES  NO 
B) HAS ANY LICENSE, PERMIT OR PRIVILEGE EVER BEEN SUSPENDED OR REVOKED? YES  NO 

C) HAVE YOU RECEIVED A FINE OR TICKET THAT YOU BELIEVE MIGHT NOT BE CLOSED OR PAID ? ( INCLUDING OTHER CARRIERS) YES  NO 

IF YOU ANSWERED YES TO ANY OF THE ABOVE, PLEASE GIVE DETAILS.

Driving Experience

TYPE OF EQUIPMENT AND DATES APPROXIMATE NUMBER OF MILES


CLASS OF EQUIPMENT TRANSMISSION FROM TO (TOTAL)

FROM: /
TO: /
FROM: /
TO: /
FROM: /
TO: /
FROM: /
TO: /
FROM: /
TO: /

(Rev. March 2014)


MOTOR VEHICLE ACCIDENT(S)
LIST EACH MOTOR VEHICLE ACCIDENT YOU HAVE BEEN INVOLVED IN AND ITS TYPE (REAR END, SIDESWIPE, ETC.). SHOW HOW EACH WAS CLASSED
AS PREVENTABLE OR NON-PREVENTABLE.

DATE LOCATION TYPE OF ACCIDENT PREVENTABLE OR NON-PREVENTABLE

ARMOUR TRANSPORTATION SYSTEMS


EMPLOYMENT APPLICATION
Please read the following carefully, and sign if you are in agreement

By applying for this position the applicant gives their consent for Armour Transportation or assigned parties, to obtain
reference information from previous employers, academic institutions or any other information source legally authorized to
provide references which may be useful in the selection process. I certify that all of the facts set forth in this application
are true. I understand that any deliberate omission or falsification of information will be sufficient grounds for dismissal
after hiring. I understand it is a condition of employment that I shall be required, when eligible, to join all compulsory
company benefit plans. In addition attitude and/or integrity testing may be required prior to or during employment. As a
condition of employment and continuing employment, I will agree to undergo a company medical examination when
requested. In addition, for safety sensitive positions, I agree to submit to a pre-employment drug screening, and enroll in
the random drug testing pool as requested.

DATE: _________________________ PRINT NAME: ___________________________


SIGNATURE: ___________________________

CROSS BORDER APPLICANTS PLEASE SEE NEXT PAGE

(Rev. March 2014)


New Employee’s Drug and Alcohol Statement – Cross Border Applicants Only

In accordance with 49 CFR 40.25 (j), as the employer, you must ask any prospective employee, whether he or
she has tested positive, or refused to test, on any pre-employment drug or alcohol test administered by an
employer to which the employee applied for, but did not obtain, safety-sensitive transportation work covered by
DOT agency drug and alcohol testing rules during the past two years.

Company Name: Armour Transportation Systems including affiliated companies,


Head Office- Moncton NB
To be answered by the employee:

Have you tested positive, or refused to test,


including any pre-employment drug or alcohol  YES
test administrated by an employer to which
you applied for, but did not obtain, safety-  NO
sensitive transportation work covered by DOT
agency drug and alcohol testing rules during
the past two years?

If the employee admits that he or she had a positive test or refusal to test, you must not use the employee
to perform safety-sensitive functions for you, until and unless the employee documents successful completion
of the return-to-duty process (see 40.25(b)(5) and 40.25(e). [The return-to-duty process is outlined in Subpart O
of Part 40.]

Prospective Employee Signature Date

Witnessed (Printed Name) Date

Witnessed By (Signature) Title

(Rev. March 2014)


Confirmation of Voluntary Disclosure on Criminal Record.

I have voluntarily disclosed the details of any charges appearing on my


criminal record. I understand that any continued employment with
Armour Transportation Systems will depend on the verification of these
facts as noted, and any substantial omissions or inaccuracies will result
in my termination.

Have you ever been convicted of an offense or been subject to a


caution? NO YES ✔ Details as outlined below

Date Charge

The above information is the full content of my criminal record.

Applicants Name Printed: _______________________________

Signed: ____________________ Date: ____________________

Witness:
Manager or other name printed: __________________

Signed: ____________________ Date: ___________________

*RETURN this certification to Driver compliance, 377 English Drive,


Moncton, NB for driver file.
NOTE: This receipt shall be read and signed by the driver. A responsible company supervisor shall countersign the receipt and
place it in the driver’s qualification file.
Motor Vehicle Driver’s
CERTIFICATION OF COMPLIANCE
WITH DRIVER LICENSE REQUIREMENTS
MOTOR CARRIER INSTRUCTIONS: The requirements in Part 383 apply to every driver
who operates in intrastate, interstate, or foreign commerce and operates a vehicle weighing
26,001 pounds or more, can transport more than 15 people, or transports hazardous
materials that require placarding.

The requirements in Part 391 apply to every driver who operates in interstate commerce and
operates a vehicle weighing 10,001 pounds or more, can transport more than 15 people, or
transports hazardous materials that require placarding.

DRIVER REQUIREMENTS: Parts 383 and 391 of the Federal Motor Carrier Safety
Regulations contain some requirements that you as a driver must comply with. These
requirements are in effect as of July 1, 1987. They are as follows:

1) POSSESS ONLY ONE LICENSE: You, as a commercial vehicle driver, may not
possess more than one motor vehicle operator’s 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 391 .1 5(b)(2) 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.

The following license is the only one I will possess:

Driver’s License No. ___________________________ State Exp. Date _________

DRIVER CERTIFICATION: I certify that I have read and understood the above
requirements.

Driver’s Name (Printed):

Driver’s Signature: Date


ORIGINAL - MAY BE RETAINED IN PERMANENT FILE
Authorization to Request Drivers Abstract
By my signature below, I hereby authorize Armour Transportation Systems to request and obtain a driver’s record
/abstract on my behalf. I understand that while qualified as an approved driver with Armour Transportation Systems
that a current copy of my abstract is required in my driver file at all times. As minimum this will be updated annually
however, if deemed appropriate, more regular updates will be obtained.

Driver’s License Number _________________________________________

Province of Issue _______________________________________________

Date of Birth _______________/____________/_____________________


Day / Month / Year

DRIVER’S NAME (Print)

DRIVER’S SIGNATURE

DATE

COMPANY : Armour Transportation Systems

I hereby confirm that the information contained herein is correct. I also certify that I understand that this information is
to be confidential and declare that this information will only be used for the purposes of assessing the employability of
the person whose client record I have obtained.

COMPANY SUPERVISOR’S SIGNATURE

DATE

NOTE: This receipt shall be read and signed by the driver. A responsible company supervisor shall countersign the
receipt and place it in the driver’s qualification file.

PRINT

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