Applicant’s Name:

X ITEM OFFICE

Completed Application

Work Permit
PR Card

Received Date

204.222.6289 500 Black Diamond Blvd.

800.748.3267 teamstransport.com
Winnipeg, MB R2J 4M4
Please note the following requirements to be hired as a driver for TEAMS

HIRING REQUIREMENTS

1. Minimum Training Requirements for New Drivers:

• Contract & Company Drivers must have a minimum of 1-2 years driving experience driving a tractor
trailer unit in North America

2. Driving Abstract:
• Full Class 1A without any restrictions other than corrective lenses.
• Minimum of 5 years since last DUI, Dangerous Driving and Careless driving
• No more than 5 moving violations in the previous three years, and no more than 3 moving violations in
the past year
• No serious DOT Out of Service Violations

3. Clear Criminal Record Search

4. Must meet all DOT requirements;

• Pre-employment Drug Screening

5. Age requirement of 21 years

6. Positive references from previous employer.

7. Must be able to complete a road evaluation, demonstrating knowledge of and the ability to safely
operate a tractor-trailer unit. (Pre-Trip, Air Brake, Coupling & Un-coupling, Road Test & Backing Exercise,
etc.).

8. Orientation to be determined.

9. Good command of the English language, verbal and written.

REMARKS

We will only notify chosen candidates for an interview and road evaluation. Please note that contacting

employment and will be scheduled for orientation and a pre-employment drug test. (Final conditions of
employment will require the candidate to successfully complete Orientation & the Pre-Employment Drug
Screen).

Orientation could consist of 2 days at Teams Transport 500 Black Diamond Blvd., Winnipeg, MB. Also at this
time please submit a void cheque for direct deposit of your paycheque for Owner Operators & Company
Drivers.
APPLICATION FOR EMPLOYMENT

positions without regard to race, color, religion, sex, national origin, marital status, or non-job disability.

Date of Application: (mm/dd/yyyy)

Position(s) Applied for: (check all that apply)

Owner Operator O/O Driver Company Driver City Driver Canada USA

PERSONAL INFORMATION
Name: First Last:
Address: Street:
City: Province: Postal Code:
Phone: Cell: Phone Provider:
SIN #:

ADDRESS FOR THE PAST THREE YEARS

Street: City: Province: Postal Code:
Street: City: Province: Postal Code
Street: City: Province: Postal Code

Date of birth: (mm/dd/yyyy) Email:

Do you have the legal right to work in Canada? Yes No

Are you currently employed? Yes No If not, how long since last employment?

Have you worked for TEAMS before? Yes No Which province?

Start Date/End Date:

Position:

Reason for leaving:

How did you hear about TEAMS?

What is your rate of pay expectation? $ Do you have a F.A.S.T. Card? Yes No

If not, is there anything that would hinder you from receiving a F.A.S.T. Card? Yes No
EXPERIENCE AND QUALIFICATIONS

1.) Company Name: Phone: Fax:

Street: City: Province: Postal Code:
From: (mm/dd/yyyy) To: (mm/dd/yyyy)
Salary or Wage: Contact Name:
Reason for leaving

2.) Company Name: Phone: Fax:

Street: City: Province: Postal Code:
From: (mm/dd/yyyy) To: (mm/dd/yyyy)
Salary or Wage: Contact Name:
Reason for leaving

3.) Company Name: Phone: Fax:

Street: City: Province: Postal Code:
From: (mm/dd/yyyy) To: (mm/dd/yyyy)
Salary or Wage: Contact Name:
Reason for leaving

4.) Company Name: Phone: Fax:

Street: City: Province: Postal Code:
From: (mm/dd/yyyy) To: (mm/dd/yyyy)
Salary or Wage: Contact Name:
Reason for leaving
5.) Company Name: Phone: Fax:
Street: City: Province: Postal Code:
From: (mm/dd/yyyy) To: (mm/dd/yyyy)
Salary or Wage: Contact Name:
Reason for leaving

6.) Company Name: Phone: Fax:

Street: City: Province: Postal Code:
From: (mm/dd/yyyy) To: (mm/dd/yyyy)
Salary or Wage: Contact Name:
Reason for leaving

7.) Company Name: Phone: Fax:

Street: City: Province: Postal Code:
From: (mm/dd/yyyy) To: (mm/dd/yyyy)
Salary or Wage: Contact Name:
Reason for leaving

8.) Company Name: Phone: Fax:

Street: City: Province: Postal Code:
From: (mm/dd/yyyy) To: (mm/dd/yyyy)
Salary or Wage: Contact Name:
Reason for leaving

9.) Company Name: Phone: Fax:

Street: City: Province: Postal Code:
From: (mm/dd/yyyy) To: (mm/dd/yyyy)
Salary or Wage: Contact Name:
Reason for leaving
CLASS 1 CERTIFICATION

List the training facility you attended plus where and when you achieved your Class 1 License.

Training facility attended:

Year Completed: Province completed in:
Additional info:

ADDITIONAL TRAINING

your work with TEAMS.

Date completed: Additional info:

Date completed: Additional info:

Date completed: Additional info:

Date completed: Additional info:

Please list any additional training here:

ACCIDENT REPORT - FOR THE PAST THREE YEARS OR MORE

No previous accidents
Date of most recent accident: (mm/dd/yyyy)
Nature of accident: (head-on, rear-end, upset, etc.):
Fatalities? Yes No Injuries? Yes No
Please list all resulting injuries:

Date of previous accident: (mm/dd/yyyy)

Nature of Accident: (head-on, rear-end, upset, etc.):
Fatalities? Yes No Injuries? Yes No
Please list all resulting injuries:

TRAFFIC CONVICTIONS - FOR THE PAST THREE YEARS (EXCEPT PARKING TICKETS)

No previous convictions
Date of most recent conviction: (mm/dd/yyyy)
Details:
Charge: Penalty

Date of previous conviction: (mm/dd/yyyy)

Details:
Charge: Penalty
DRIVER’S PERMIT HISTORY

Have you ever been denied a license, permit or privilege to operate a motor vehicle? YES NO

Has your license, permit or privilege ever been suspended or revoked? YES NO

EQUIPMENT HISTORY

TYPE OF EQUIPMENT DATE DATE

EQUIPMENT CLASS APPROXIMATE MILEAGE
(VAN, TANK, FLAT, ETC.) FROM TO

OTHER

EDUCATION
Please click on the highest level completed for the following:
GRADE SCHOOL:
HIGH SCHOOL:
COLLEGE/UNIVERSITY:
Name of the last school attended:

EMERGENCY CONTACTS
In the event of emergency, please list two persons whom TEAMS could contact.
Name:
Relationship: Phone:
Name:
Relationship: Phone:

HEALTH CARD NUMBER

 APPLICANT
AUTHORIZATION

I authorize TEAMS to make such investigations and inquiries of my personal, employment, or medical
history and other related matters as may be necessary in arriving at an employment decision. (Generally,

been extended.) I hereby release employers, schools, health care providers and other persons from any
and all liability that may potentially result from the release and/or use of such information in connection
with my application.

Information provided to TEAMS will be held in accordance with The Personal Information Protection
and Electronic Document Act. The Company will take appropriate steps to ensure the security of your
information and will not provide to another party except as approved by you, as may be required by law
In the event of employment, I understand that false or misleading information given in my application
or interview(s) may result in discharge. I understand, also, that I am required to abide to all rules and
regulations of the company.

the best of my knowledge.

Full Name (please print):

Signature: Date:
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 administrated
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 three years.

Company Name:
Address:

Prospective Employee Name:

Prospective Employee’s SIN/ID number:

To be answered by the employee:

Have you tested positive or refused to test on any pre-employment drug or alcohol test administrated by
an employer to which you applied for but did not obtain, safety-sensitive transportation work covered by
DOT agency drug and alcohol testing rules during the past three years?

Yes No

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.] www.fmcsa.dot.gov/regulations

Prospective Employee Signature Date

Witnessed By (Printed Name) Date

Witnessed By (Signature) Title

I, , hereby provide consent to TEAMS (3163601 Manitoba Ltd)
and/or Star Drug Testing Services Ltd. to conduct unlimited “limited queries” of the FMCSA Commercial
Driver’s License Drug and Alcohol Clearinghouse to determine whether drug or alcohol violation
information about me exists in the Clearinghouse for the entire duration of my employment with the above
company.

I understand that if the limited query/queries conducted by TEAMS (3163601 Manitoba Ltd) and/or
Star Drug Testing Services Ltd. indicates that drug or alcohol violation information about me exists in the
Clearinghouse, FMCSA will not disclose that information to the above company and/or Star Drug Testing

I further understand that if I refuse to provide consent for TEAMS (3163601 Manitoba Ltd) and /or
Star Drug Testing Services Ltd. to conduct a limited query/queries of the Clearinghouse, they must
prohibit me from performing safety-sensitive functions, including driving a commercial motor vehicle,
as required by FMCSA’s drug and alcohol program regulations.

Employee License # Include Province

Date of Birth (mm/dd/yyyy)

Employee Signature Date