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Driver Application

Personal Information

First Name *

Middle Name or Initial

Last Name *

Address *

City *

Province *

Postal Code *

Mobile Phone Number *

Home Phone Number

Email Address

Application Information

Application Date *

Hours of Work *Full-TimePart-Time

Position Applied ForCompany DriverOwner Operator

Expected Pay Range

Were you referred by a current TFI employee?YesNo

If yes, please provide employee name

Have you worked for any of the following companies in the past?Truck Freight InternationalHaztranDJ Knoll

If yes, When?

How did you find us? *

Driver Education

If applicable

Professional Driving School/Course Attended

Year of Completion

Accident History

Motor Vehicle Accident Record for last 3 years

Accident Date

Nature of Accident

Province or State Occurred in

CircumstancePreventableNon-Preventable

Accident Date

Nature of Accident

Province or State Occurred in

CircumstancePreventableNon-Preventable

Accident Date

Nature of Accident

Province or State Occurred in

CircumstancePreventableNon-Preventable

Traffic Convictions

Traffic convictions (other than parking violations) for last 3 years

Date of Conviction

Province or State

Charges

Penalty

Date of Conviction

Province or State

Charges

Penalty

Date of Conviction

Province or State

Charges

Penalty

Professional Driver Applicants

Do you hold a valid Class 1 License? *YesNo

License number

Issuing Province *

How many demerit points on your driving record?Please include a current Driver Abstract with your application0 / 3

Are you currently able to enter the U.S.? *YesNo

Do you hold a current Border Crossing (FAST) card? *YesNo

Convictions & Test Failures

Have you been convicted of a crime for which you have not yet received a pardon? *YesNo

Have you failed/refused any drug/alcohol test for a safety sensitive position within the last 2 years? *YesNo

Health and Physical Ability

Our driving positions have requirements which align with the physical demands as described in HR Trucking Canada

Have you been injured while at work? *YesNo

How much work time have you missed/lost in the last 3 years due to illness/injury? *

Do you have any condition or ability that may affect your ability to perform the intended work? *YesNo

Professional Experience

Please enter the number of years experience you have in each of these areas. Just enter 0 if you have none.

8XL Experience *

6XL Experience *

Petroleum *

Propane Pressure Vessel *

NH3 Anhydrous Ammonia *

Asphalt *

End Dump *

Calcium Liquid *

Pneumatics *

Hopper Bottom *

Fertilizer (Dry) *

Fertilizer (Liquid) *

Acknowlegement

It is agreed and understood that the answers to the foregoing questions are true and correct, and that any misrepresentation of information given in this application shall be considered an act of dishonesty.

It is agreed and understood that the employer or their agents may investigate the applicant's background to ascertain any and all information of concern to applicant's record, whether same is of record or not, and applicant releases employers and persons named herein from all liability of any damages on account to their furnishing such information.

The applicant agrees to furnish such additional information and complete such examinations as may be required to complete his/her/their employment file. It is agreed and understood that this application for employment in no way obligates the employer to employ the applicant. It is agreed and understood that if hired, employee may be on a probationary period during which time he/she/they may be discharged without notice or recourse.

Applicant Signature *Typing your full name in this box will be considered your digital signature agreeing to above statement.

Date *

Employment History

Please enter your employment history for the last 5 years. Begin with your most recent or current employer and work backwards listing employers, driving school or other training programs, periods of military service, self-employment and unemployment within the past 5 years. All time MUST be accounted for.

Start Date *

End Date *

Position Held *

Employer *

Supervisor's Name *

Location *

Telephone Number *

Average Monthly Earnings *

Contact Email *

Reason for leaving *

Start Date

End Date

Position Held

Supervisor's Name

Employer

Location

Telephone Number

Average Monthly Earnings

Contact Email

Reason for leaving

Start Date

End Date

Position Held

Supervisor's Name

Employer

Location

Telephone Number

Average Monthly Earnings

Contact Email

Reason for leaving

Start Date

End Date

Position Held

Supervisor's Name

Employer

Location

Telephone Number

Average Monthly Earnings

Contact Email

Reason for leaving

Employment Verification

CONSENT TO DISCLOSE

Employment History
I, the undersigned, declare that the information presented above, on my resume, and application form, and information provided verbally by me to Truck Freight International Ltd. is complete and accurate. I understand that a false statement provides grounds to disqualify me from employment and/or give the Company just cause for my dismissal if I am employed by it.

I understand that a condition of employment with Truck Freight International Ltd. is the completion of a background check, which will include the following:

Verification of my employment background and history from any source and of all data provided on my resume and / or application.
A check of criminal records for which a pardon has not been granted, and conditional and absolute discharges, which have not been removed from the Canadian Police Information Center system in accordance with the Criminal Records Act.
Driver record check for applicants applying for a position requiring a valid driver’s license.

A criminal conviction will not necessarily disqualify a candidate and only convictions relevant to the position applied for will be considered. I consent to the above information arising from the background check being collected for the purpose of conducting pre-employment due-diligence screening or where I am or have been employed, for the purpose of determining my suitability to perform security sensitive services. I understand that the Company will use the results of the background check for the purpose of conducting pre-employment due-diligence screening or where I am or have been employed, of screening my suitability to perform security sensitive services.

Where this information is being collected for the purpose of conducting pre-employment due-diligence screening, and if I am hired, I consent to the information being transferred to my employee file for the purpose of the employment relationship.

If I am already employed by the Company, I consent to the information being transferred to my employee file for the purpose of the employment relationship.

I agree that the Company may periodically update the background check and I agree that I shall immediately inform the Company of any conviction for a criminal offense arising subsequently to completion of the initial background check. I hereby authorize the holder(s) of the information relating to the background check, including any updates thereof as provided in the previous statements, to disclose this information to the Company and its authorized employees and/or authorized agents, subcontractors or suppliers, and to any of the Company’s clients.

I hereby release and forever discharge the holder(s) of information relating the background check, including any updates thereof to the Company, their clients and respective affiliated entities and all of their former, current or future partners, directors, officers, employees, agents, successors, and assigns from any actions, claims and demands of any kind whatsoever in any way relating to the collection, disclosure and use of this information by the holder(s) of information relating to the background check, including any updates to the Company or clients.

Drug and Alcohol Testing Records
I hereby authorize release of information from my Department of Transportation regulated drug and alcohol testing records by my previous employer to Truck Freight International Ltd. This release is in accordance with DOT Regulation CFR Part 40, Section 40.25. I understand that information to be released by my previous employer is limited to the following DOT regulated testing items:

Alcohol tests with a result of 0.04 or higher;
Verified positive drug tests;
Refusals to be tested;
Other violations of DOT agency drug and alcohol testing regulations;
Information obtained from previous employers of a drug and alcohol rule violation;
Documentation, if any, of completion of the return-to-duty process following a rule violation.

I understand that personal information shall not be used or disclosed for purposes other than those for which it was collected, except with my prior consent or as required by law. Personal information shall be retained only as long as necessary for the fulfilment of those purposes.

Please select Yes or No to agree or disagree to the above statement. *YesNo

Applicant SignatureBy typing your name in this field, you are digitally signing this document.

Applicant S.I.N.Please enter your Canadian Social Insurance Number (SIN)

Date *

22nd Floor, 333 Main Street, Winnipeg, Manitoba, R3C 4E2
Phone: 204 926-3450 Fax: 204 942-4758
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