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Friday, May 16, 2008 
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Application for Employment - Driver Positions

Vitran Express is an equal opportunity employer. Applicants are considered for employment without regard to race, religion, sex, age, disability, citizenship status, or any other basis prohibited by law, unless such basis constitutes a bona fide occupational qualification. Vitran Express will comply with its legal obligation to provide reasonable accommodation to qualified individuals with disabilities.

Vitran Express, Inc. has a commitment to hire safe drivers who meet our high quality standards. Please answer the following questions. If you answer yes to all seven questions then please proceed to the next section to begin the application process. Thanks again for considering Vitran Express, Inc. as your employer of choice.

All required fields are noted in Red and must be completed prior to submitting this application !!!

I am 21 years of age or greater
I have one year or more of verifiable driving experience in an articulated vehicle
I have doubles/triples experience & Hazmat Endorsements
I have not been convicted for excessive speeding (20 mph or more above the posted limit) in the past 3 years
I have not had more than three traffic violations and/or preventable accident combinations in the past 3 years
I have not had a license suspension in the past 3 years

I have not had a DUI in the past 5 years

 

PERSONAL DATA

Date of Application: 
First Name:
Middle Name:
Last Name:
Phone: - -
Email Address:  
 

CURRENT AND PREVIOUS ADDRESSES

Current Street Address:
Current City:
     
Current State:
Current Zip:
* If the above residence is less than three years, list below all residence for the past three years. Use the "Additional Information" box for extra space if needed.
Address:
 
City, State, Zip:
 
Address:
 
City, State, Zip:
 
Address:
 
City, State, Zip:
 
Additional Information:
 
 

POSITION

Position applying for:

Location(s) you could work from:

Status seeking:

Who referred you?
How did you learn of this employment opportunity?
 
Advertisement (what source): 
Relative (name): 
Friend (name): 
Other: 
Rate of pay expected?
Have you worked for this company before?    
  If yes, list dates. From:  To: 
  Where? 
  Position? 
  Rate of pay? 
  Reason for leaving? 
Names of any relatives employed by Vitran Express: 
Are you currently employed?  
  If not, how long since leaving last employment? 
 

EDUCATION

Select highest education level completed:
 
Last school attended:
 
Address of school:
 
 

LEGAL

Have you ever been convicted of or pled guilty to a felony?    
If yes, state the nature of the conviction or plea, the date, and explain: 

Are you a U.S. Citizen or an alien legally entitled to work in the position(s) for which you have applied?      

For the purpose of verifying past employment and schools attended, please indicate any other names you may have used:
 
 

EMPLOYMENT RECORD

Starting with your present or most recent job, list all your employment experience for the last 10 years. You may include military assignments that reflect your qualifications for employment. Use the "Additional Notes" if needed for additional space.

Please make sure you account for all time for years listed. If you were out of work, please note the applicable time frames. Applications with gaps in excess of 2 months will not be considered.

Employer:
 
Salary/Hourly Rate
Supervisor::
 
Start:
 
Job Title:
 
Finish:
 
Duties:

 

Employment Dates
Address:
 
From:
 
City, State, Zip:
 
To:
 
Phone:
 
  Can we contact this employer?
Reason for Leaving:
 
 
Employer:
 
Salary/Hourly Rate
Supervisor::
 
Start:
 
Job Title:
 
Finish:
 
Duties:

 

Employment Dates
Address:
 
From:
 
City, State, Zip:
 
To:
 
Phone:
 
  Can we contact this employer? 
 
Reason for Leaving:
 
 
Employer:
 
Salary/Hourly Rate
Supervisor::
 
Start:
 
Job Title:
 
Finish:
 
Duties:

 

Employment Dates
Address:
 
From:
 
City, State, Zip:
 
To:
 
Phone:
 
Reason for Leaving:
 
 
Employer:
 
Salary/Hourly Rate
Supervisor::
 
Start:
 
Job Title:
 
Finish:
 
Duties:

 

Employment Dates
Address:
 
From:
 
City, State, Zip:
 
To:
 
Phone:
 
Can we contact this employer?
Reason for Leaving:
 
 
Additional Information:
   
Have you ever been discharged or asked to resign from any position? 
If yes, please state employer and explain:
 
 
 

DRIVER EXPERIENCE & QUALIFICATIONS

Drivers Licenses held in the past 3 years must be shown.
State
License No.
Class
Endorsement(s)
Expiration Date
         
         
         
         
 
Have you ever been denied a license, permit or privilege to operate a motor vehicle?
Has any license, permit or privilege ever been suspended or revoked? 

Have you ever been disqualified for violations of the Federal Motor Carrier Safety Regulations? 

If yes, please explain: 

The US Department of Transportation requires that driver applicants state their date of birth (ยง 391.21(b)(2)).
Date of birth (mm/dd/yyyy):  
Driving Experience:
Class of Equipment
Type of Equipment
(Van, Tank, Flat, etc.)

Dates

Approximate Total Miles
From
To
Straight Truck
 
 
Tractor and Semi-Trailer
 
 
Twin Trailers - LVC's
 
 
Other: 
 
 
 
List states operated in during the last five years: 
List special courses or training that will help you as a driver: 
List awards held and who presented the awards: 
 
Accident Review for Past 3 Years
(Use "Additional information" section if more space is needed)
Dates
Nature of accident
(head-on, rear-end, overturn, etc.)
Fatalities
Injuries
Last accident: 
Next previous: 
Next previous: 
Additional information:  
 
Traffic Convictions and Forfeiture for the past 3 years other than parking violations
Location
Date
Charge
Penalty
 
 
 
 
 
FOR DEPARTMENT OF TRANSPORTATION REGULATED APPLICANTS

The following rights apply to the information provided by previous employers for the three years preceding the date of application:

  • The applicant has the right to review the information provided by previous employers;
  • The right to have errors in the information corrected by the previous employer and for that previous employer to re-send the corrected information to the prospective employer;
  • The right to have a rebuttal statement attached to the alleged erroneous information, if the previous employer and the driver cannot agree on the accuracy of the information.

Applicants wishing to review previous employer-provided investigative information must submit a written request to the prospective employer in accordance with 49CFR 391.23(i)(2).

 

APPLICANT STATEMENT

I certify that this application was completed by me and that all entries and information in it are TRUE and COMPLETE to the best of my knowledge. In the event of employment, I understand that false, misleading or omitted information may result in discharge.

I authorize investigation of all statements contained in this application as may be necessary in arriving at an employment decision. I understand that an investigation may be made and information may be obtained through interviews with past employers or personal references and/or driver's record check. This inquiry may include information as to, among other things, my character, general reputation and personal characteristics, as well as information about my work performance and workplace conduct. I consent to this investigation and to the consideration of any statements of references, former employers or others that are given in response to the inquiry.

I hereby release all parties, including but not limited to Vitran Express, personal references and previous employers, from liability for an injury or damage that may result from their furnishing information concerning me or any action Vitran Express takes on the basis of such information.

I understand that, if I am offered a job, it may be conditioned on the result of a physical examination and drug screen. I agree to furnish any medical information with reference to me as may be necessary in conjunction with that examination and related considerations. I understand that, according to federal law, all individuals who are hired must, as a condition of employment, produce certain documentation to verify identity and US citizen status or, if aliens, legal authorization to work in the US As a consequence, I understand that any offer of employment is contingent upon my ability to produce the required documentation within the time period required by law.

I understand that this application is not, and is not intended to be, a contract of employment and that any resulting employment is for no fixed period of time and is able to be terminated at any time and for any reason by me or Vitran Express. I further understand that statements which may be contained in policies, practices, or other material do not create any guarantee of employment and that Vitran Express has the right to modify, amend or terminate policies, practices, benefit plans or other programs within the limits and requirements imposed by law. I understand that no representative of Vitran Express, other than an officer, has the authority to enter into any agreement for any specific period of time or to make any agreement contrary to the foregoing and that any such agreement must be in writing to be binding.

Click here if you have read and agreed to the above "APPLICANT STATEMENT"
 
 

 

 

 

 





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