Driver’s Application

In compliance with Federal, State, and Provincial equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, colour, religion, gender, national origin, orientation, age, marital status, or the presence of a non-job related medical condition or disability

Contact Information

Your Email (required)

Last Name (required) First Name (required) Middle Name

Street Address City Postal Code Province

Phone Number (Home) Phone Number (Mobile) Social Insurance Number (SIN)

Address for Past 3 Years (leave blank if same as above)

Street Address City Postal Code Province

Street Address City Postal Code Province

Street Address City Postal Code Province

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

Date of Birth (MM-dd-YYYY):

Can you provide proof of age?  Yes No

Have you worked for J-Line before?  Yes No

If yes, When? (MM-dd-YYYY - MM-dd-YYYY):

Reason for Leaving:

Are you currently employed?  Yes No

If not, when did you leave your last employer:

Who referred you to J-Line Transport?:

Do you have any physical condition which may limit your ability to perform the job you are applying for?  Yes No

If "Yes" above, what can be done to accommodate your limitation?

Experience and Qualifications

License Information

License # Class Expiration Date Province

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

If answer to A or B is "Yes", give details below:

Highest Grade Completed:

Highest Post-Secondary Year Completed:

Driving Experience

How many years of Truck Driving experience have you had?

What type of equipment have you operated (select all that apply)
Straight Truck Tractor Semi-Trailer Trains Vans Flatbeds 

Which states and provinces have you operated in during the last 5 years
(select all that apply)
AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VI VA WA WV WI WY AB BC MB NB NS NL ON PE QC SK Other 

Accident Record (Past 3 Years)

Last Accident Date Accident Description Fatalities Injuries

Prev. Accident Date Accident Description Fatalities Injuries

Prev. Accident Date Accident Description Fatalities Injuries

Traffic Convictions in the Past 3 Years (Other than Parking Violations)

Location Date Charge Penalty

Location Date Charge Penalty

Location Date Charge Penalty

Employment History

Please list your previous employers for the past 3 years.

Previous Employer 1

Name Date Started Date Finished

Street Address City Postal Code Province

Contact Person Phone Reason for Leaving

Position Held Salary/Wage

Were you subject to Federal Motor Carrier Safety Regulations (FMCSR)?
 Yes No

Was the job subject to alcohol and drug testing requirements?  Yes No

Previous Employer 2

Name Date Started Date Finished

Street Address City Postal Code Province

Contact Person Phone Reason for Leaving

Position Held Salary/Wage

Were you subject to Federal Motor Carrier Safety Regulations (FMCSR)?
 Yes No

Was the job subject to alcohol and drug testing requirements?  Yes No

Previous Employer 3

Name Date Started Date Finished

Street Address City Postal Code Province

Contact Person Phone Reason for Leaving

Position Held Salary/Wage

Were you subject to Federal Motor Carrier Safety Regulations (FMCSR)?
 Yes No

Was the job subject to alcohol and drug testing requirements?  Yes No

Previous Employer 4

Name Date Started Date Finished

Street Address City Postal Code Province

Contact Person Phone Reason for Leaving

Position Held Salary/Wage

Were you subject to Federal Motor Carrier Safety Regulations (FMCSR)?
 Yes No

Was the job subject to alcohol and drug testing requirements?  Yes No

Check Box Below if you agree to the terms presented

This certifies that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge.

I authorize you to make such investigations and inquiries of my personal, employment, financial or medical history and other related matters as may be necessary in arriving at an employment decision. I hereby release employers, schools or persons from all liability in responding to inquiries in connection with my application.

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 by all rules and regulations of the Company, as permitted by law.