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Application form

Criteria
Applicant should have a verifiable experience, should be 23 years of age or above, should have a clean driving record and US VISA is preferred.

DRIVERS OR OWNER OPERATOR'S REQUIRED DOCUMENTS

First Name

Middle Name

Last Name

Phone Number *

Email Address *

SIGNED APPLICATIONDriver CVOR + Abstract (Within 30 Days)Criminal Search Record (Within 30 Days)Previous 3 Years Address (Canada or Back home)10 Years of JOB History (With Phone #) (Trucking, Warehouse unemployed or study)2 Photo ID’s (Driving license Copy + Passport Copy or Fastcard)Road Test + TrainingPre-Employment Drug Test (Pay Cash $80 and will pay back after 4 month)Signed Driver ManualOrientationIncorporation Papers (Company INC Paper)PSP Record (Before Hire Date)

For Pre-Employment Drug Test & Truck Plate Paper Drop & Pick up

G & G Trucking Inc 7050 Telford Way, Unit # 13, Mississauga ON L5S 1V7 Phone 905-461-2525

REQUIRED PAPERS FOR O/O TRUCK PLATES

Original Ownership PortionTruck Bill of SaleLeasing Papers (If Truck ON Lease)Authorization Letter from Leasing CompanySigned Authority Paper by O/O If Truck Owned By O/O36 Days Safety, Annual Safety & Emission TestRoad Test + TrainingPre-Employment Drug Test (Pay Cash $80 and will pay back after 4 month)WSIB Waiver Paper + Owner Operator ContractTruck Speed Calibration Print out

DRIVER APPLICATION FOR EMPLOYMENT

In Compliance with Federal and State equal opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status, or non-job related disabilities. The purpose of this application is to determine whether or not the applicant is qualified to operate motor carrier equipment according to the requirements of the Federal Motor Carrier Safety Regulations and the Company named above

SECTION A – APPLICANT INFORMATION

Position applying for (check one)

RadioDriverOwner OperatorOwner Operator’s Driver

First Name

Middle Name

Last Name

Date of birth

SIN Number

Telephone Number

Alternate Telephone Number

Email Address

License Number *

Province *

Expiration Date

Type

Endorsement

Residence history for the past three years, beginning with your current address.

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

From

To

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

From

To

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

From

To

Have you worked for this company before?YesNo

If Yes

From:

To:

Reason for leaving?

Please select the highest grade level completeGrade School

College/University/postgraduateCollege/Universitypostgraduate

Last school attended (name)

(City, Province)

Do you have legal right to work in United States and Canada?YesNo

Have you ever been convicted of felony?YesNo

If yes, please explain.

Have you ever been convicted of a criminal charge?YesNo

Are you able to perform the functions of the job for which you have applied?YesNo

If no, explain if you wish

Have you ever been charged of a customs laws related offence?YesNo

Have you ever been charged of any immigration related offence?YesNo

Person to be contacted in an emergency (PRINT):

First Name

Last Name

Phone

Do you have a FAST Card?YesNo

Are you currently employed?YesNo

Who referred you to us?

SECTION B – EMPLOYMENT HISTORY

Please provide a complete record of all employment (starting with the current or most recent) for the past three(3) years, including any unemployment or self-employment. Please also provide all commercial driving experience for the past ten(10) years. NOTE: GAPS IN EMPLOYMENT HISTORY MUST BE INCLUDED

Position held

Current Employer

Telephone Number

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

From

To

Reason for leaving?

Were you subject to the FMCSRs* while employed here?YesNo

Was your job designated as a safety-sensitive function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR Part 40?YesNo

Previous Employer

Position held

Telephone Number

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Reason for leaving?

Were you subject to the FMCSRs* while employed here?YesNo

Was your job designated as a safety-sensitive function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR Part 40?YesNo

Previous Employer

Position held

Telephone Number

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Reason for leaving

Were you subject to the FMCSRs* while employed here?YesNo

 Yes  No Was your job designated as a safety-sensitive function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR Part 40?YesNo

Previous Employer

Position held

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Telephone Number

Reason for leaving?

Were you subject to the FMCSRs* while employed here?YesNo

Was your job designated as a safety-sensitive function in any DOT-regulated mode subject to the drug and alcohol testing requirements of 49 CFR Part 40?YesNo

*The Federal Motor Carrier Safety Regulations (FMCSRs) apply to anyone who operates a motor vehicle on a highway in interstate commerce to transport passengers or property when the vehicle: (1) has a GVWR or weighs 10,001 pounds or more; (2) is designed or used to transport nine or more passengers; or (3) is of any size, used to transport hazardous materials in a quantity requiring placarding.

SECTION C – DRIVING HISTORY/EXPERIENCE

Total number of AZ experience

Driving Experience

Straight Truck

From

To

Approximate Miles

Tractor-trailer

From

To

Approximate Miles

LCV’s

From

To

Approximate Miles

Other:Optional

From

To

Approximate Miles

List provinces and states operated in for the last five years.

List special courses/training completed (PTD/DDC, Dangerous Goods, etc.)

List any Safe Driving Awards you hold and from whom.

Collision record for the past three years.If no collisions record, check here

Date of collision

Day

Month

Year

1

Nature of Collision

Location

Number of injured people

Number of fatalities

Date of collision

2

Nature of Collision

Location

Number of fatalities

Number of injured people

Date of collision

3

Nature of Collision

Location

Number of injured people

Traffic convictions for the past three years (other than parking violations)If none, check here

Date of conviction

Location

Offence

Penalty

Date of conviction

Location

Offence

Penalty

Date of conviction

Location

Offence

Penalty

Driver’s License (List each driver’s license held in the past three years.)

Province

License number

Type

Endorsements

Expiration date

Province

License number

Type

Endorsements

Expiration date

Province

License number

Type

Endorsements

Expiration date

Have you ever been denied a license, permit or privilege to operate a motor vehicle?YesNo

If yes, please provide details

Has any license, permit or privilege ever been suspended or revoked?YesNo

If yes, please provide details.

Personal references – List three persons for references, other than family members, who have knowledge of your safety habits.

First Name

Last Name

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Phone

First Name

Last Name

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Phone

First Name

Last Name

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Phone

Consent *

To Be Read and Signed by Applicant

This certifies that I completed this application form and that all entries on it and information in it are true and complete to the best
of my knowledge. It is agreed and understood that any misrepresentation given on this application or interview(s) shall be
considered an act of dishonesty and may result in a discharge.
It is agreed and understood that the motor carrier or his 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 for any damages on account of his furnishing such information.

I agree to furnish such additional information and complete such examinations as may be required to complete my
application file.
It is agreed and understood that this Application for Qualification in no way obligates the motor carrier to employ or hire
the applicant.
It is agreed and understood that if qualified and hired, I may be on a probationary period during which time I may be
disqualified without recourse.
I understand that from time to time the company will furnish my personal information as necessary to third parties such as insurance
companies and brokers. The company agrees to collect, use and disclose such information only in a manner that a reasonable
person would consider appropriate in the circumstances, and that would be in compliance with the Protection of Personal
Information and Electronic Documents Act (PIPEDA). The company further agrees to safeguard the security of such information
in a manner appropriate to the sensitivity of such information, and in compliance with PIPEDA.

I agree to supply the following information as part of this application.
o Driver’s MVR Abstract (current to the past 30 days)
o Driver’s CVOR Abstract (Ontario only, current to the past 30 days)
o Criminal Record Search (current to the past 90 days)

Applicant’s Signature

Date

Remarks (For office use only)

THE BELOW DISCLOSURE AND AUTHORIZATION LANGUAGE IS FOR MANDATORY USE BY ALL ACCOUNT HOLDERS

IMPORTANT DISCLOSURE

REGARDING BACKGROUND REPORTS FROM THE PSP Online Service

In connection with your application for employment with ____OYSETR FREIGHT_ (“Prospective Employer”), Prospective Employer, its employees, agents or contractors may obtain one or more reports regarding your driving, and safety inspection history from the Federal Motor Carrier Safety Administration (FMCSA). When the application for employment is submitted in person, if the Prospective Employer uses any information it obtains from FMCSA in a decision to not hire you or to make any other adverse employment decision regarding you, the Prospective Employer will provide you with a copy of the report upon which its decision was based and a written summary of your rights under the Fair Credit Reporting Act before taking any final adverse action. If any final adverse action is taken against you based upon your driving history or safety report, the Prospective Employer will notify you that the action has been taken and that the action was based in part or in whole on this report. When the application for employment is submitted by mail, telephone, computer, or other similar means, if the Prospective Employer uses any information it obtains from FMCSA in a decision to not hire you or to make any other adverse employment decision regarding you, the Prospective Employer must provide you within three business days of taking adverse action oral, written or electronic notification: that adverse action has been taken based in whole or in part on information obtained from FMCSA; the name, address, and the toll free telephone number of FMCSA; that the FMCSA did not make the decision to take the adverse action and is unable to provide you the specific reasons why the adverse action was taken; and that you may, upon providing proper identification, request a free copy of the report and may dispute with the FMCSA the accuracy or completeness of any information or report. If you request a copy of a driver record from the Prospective Employer who procured the report, then, within 3 business days of receiving your request, together with proper identification, the Prospective Employer must send or provide to you a copy of your report and a summary of your rights under the Fair Credit Reporting Act. Neither the Prospective Employer nor the FMCSA contractor supplying the crash and safety information has the capability to correct any safety data that appears to be incorrect. You may challenge the accuracy of the data by submitting a request to https://dataqs.fmcsa.dot.gov. If you challenge crash or inspection information reported by a State, FMCSA cannot change or correct this data. Your request will be forwarded by the DataQs system to the appropriate State for adjudication. Any crash or inspection in which you were involved will display on your PSP report. Since the PSP report does not report, or assign, or imply fault, it will include all Commercial Motor Vehicle (CMV) crashes where you were a driver or co-driver and where those crashes were reported to FMCSA, regardless of fault. Similarly, all inspections, with or without violations, appear on the PSP report. State citations associated with Federal Motor Carrier Safety Regulations (FMCSR) violations that have been adjudicated by a court of law will also appear, and remain, on a PSP report. The Prospective Employer cannot obtain background reports from FMCSA without your authorization.

AUTHORIZATION

If you agree that the Prospective Employer may obtain such background reports, please read the following and sign below: I authorize _OYSTER FREIGHT__________________ (“Prospective Employer”) to access the FMCSA Pre-Employment Screening Program (PSP) system to seek information regarding my commercial driving safety record and information regarding my safety inspection history. I understand that I am authorizing the release of safety performance information including crash data from the previous five (5) years and inspection history from the previous three (3) years. I understand and acknowledge that this release of information may assist the Prospective Employer to make a determination regarding my suitability as an employee. I further understand that neither the Prospective Employer nor the FMCSA contractor supplying the crash and safety information has the capability to correct any safety data that appears to be incorrect. I understand I may challenge the accuracy of the data by submitting a request to https://dataqs.fmcsa.dot.gov. If I challenge crash or inspection information reported by a State, FMCSA cannot change or correct this data. I understand my request will be forwarded by the DataQs system to the appropriate State for adjudication. I understand that any crash or inspection in which I was involved will display on my PSP report. Since the PSP report does not report, or assign, or imply fault, I acknowledge it will include all CMV crashes where I was a driver or co-driver and where those crashes were reported to FMCSA, regardless of fault. Similarly, I understand all inspections, with or without violations, will appear on my PSP report, and State citations associated with FMCSR violations that have been adjudicated by a court of law will also appear, and remain, on my PSP report. I have read the above Disclosure Regarding Background Reports provided to me by Prospective Employer and I understand that if I sign this Disclosure and Authorization, Prospective Employer may obtain a report of my crash and inspection history. I hereby authorize Prospective Employer and its employees, authorized agents, and/or affiliates to obtain the information authorized above.

Date

Signature

First Name

Last Name

NOTICE: This form is made available to monthly account holders by NIC on behalf of the U.S. Department of Transportation, Federal Motor Carrier Safety Administration (FMCSA). Account holders are required by federal law to obtain an Applicant’s written or electronic consent prior to accessing the Applicant’s PSP report. Further, account holders are required by FMCSA to use the language contained in this Disclosure and Authorization form to obtain an Applicant’s consent. The language must be used in whole, exactly as provided. Further, the language on this form must exist as one stand-alone document. The language may NOT be included with other consent forms or any other language. NOTICE: The prospective employment concept referenced in this form contemplates the definition of “employee” contained at 49 C.F.R. 383.5

Contact Us

102 ARMSTRONG AVE,
GEORGETOWN, ON L7G 4S2

905-487-0631
info@oysterfreight.ca

Services

Dedicated Freight
LTL & Truckload
Logistics
Temperature control
Dry
FlatBeds
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