Job Application

Position Applying For*

Date of Application*

Name*

First Last

Date of Birth*

Home Phone

Cell Phone

Email*

Current Address*

Street Address City Province Postal Code

Previous Address

Street Address Address Line 2 City Postal Code

Emergency Contact*

Relationship*

Highest grade or education degree completed*

Physical limitations (if any)

Job related injuries (if any)

Any lost time from work due to illness or injury?*

Yes
No

Driver's License #*

Class*

Province or State of issue*

Alberta

Other (International)*

Date of expiry*

Air ticket?*

Yes
No

Demerits on license*

Has license ever been suspended?*

Yes
No

As part of your hiring process AND during your employment with Allnite Trucking Ltd we require a current Commercial Driver’s abstract from you. Should we find your license has excessive demerit points or any license suspension or loss of license due to alcohol or illegal substance, we reserve the right to refuse or terminate your employment/contract without notice.

Employment History

All applicants must provide the following information on all employers during the preceding 3 years. List complete mailing address, street number, city, province, and postal codes.

Employer Name (Present)*

Address*

Street Address City Province Postal Code

Contact*

First Last

Phone

Start Date*

End Date*

Position Held*

Salary/Wage

Reason for Leaving

May we contact your present employer (if any) to verify your work record?

Yes
No

Period of unemployment (if any)

From

To

Past Employment

Employer Name

Address

Street Address City Province Postal Code

Contact

First Last

Phone

Start Date

End Date

Position Held

Salary/Wage

Reason for Leaving

Do you have additional past employment?

Yes

Employer Name

Address

Street Address City Province Postal Code

Contact

First Last

Phone

Start Date

End Date

Position Held

Salary/Wage

Reason for Leaving

Do you have additional past employment?

Yes

Employer Name

Address

Street Address City Province Postal Code

Contact

First Last

Phone

Start Date

End Date

Position Held

Salary/Wage

Reason for Leaving

Please check off the equipment you are proficient in operating*

Certificates you hold

Standard 1st Aid
H2S Alive
PST
CSTS

Standard 1st Aid Expiry

H2S Alive Expiry

Other Certificates

Are you able to work flexible hours?*

Yes
No

Are you able to work away from home for extended periods of time?*

Yes
No

Are you able to complete a pre-employment medical and drug/alcohol screen at our company request?*

Yes
No

Employment History

Period of unemployment (if any)

Past Employment

General Information

Head Office

Location Map