Arnold Bros. Transport Ltd.

Required Information

The following fields are required information for your application.

Select the nearest location to your residence address:

Driving preference:

Name: First Middle Last

Address:

Street
City	Prov Postal

Phone Numbers:

Residential	()-
Business	()-
Cell	()-

Email:

Optional Information

The following information is optional. However, we will have to ask for this information prior to hiring you. We strongly encourage you to fill in as much information as possible. This will save you a lot of time during our interview process. Thank you.

Click here to fill in additional information for your application.

Do you possess a...

CDRP card?
FAST card?

Previous address:

Street
City	Prov Postal

How long at present address: years, months

In case of emergency...

Contact		Phone()-
Physician		Phone()-

For office use only: S.I.N. Number

Where did you see, hear or read about Arnold Bros. Transport Ltd. that encouraged you to apply?

Equipment

Friend

Magazine ad

Newspaper ad

Website

Relative

ABT driver, please specify name:

Other driver, please specify company:

Which factor encouraged you to choose Arnold Bros. Transport Ltd. over other companies?

Assigned units

Stability

Safety record

Facilities

Pay

Benefits

Home time

Areas of service

Know someone at Arnold Bros.

Other, please specify:

General Information

Driver's License: Number Class Province of issue

Air brake endorsement? "S" endorsement? / /

You must be 21 or over to enter and drive in the United States. Do you meet that criteria?

Are you a Canadian citizen?

Are you a landed immigrant?

Are you legally entitled to work in Canada?

Have you ever applied to be qualified as a driver by Arnold Bros. Transport Ltd. and associated companies? When: / /

Have you ever been employed by, or under contract to, Arnold Bros. Transport Ltd. and associated companies?

	From: / / To: / /
	Terminal: Unit no.:
	Position:
	Reason for leaving:

Are you a member of any trade union? Active member? If NO, on withdrawal card?

Are you physically capable of heavy manual work? If "No" what physical limitations do you have that would affect the job applied for?

Last physical exam: / / in

Have you ever been injured on the job?

Have you ever received worker's compensation benefits? From: / / To: / /

Please Read Carefully

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

Has your driver's license, permit, or privilege been suspended or revoked?

Have you ever been disqualified from driving a motor vehicle under the D.O.T. regulations?

Have you ever been convicted for driving under the influence of alcohol or drugs?

Have you ever been convicted for possession, sale, or use of narcotic drugs, amphetamines, or a derivative?

Have you ever been convicted of a serious traffic violation, such as careless or reckless driving?

Have you ever been convicted of a criminal offence for which no pardon has been granted? Date: / / Location: Charge: Penalty:

Are you wanted or under indictment for a criminal offense?

Have you, within the two (2) years preceding the date of application...

Undergone an alcohol test in which a concentration of 0.04 or greater was indicated?

Undergone a controlled substance test in which a positive result has been verified?

Refused to undergo either an alcohol or drug test or had a drug test verified?

Had any other violations of Federal Motor Carrier Safety Administration drug or alcohol testing violations?

Successfully completed return-to-duty requirements following violation of a D.O.T. drug or alcohol regulation?

Prior to employment or affiliation, you will be required to successfully pass a D.O.T. drug screen test.

List all accidents regardless of fault, severity, or motor vehicle type, be it personal vehicle or business vehicle.

Accident Record (Past 5 Years)

Accident:	Date: / /	Convicted?
Accident:	Date: / /	Convicted?
Accident:	Date: / /	Convicted?

Moving Violations