Employment Application

Online Recruiting Application

*First Name :

Middle Name :

*Last Name :

*Address1 :

Address 2 :

*City :

*Province / State :

*Postal / Zip Code :

*Email Address :

*Telephone :

Alternate Phone :

Fax :

Date of Birth :

Are you applying for a company driver position? :



Are you applying for an Owner-Operator position? :



Driver’s license number :

Issuing Province :

Date of Expiry :

When did you obtain your class 1A (AZ) :

How many years experience do you have driving for a Bulk ? :

How many years experience do you have driving for Flatbeds ? :

How many years experience do you have driving for a Tank ? :

How many years experience do you have driving for a Van ? :

Have you previously worked for Laidlaw? :

Are you currently admissible into the US? :

Do you require a waiver to enter the US? :

In the past 3 years, how many moving violations have you had? :

In the past 3 years, how many accidents/ violations have you had? :

In the past 5 years, how many employers have you had? :

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? :


If the answer is yes to either of these questions, please provide full details. :

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