Roadies Driver Application Apply Now
Date available to begin work If your Cell Phone is your Primary Phone, please fill both lines in with the same number
Do you have the legal right to work in Canada?
Are you now employed?
If not, how long since leaving last employment?
Who referred you to Roadies?
EMPLOYMENT HISTORY (NOTE : List employers in reverse order starting with the most recent. Add another sheet as necessary.)
If this is your current employer, may we contact them?
Were you subiect to the FMCSRS * while employed here?
Class of Equipment Operated ( e.g. Straight Truck, Tractor Trailkeva, Combinations)
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? If this is your current employer, may we contact them?
Were you subiect to the FMCSRS * while employed here?
Class of Equipment Operated ( e.g. Straight Truck, Tractor Trailkeva, Combinations)
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? If this is your current employer, may we contact them?
Class of Equipment Operated ( e.g. Straight Truck, Tractor Trailkeva, Combinations)
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?
Were you subiect to the FMCSRS * while employed here?
Class of Equipment Operated ( e.g. Straight Truck, Tractor Trailkeva, Combinations)
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?
Were you subiect to the FMCSRS * while employed here? If this is your current employer, may we contact them?
DRIVING QUALIFICATION
Driver Licence
Record ALL accidents in which you were involved , for the past 5 years , including non-commercial vehicles
Nature of Accident
(Head-on, rear end, etc.)
TO BE READ AND SIGNED BY APPLICANT
TO BE READ AND SIGNED BY APPLICANT Date of Birth(MM/DD/YYYY)
I understand that successful completion of a road test in the type of equipment to be operated will be a condition of a contractor agreement.
I understand that a contractor agreement with Roadies Group constitutes solely and entirely, a fully independant contractor business in all aspects.
I authorize you to make such investigations and inquires of my personal employment or medical history. I understand that false or misleading information given may result in an immediate termination.
This certifies that this application was completed by the best of my knowledge.
I understand that I am required to abide by all rules and regulations of the Company. For purposes of gathering this information, I agree to supply the following information which may be required by law enforcement agencies and other entities when checking records. Information will not be used for any other purpose.
List all previous driver licenses used for the past 5 years: