An Equal Opportunity Employer
Federal law prohibits discrimination because of race, creed, color, national origin, sex, age and disability. Applications remain active for sixty days.
1-800-332-0515
DRIVER EMPLOYMENT APPLICATION
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DriveCeladon.com
*
= REQUIRED FIELDS
Personal Information
Position:
Owner Operator
Solo Driver
Team Driver
Team Partner Name:
Date:
Referred By:
Last Name:
*
First Name:
*
Middle:
SIN:
*
E-Mail:
Current Street Address:
*
City:
*
Province:
*
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Nova Scotia
Ontario
Prince Edward Island
Quebec
Saskatchewan
Postal Code:
*
Telephone Number:
*
Mobile Number:
Are you 22 or older?
*
Yes
No
Do you have a valid Driver's License?
*
No
Yes
Special License:
*
AZ
License Number:
*
Province:
*
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Nova Scotia
Ontario
Prince Edward Island
Quebec
Saskatchewan
Have you ever had your Driver's License suspended or Revoked?
*
No
Yes
If so, please explain:
Have you ever been cited for driving under the influence of alcohol or drugs?
*
No
Yes
If so, please explain:
Have you ever been convicted of a criminal offense for which you have not received a pardon?
*
No
Yes
If so, please explain:
List any tickets in the last three years:
(Write NONE if you do not have any)*
List any accidents regardless of fault in last three years?
(Write NONE if you do not have any)*
Have you ever applied or been employed by Celadon Canada Inc., f.k.a. Gerth Transport Ltd.?
*
No
Yes
When:
Where:
EMPLOYMENT HISTORY - Employer 1
Name of Current or most Recent Employer
*
May we contact them?
No
Yes
Employer Address:
Telephone Number:
Position Title:
Type Equipment Operated:
States/Provinces Operated in:
Reason for Leaving:
Employed from:
to
Rate of Pay:
EMPLOYMENT HISTORY - Employer 2
Name of Previous Employer
May we contact them?
No
Yes
Employer Address:
Telephone Number:
Position Title:
Type Equipment Operated:
States/Provinces Operated in:
Reason for Leaving:
Employed from:
to
Rate of Pay:
EMPLOYMENT HISTORY - Employer 3
Name of Previous Employer
May we contact them?
No
Yes
Employer Address:
Telephone Number:
Position Title:
Type Equipment Operated:
States/Provinces Operated in:
Reason for Leaving:
Employed from:
to
Rate of Pay:
I
certify the above information to be true and correct. I authorize Celadon Canada Inc. to conduct a complete background investigation, including past drug and alcohol employment testing results, in accordance with the governing legislation. I further authorize my previous employers to release any information requested by Celadon Canada Inc. and hold them harmless of all liability from the release of said information.
Celadon Canada Inc
280 Shoemaker Street
Kitchener, ON
N2E 3E1
or
(519) 748-1644 Fax
(800) 405-6717 Fax