How To Apply For A Trucking Job With Packers Logistics

Transcription

1 Packers Logistics Solutions Application Form Note: All applicants: It is important to make certain all information is completed in full. Drop your application off in person to David, Marty or Nicole at: 400 Jones Road Stoney Creek Ontario L8E 5P4 your application to: Fax your application to: Driver applicants: Before submitting an application obtain and attach the following: Commercial Vehicle Operators Record (Current within 30 days) Personal drivers abstract (Current within 30 days) Criminal record search (Current within 30 days) If you have any GAPS in employment, be sure to provide an explanation. Example: Company went out of business, terminated or lay off. Optional: Include a photo copy of your drivers license, FAST card, passport or any other documents pertaining to the position you are applying for.

2 IMPORTANT NOTICE REGARDING BACKGROUND REPORTS FROM THE PSP Online Service In connection with your application for employment with Packers Logistics Solutions, Stoney Creek, Ontario, it may obtain one or more reports regarding your driving, and safety inspection history from the Federal Motor Carrier Safety Administration (FMCSA). If the Prospective Employer uses any information it obtains from FMCSA in a decision to not hire you or to make any other adverse employment decision regarding you, the Prospective Employer will provide you with a copy of the report upon which its decision was based and a written summary of your rights under the Fair Credit Reporting Act before taking an final adverse action. If any final adverse action is taken against you based upon your driving history or safety report, the Prospective Employer will notify you that the action has been taken and that the action was based in part or in whole on this report. The Prospective Employer cannot obtain background reports from FMCSA unless you consent in writing. If you agree that the Prospective Employer may obtain such background reports, please read the following and sign below: I authorize Packers Logistics Solutions to access the FMCSA Pre-Employment Screening Program (PSP) system to seek information regarding my commercial driving safety record and information regarding my safety inspection history. I understand that I am consenting to the release of safety performance information including crash data from the previous five (5) years and inspection history from the previous three (3) years. I understand and acknowledge that this release of information may assist the Prospective Employer to make a determination regarding my suitability as an employee. I further understand that neither the Prospective Employer nor the FMCSA contractor supplying the crash and safety information has the capability to correct any safety data that appears to be incorrect. I understand I may challenge the accuracy of the data by submitting a request to If I am challenging crash or inspection information reported by a State, FMCSA cannot change or correct this data. I understand my request will be forwarded by the DataQs to the appropriate State for adjudication. I have read the above Notice Regarding Background Reports Provided to me by Prospective Employer and I understand that if I sign this consent form, Prospective Employer may obtain a report of my crash and inspection history. I hereby authorize Prospective Employer and its employees, authorized agents, and/or affiliates to obtain the information authorized above. Date: Signature Name (Please Print)

3 APPLICATION FOR EMPLOYMENT Contact Recruiting at Fax Qualified applicants will be considered for all positions without regard to race, colour, religion, sex, national origin, age, marital status, or non-job related disability. ANSWER ALL THAT PERTAIN TO THE POSITION BEING APPLIED FOR. PLEASE PRINT Date of Application / /20 Please check all that apply Class AZ driving position applied for: Local Long Haul O/O Warehouse position Tractor Mechanic Trailer Mechanic Other Comments Name Social Insurance No - - LAST FIRST MIDDLE List your addresses of residency for the past 3 years Current address How Long? STREET CITY Phone - - PROVINCE POSTAL CODE Previous Addresses How Long? STREET CITY Phone - - PROVINCE POSTAL CODE How Long? STREET CITY Phone - - PROVINCE POSTAL CODE Do you have the right to work in Canada? Yes No Do you have the right to work in the United States (Dual Citizenship)? Yes No Date of Birth (required for Commercial Drivers) / / Can you provide proof of age? Yes No Page 1 or 7.

4 Applicants Name Have you ever worked for Packers Logistics before? Yes No If yes please give date / / Position Reason for leaving Is there any reason that you may be unable to perform functions of the job you are applying for? Yes No If yes, explain if you wish Has someone referred you to Packers Logistics? Yes No If yes who? How did you hear about Packers Logistics Are you Presently Employed? Yes No If no, how long since you were last employed? Have you ever been denied entry into the U.S.A. for any reason? YES NO Comments: Please list your experience in the situations to follow. Circle the appropriate answer. (4= 4 years experience or more, 3 = 3 yrs, 2=2 yrs, 1= 1 yr or less) If you have no experience at all please draw a line through all numbers i.e. ( ) Less than truckload experience (LTL) Time sensitive freight P.A.P.S. clearances P.A.R.S. clearances Transport and entry bonds (T&E) Inward cargo manifest (used for entering U.S.A) Reefer experience Dual or tri temperature reefers Tri axle trailers Experience cross-border experience with meat Page 2 of 7

5 Applicants Name Eastern seaboard experience (Boston, New York, Philly etc.) West Coast experience U.S.A West Coast experience Canada Experience with Tire Chains Experience with Eaton 13 speed transmission Satellite Communication Fork Lift experience Hours of safety regulation List all accidents for past 3 years. If needed attach a separate sheet. If you have had no accidents, write none. OF ACCIDENT DESCRIPTION OF ACCIDENT (REAR END, ROLLOVER ETC) INJURIES FATALITIES List all Driving violations in Canada or the U.S.A. for the past 3 years. If none, write none. (Attach an extra sheet if required) Date Violation/Charge Location Penalty Experience and Qualifications (Driver applicants only) DRIVERS LICENSES PROVINCE LICENSE # CLASS EXPIRATION Have you ever been denied a license, permit or privilege to operate a motor vehicle? YES NO Has any license, permit or privilege ever been suspended or revoked? YES NO Page 3 of 7

6 Packers Logistics - Application Cont d Applicants Name Driving experience CLASS OF EQUIPMENT TYPE OF EQUIPMENT FROM S TO MILES DRIVEN TRACTOR TRAILER STRAIGHT TRUCK OTHER List States and Provinces operated in for last five years. If operated in all States check here If operated in all provinces check here Note any driving awards you have and from whom? List any special courses, training or skills, which may benefit you as an employee of Packers Logistics Solutions. Employment History All driver applicants must provide the following information on all employers during the preceding 3 years. List complete mailing address, street number, city, province and postal code. Applicants to drive a commercial motor vehicle in intrastate or interstate commerce shall also provide an additional 7 years information on those employers for whom the applicant operated such vehicle. (List employers in reverse order starting with the most recent. Request another sheet if necessary) IT IS IMPORTANT TO PROVIDE US WITH CORRECT PHONE AND FAX NUMBERS. Page 4 of 7

7 Applicants Name Page 5of 7

8 Applicants Name Applicant: Please read and then sign By signing I am certifying that this application has been completed by me and that all information provided within is true and complete to the best of my knowledge. With my signature I have authorized you to make investigations and/or inquires into my employment, financial, personal or medical history. (Only after a conditional offer of employment has been made will Packers Logistics Solutions make general requests regarding my medical history). I hereby release employers, schools, health care providers and anyone else responding to requests and releasing information with regards to my application for employment from all liability. In the event I am employed with Packers Logistics Solutions, I understand that any misleading or false information I have giving during interview(s) or on this application could result in my immediate discharge. By signing below I have also agreed to abide by all rules of the company. Date Applicants Signature The rest of the information on this page is for office only (please proceed to next page) Applicant hired (yes/no) Employment starting date Position Received current copy of medical Reviewed medical (any problems note) Received and reviewed Abstracts (C.V.O.R. and Personal) Completed road test Received Current Police Search Received completed Request for information (D & A) Completed Pre Employment Testing (D&A) Enrolled in Drug and Alcohol Program Clear Copy of Drivers license on file Other: Comments: Termination of Employment Date terminated Reason for termination Supervisor Page 6 of 7

9 Applicants Name REQUEST FOR INFORMATION FROM PREVIOUS EMPLOYER I hereby authorize you to release the following information to Packers Logistics Solutions of Stoney Creek Ontario for the purpose of investigation as required under Section and allowed by Section of the Federal Motor Carrier Safety Regulations. By signing below I have released you of any and all liability, which could result from providing such information. Date Applicants Signature PLEASE FAX TO: (905) A SPEEDY REPLY WOULD BE APPRECIATED Dear Sir/Madam: has made application to Packers Logistics Solutions and has informed us that he/she during the period of until was employed with your company as a. Please complete the following: 1) Employed from until. 2) Was he/she employed as a class A driver? YES NO 3) Was he/she employed as a Over the road driver? YES NO 4) Was he/she employed as a Local driver? YES NO 5) Would you rehire this person again? YES NO 6) Has this person been involved in any preventable accidents? YES NO 7) Was this person s conduct satisfactory? YES NO 8) Reason for termination of employment 9) Overall driving skill..good Fair Poor PLEASE COMMENT ON PAST INCIDENTS/ACCIDENTS AND DRIVING RECORD Signature of person completing this report Title Date Page 7of 7