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Drive with Courioo
Truck driving is a lifestyle, not a job
we are hiring
courioo admin
2023-07-22T07:12:42+00:00
Driver Application
"
*
" indicates required fields
Driver Information
First Name
*
Middle Name
Last Name
*
Contact #
*
Email
*
License #
*
First
Issue date
*
MM slash DD slash YYYY
Exp date
*
MM slash DD slash YYYY
Driver License Class:
*
Road Test Passed Date
*
MM slash DD slash YYYY
Your Province
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Driving Experience
How many years experience for driving heavy commercial vehicle as Driver:
How many years experience for driving heavy commercial vehicle as Owner:
Trucking Comapny Employment Information
Current Employer where you are driving heavy truck:
Company Name
*
Address
*
Supervisor’s Name
*
Phone #
*
Employment Start Date
*
MM slash DD slash YYYY
Employment End Date
*
MM slash DD slash YYYY
Type of Vehicle(s) most often driven for this employer:
*
Dryvan
Reefer
Tanker
Flatbed
Dump
Container
OTHER
Enter type of vehicle
*
Enter type of vehicle
Past Employer Where You Drove The Heavy Truck:
Company Name
Address
Supervisor’s Name
Phone #
Employment Start Date
MM slash DD slash YYYY
Employment End Date
MM slash DD slash YYYY
Type of Vehicle(s) most often driven for this employer:
Dryvan
Reefer
Tanker
Flatbed
Dump
Container
OTHER
Enter type of vehicle
*
Enter type of vehicle
Past Employer Where You Drove The Heavy Truck:
Company Name
Address
Supervisor’s Name
Phone #
Employment Start Date
MM slash DD slash YYYY
Employment End Date
MM slash DD slash YYYY
Type of Vehicle(s) most often driven for this employer:
Dryvan
Reefer
Tanker
Flatbed
Dump
Container
OTHER
Enter type of vehicle
*
Enter type of vehicle
Past Employer Where You Drove The Heavy Truck:
Company Name
Address
Supervisor’s Name
Phone #
Employment Start Date
MM slash DD slash YYYY
Employment End Date
MM slash DD slash YYYY
Type of Vehicle(s) most often driven for this employer:
Dryvan
Reefer
Tanker
Flatbed
Dump
Container
OTHER
Enter type of vehicle
*
Enter type of vehicle
Claims History (Please check the box that applies below):
If no claims during last 3 years- Check this box
No Claim
(Please describe all accidents you were involved in for the last 3 (three) years regardless of fault on heavy commercial vehicles):
Date of accident
MM slash DD slash YYYY
Description and location of accident
%age of fault
Total amount paid
Describe 2nd Accident
Date
MM slash DD slash YYYY
Description
Fault
Amount
Describe 3rd Accident
Date
MM slash DD slash YYYY
Description
Fault
Amount
Describe 4th Accident
Date
MM slash DD slash YYYY
Description
Fault
Amount
COMMENTS:
Drivers License
*
Accepted file types: jpg, pdf, Max. file size: 3 MB.
3 Years Driving Abstract
*
Accepted file types: jpg, pdf, Max. file size: 3 MB.
CVOR
*
Accepted file types: jpg, pdf, Max. file size: 3 MB.
US Visa (if not Canadian citizen)
Accepted file types: jpg, pdf, Max. file size: 3 MB.
Passport
Accepted file types: jpg, pdf, Max. file size: 3 MB.
Police Clearance Certificate
Accepted file types: jpg, pdf, Max. file size: 3 MB.
Valid work permit (if applicable)
Accepted file types: jpg, pdf, Max. file size: 3 MB.
Fast Card (if applicable)
Accepted file types: jpg, pdf, Max. file size: 3 MB.
MELT Certificate (if commercial license issued within last 3 years)
Accepted file types: jpg, pdf, Max. file size: 3 MB.
Experience letters
Drop files here or
Select files
Accepted file types: jpg, pdf, Max. file size: 9 MB.
Owner Operator Truck Details:
Truck
Truck
Sleeper
Day-Cab
Make
Model
Interested in Hauling
Interested in Hauling
Dry Van
Reefer
Flatbed
Other
Owner Operator Truck Details:
Truck
Truck
Sleeper
Day-Cab
Make
Model
Interested in Hauling
Interested in Hauling
Dry Van
Reefer
Flatbed
Other
Owner Operator Truck Details:
Truck
Truck
Sleeper
Day-Cab
Make
Model
Interested in Hauling
Interested in Hauling
Dry Van
Reefer
Flatbed
Other
Owner Operator Truck Details:
Truck
Truck
Sleeper
Day-Cab
Make
Model
Interested in Hauling
Interested in Hauling
Dry Van
Reefer
Flatbed
Other
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