DRIVER APPLICATION Step 1 of 5 – Step 1 20% WHEN FILLING OUT YOUR APPLICATION PLEASE INCLUDE A COPY OF YOUR: CVOR ABSTRACT DRIVERS LICENSE CRIMINAL SEARCH CURRENT MEDICAL PASSPORT OR FAST CARD Note: Please attach original or copies of the following documents: Copy of your Driver’s License – Current Drivers Abstract and CVOR Drivers Abstract (no older than 7 days). US Drivers also include Current Police Clearance (no older than 30 days) or an I-94 Card with your waiver – WSIB Account Number (if applicable) –FAST Card. In compliance with Federal and provincial equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status, or non-job related disability. Date of Application:WHEN FILLING OUT YOUR APPLICATION PLEASE INCLUDE A COPY OF YOUR: CVOR ABSTRACT DRIVERS LICENSE CRIMINAL SEARCH CURRENT MEDICAL PASSPORT OR FAST CARD Note: Please attach original or copies of the following documents: Copy of your Driver’s License – Current Drivers Abstract and CVOR Drivers Abstract (no older than 7 days). US Drivers also include Current Police Clearance (no older than 30 days) or an I-94 Card with your waiver – WSIB Account Number (if applicable) –FAST Card. In compliance with Federal and provincial equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status, or non-job related disability. Date of Application: MM slash DD slash YYYY Position Applied For: Owner Operator Company Driver Lease Name First Last Date of Birth MM slash DD slash YYYY Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Do you have the legal right to work in Canada? Yes No Can you legally cross the US/Canadian Border? Yes No Have you worked for this company before? Yes No When was your first day working at ET? MM slash DD slash YYYY What was your last day working for ET? MM slash DD slash YYYY Reason for leaving:Are you currently employed? Yes No What was the last day of your employment? MM slash DD slash YYYY How did you hear about us?Please selectReferralGoogleFacebookNews paperOtherIf other, please explainWho referred you? Employer NameList your employment history for the past 5 years starting with the most current. All time for the past 5 years must be accounted for even if you were unemployed.CityProvinceContact PersonPhoneAreas you services West US Midwest US South East US East Canada West Canada What equipment did you operate? Van/Reefer Flatbed/Rolltite How many miles per month did you average?Date from MM slash DD slash YYYY Date to MM slash DD slash YYYY PositionWagesReason for leavingNeed to add second employer? Yes No Employer 2 NameCityProvinceContact PersonPhoneAreas you services West US Midwest US South East US East Canada West Canada What equipment did you operate? Van/Reefer Flatbed/Rolltite How many miles per month did you average?Date from MM slash DD slash YYYY Date to MM slash DD slash YYYY PositionWagesReason for leavingNeed to add third employer? Yes No Employer 3 NameCityProvinceContact PersonPhoneAreas you services West US Midwest US South East US East Canada West Canada What equipment did you operate? Van/Reefer Flatbed/Rolltite How many miles per month did you average?Date from MM slash DD slash YYYY Date to MM slash DD slash YYYY PositionWagesReason for leaving Driver’s License #ProvinceType/ClassDate MM slash DD slash YYYY RestrictionsHave you ever had your license to operate a motor vehicle suspended, revoked or denied? Yes No If yes give complete details on reason and dates:I hereby guarantee that I have never been denied a license nor had a license to operate a motor vehicle suspended or revoked for any reason.Signature This certifies that this application was completed by me, and that all entries on it and information in it are true and complete. This authorization shall remain on file and shall serve as on-going authorization for: (i) the collection, use and disclosure of my information for the purposes stated above; (ii) the Company re-checking and updating their files, at any point during or after my relationship with the Company, by making similar inquiries as described above; (iii) the Company sharing with each other information they have obtained on me; (iv) the Company sharing their files with third parties who may be interested in employing me (now and after my employment or contract with the Company is terminated) and (v) the disclosure of my information, if deemed reasonably necessary, in anticipation of and in the course of an actual or potential sale, reorganization, consolidation, merger or amalgamation of the Company; (vi) the investigation of illegal, potentially fraudulent or questionable activities and (vii) when required or permitted by law. This authorization is effective immediately upon execution of this document, and continues throughout my relationship with the company, and after my relationship with the Company terminates. I hereby release the Company, employers, schools, health care providers and other persons from all liability in responding to inquiries and releasing information in connection with my application. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, 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 for positive identification purposes when checking records. Except as provided for herein, or with your prior consent, the Company shall not use the information gathered on me for any other purpose. MM slash DD slash YYYY SignatureReceive SMS Check this box to opt-in to receive SMS text messages from ET Transport. Standard rates and data may apply. You may Reply STOP to opt out at any time. ET Transport Driver Employment Application Step 1 of 5 - Step 1 20% WHEN FILLING OUT YOUR APPLICATION PLEASE INCLUDE A COPY OF YOUR: CVOR ABSTRACT DRIVERS LICENSE CRIMINAL SEARCH CURRENT MEDICAL PASSPORT OR FAST CARD Note: Please attach original or copies of the following documents: Copy of your Driver’s License – Current Drivers Abstract and CVOR Drivers Abstract (no older than 7 days). US Drivers also include Current Police Clearance (no older than 30 days) or an I-94 Card with your waiver - WSIB Account Number (if applicable) –FAST Card. In compliance with Federal and provincial equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status, or non-job related disability. Date of Application:WHEN FILLING OUT YOUR APPLICATION PLEASE INCLUDE A COPY OF YOUR: CVOR ABSTRACT DRIVERS LICENSE CRIMINAL SEARCH CURRENT MEDICAL PASSPORT OR FAST CARD Note: Please attach original or copies of the following documents: Copy of your Driver’s License – Current Drivers Abstract and CVOR Drivers Abstract (no older than 7 days). US Drivers also include Current Police Clearance (no older than 30 days) or an I-94 Card with your waiver - WSIB Account Number (if applicable) –FAST Card. In compliance with Federal and provincial equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status, or non-job related disability. Date of Application: MM slash DD slash YYYY Position Applied For: Owner Operator Company Driver Lease Name First Last Date of Birth MM slash DD slash YYYY Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Do you have the legal right to work in Canada? Yes No Can you legally cross the US/Canadian Border? Yes No Have you worked for this company before? Yes No When was your first day working at ET? MM slash DD slash YYYY What was your last day working for ET? MM slash DD slash YYYY Reason for leaving:Are you currently employed? Yes No What was the last day of your employment? MM slash DD slash YYYY How did you hear about us?Please selectReferralGoogleFacebookNews paperOtherIf other, please explainWho referred you? Employer NameList your employment history for the past 5 years starting with the most current. All time for the past 5 years must be accounted for even if you were unemployed.CityProvinceContact PersonPhoneAreas you services West US Midwest US South East US East Canada West Canada What equipment did you operate? Van/Reefer Flatbed/Rolltite How many miles per month did you average?Date from MM slash DD slash YYYY Date to MM slash DD slash YYYY PositionWagesReason for leavingNeed to add second employer? Yes No Employer 2 NameCityProvinceContact PersonPhoneAreas you services West US Midwest US South East US East Canada West Canada What equipment did you operate? Van/Reefer Flatbed/Rolltite How many miles per month did you average?Date from MM slash DD slash YYYY Date to MM slash DD slash YYYY PositionWagesReason for leavingNeed to add third employer? Yes No Employer 3 NameCityProvinceContact PersonPhoneAreas you services West US Midwest US South East US East Canada West Canada What equipment did you operate? Van/Reefer Flatbed/Rolltite How many miles per month did you average?Date from MM slash DD slash YYYY Date to MM slash DD slash YYYY PositionWagesReason for leaving Driver’s License #ProvinceType/ClassDate MM slash DD slash YYYY RestrictionsHave you ever had your license to operate a motor vehicle suspended, revoked or denied? Yes No If yes give complete details on reason and dates:I hereby guarantee that I have never been denied a license nor had a license to operate a motor vehicle suspended or revoked for any reason.Signature This certifies that this application was completed by me, and that all entries on it and information in it are true and complete. This authorization shall remain on file and shall serve as on-going authorization for: (i) the collection, use and disclosure of my information for the purposes stated above; (ii) the Company re-checking and updating their files, at any point during or after my relationship with the Company, by making similar inquiries as described above; (iii) the Company sharing with each other information they have obtained on me; (iv) the Company sharing their files with third parties who may be interested in employing me (now and after my employment or contract with the Company is terminated) and (v) the disclosure of my information, if deemed reasonably necessary, in anticipation of and in the course of an actual or potential sale, reorganization, consolidation, merger or amalgamation of the Company; (vi) the investigation of illegal, potentially fraudulent or questionable activities and (vii) when required or permitted by law. This authorization is effective immediately upon execution of this document, and continues throughout my relationship with the company, and after my relationship with the Company terminates. I hereby release the Company, employers, schools, health care providers and other persons from all liability in responding to inquiries and releasing information in connection with my application. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, 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 for positive identification purposes when checking records. Except as provided for herein, or with your prior consent, the Company shall not use the information gathered on me for any other purpose. MM slash DD slash YYYY SignatureReceive SMS Check this box to opt-in to receive SMS text messages from ET Transport. Standard rates and data may apply. You may Reply STOP to opt out at any time.