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Applying for Position:

Full Name:

Date of Birth:

mm/dd/yyyy

Street Address:

Appt #:

City / Town:

Province / State:

Postal Code / ZIP Code:

E-Mail:

Telephone #:

Cell #:

Other #:

please elaborate

May we contact your present or previous employer(s)?

YesNo

Employer (1):
Telephone #:
Position:
Reason for Leaving:

Employer (2):
Telephone #:
Position:
Reason for Leaving:

Employer (3):
Telephone #:
Position:
Reason for Leaving:

If you are applying for a driver's position, please elaborate on your qualifications and experience...

Years of Experience:

Details:

Commerical License:

please elaborate

Endorsements:

Transmission Experience:

4 X 4 (16 Speed)
5 Speed
6 Speed
9 Speed
10 Speed

RT910
Fuller 912 (13 Speed)
Fuller 12513 (13 Speed)
5 Speed Main - 3 Speed Aux.
Triplex (15 Speed)

Other:

please elaborate

Hauling Experience:

Regular Van
"Reefer
Flat Bed

Drop Deck
Constoga

Other:

Commodity Experience:

LTL Freight
Reefer Products
Dairy Products
Household Goods

Steel
Lumber
Heavy Equipment
Hazardous Materials

Other:

Operated in Canada:

Alberta
B.C.
Manitoba
New Brunswick
Newfoundland

Nova Scotia
Ontario
P.E.I.
Quebec
Saskatchewan

Operated in U.S.:

North Eastern U.S
South Eastern U.S
North Central U.S

North Western U.S
South Western U.S
South Central U.S

Elaborate Route:

By clicking on the Submit button, you certify that you completed this application personally and that all the information contained herein is true and correct. You authorize Polaris Transport Carriers Inc. to complete background investigation in accordance with provincial and federal laws. You authorize previous employers to release any information requested by Polaris Transport Carriers Inc. and hold them harmless of liability from the release of said information.