Please answer as many questions as desired below. Note: The ones marked with an * are required.
Driver Name
First Name *
Last Name: *
Address
Street Address:
City:
Province:
Postal Code:
Phone
Home Phone: *
Other
Email Address:
Language(s)
Are you 21 years or older?
Questions
Are you clear to cross the border?
Have you been tested for Drugs and Alcohol?
Are you capable of performing manual labour?
Are you willing to submit to a credit check?
Are you Incorporated?
Where did you hear about XTL?
Experience
Commercial Driving Experience (yrs):
U.S. Driving Experience (yrs):
Accidents in the past 3 years
(Date, Location, Explanation)
How many points lost on driver abstract?
Employment
Present Employer:
How Long? (yrs)
Reason for Leaving:
Truck Info.
Truck Make:
Year:
Color:
Cab Type:
Engine Make:
Model:
Year:
Engine HorsePower:
Maximum Speed:
Transmission Make:
Transmission Model:
Tire Make:
Model:
Size:
Differential Ratio:
Gross Wt.:
Tractor Serial #:
Fifth Wheel Height: