Keypoint Carriers Limited > Fleet Maintenance

Applications and Forms

In compliance with federal and State 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.

Please complete the form below. Please also print out the following form and mail or fax it to our office.

Drivers Application for Employment

Position Applied for:

Full Name:


First	Last	Middle

Home Phone:

Cell Phone:

If applying for owners/operator , please list the Make and Year of your equipment:

Current

Street:

City:

State/Province:

Zip/Postal Code:

Country:

Phone:

From:

To:

Date of Birth:

Do you have the legal right to work in the United States:
No Yes

Can you provide proof of age?
No Yes

Have you worked for Keypoint Carriers before?
No Yes

From:

To:

Reason for leaving:

Are you currently employed?
No Yes

If no, date of last employment:

Who referred you to Keypoint Carriers?

Rate of expected pay?

Is there any reason you may be unable to perform the functions of the job for which you are applying?
No Yes

Explain:

Are you Fast APPROVED?
No Yes

All driver applications to drive in interstate commerce must provide the following information on all employers during the past 3 years. List complete mailing address, street number, city, state and zip code. Applicants to drive a commercial motor vehicle ( which includes vehicles having a GVWR of 25,001 lbs or more, vehicles designed to transport 15 of more passengers or any size vehicle used to transport hazardous materials in a quantity requiring placarding) in intrastate commerce shall also provide an additional 7 years' information on those employers for whom the applicant operated such vehicle.

List Employment History starting with the most recent.

Employer 1

Name:

Contact Person:

Street:

City:

State/Province:

Zip/Postal Code:

Country:

Phone:

From:

To:

Position

Pay Rate:

Reason For Leaving

Employer 2

Name:

Contact Person:

Street:

City:

State/Province:

Zip/Postal Code:

Country:

Phone:

From:

To:

Position

Pay Rate:

Reason For Leaving

Employer 3

Name:

Contact Person:

Street:

City:

State/Province:

Zip/Postal Code:

Country:

Phone:

From:

To:

Position

Pay Rate:

Reason For Leaving

Employer 4

Name:

Contact Person:

Street:

City:

State/Province:

Zip/Postal Code:

Country:

Phone:

From:

To:

Position

Pay Rate:

Reason For Leaving

Employer 5

Name:

Contact Person:

Street:

City:

State/Province:

Zip/Postal Code:

Country:

Phone:

From:

To:

Position

Pay Rate:

Reason For Leaving

I have Had No Accidents or Incidents of any kind in the last 5 years:
Agree Disagree

1. Date:

Fatalities:

Injuries:

Description:

2. Date:

Fatalities:

Injuries:

Description:

3. Date:

Fatalities:

Injuries:

Description:

4. Date:

Fatalities:

Injuries:

Description:

I have not received any convictions or warnings in the last 5 years? This includes overweight, logbook, and other driving violations in both Canada and the US:
Agree Disagree

1. Date:

Location:

Charge:

Penalty:

2. Date:

Location:

Charge:

Penalty:

3. Date:

Location:

Charge:

Penalty:

4. Date:

Location:

Charge:

Penalty:

False answers to any questions on this application will cause for your employment/contract opportunity with Keypoint Carriers Limited to be null and void.

Highest Grade Completed:

Last School Attended:

Degree or Diploma Achieved:

Driver Licenses 1

State/Province:

License Number:

Type / Grade:

Expiration Date:

Have you ever been denied a license, permit or privilege?
No Yes

If yes, why?

Has any license, permit or privilege been suspended or revoked?
No Yes

If yes, why?

Strait Truck:

No Yes

Type /Equipment:

From

Approx. # of Miles Driven:

Tractor and Semi Trailer:

No Yes

Type /Equipment:

From

Approx. # of Miles Driven:

Tractor - Two Trailers

No Yes

Type /Equipment:

From

Approx. # of Miles Driven:

Motor Coach or School Bus:

No Yes

Type /Equipment:

From

Approx. # of Miles Driven:

Other:

No Yes

Type /Equipment:

From

Approx. # of Miles Driven:

List states or provinces operated in for last five years:

Special driver courses or training:

Safe Driving awards:

Other trucking or trailer experience

Other training or courses

Special equipment of technical training

This certifies that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge. I authorize you to make such investigations and inquiries of my personal, employment, financial or medical history and other related matters as may be necessary in arriving at an employment decision. General inquiries regarding medical history will be made only if and after a conditional offer of employment has been made. I hereby release 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 even 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 Keypoint Carriers.

I have read the above and agree to its conditions:
No Yes