APPLICATION FORM

If a curriculum vitae is available, annex it to this service offer

Diamond Transportation

(9249-7833 Quebec: Inc. ).

Also enter driver and owner operator details that we need these documents from them .


For Driver we need

  • 3 YEAR EXPERIENCE
  • CLEAN ABSTRACT
  • CRIMINAL SEARCH RECORD
  • MEDICAL
  • FOR US - PASSPORT COPY
  • US VISA COPY
  • DRIVER'S LICENSE

For Owner Operator we need

  • COOPERATION PAPER
  • IFTA
  • INSURANCE PAPER
  • NIR
  • TRUCK/TRAILER REGISTRATION
  • INSPECTION
  • COMPANY PAPERS

Diamond Transportation (9249-7833 quebec Inc.)


APPLICATION FORM

Job Applied For

Yes
No

Personal Details

Address of the last 3 years

Current Address

Malling Address If different from address of residence

Previous address if less than 3 years at current address

Yes
No

Driving licence (According to the requirements of the post)

Since how Long you Possess a driving licence?

Yes
Yes
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No

Driving (Accident, incidents)

Regarding the use of motorized vehicles, Have you had, during the past
5 years (last 3 years in the US)

Yes
No
Yes
No

Driving (Tickets, fines)

Yes
No

If yes, Complete the following

Histroy (Work Accidents)

Yes
No

Driver’s Record

Quebec - Canada (Abstract), provide a record dated less than 30 days.


Conduct review Policy for Heavy Vehicle driver


How many points appears in your driving record, heavy vehicle:

Yes
No
Yes
No

Qualifications

French
English
French
English

Education

Yes
No
Yes
No

Duration of the Courses

Employment

Previous employers (three years for any type of work performed),

For USA, 10 years of employment as part of a position related to driving a heavy vehicle and for the transport of dangerous goods (verification required).


Quebec
Ontario
Others Canadian Provinces
United states
Mexico

Duration

Full time
Part Time
Yes
No
Yes
No

Section — Driving (experience)

Straight truck ; 2 axles
Straight truck ; 3 axles
Tractor - Trailer/Semi-Trailer
Flat Bed
Out of standard Transportation
Moving
Platform semi-trailer / multi-axle dolly
School bus
Bus traveller (coachlines)
Reefer
Extensible trailer
Container
Shunter
Road Train
Type A double road train
Type B double road train
Cylinders
Towing
Tanker
Compression
Pumping
Blower
Compressed gas
General Goods
Steel
Wood
Paper
Chemical
Perishable / Reefer
Hazardous materials
Household goods
Yes
No

Driving (Training)

Please mention classes and practical experience


Courses

Practical experiment

To be read and signed by the applicant

It is agreed that in the event i made a mistepresentation in.connection with my hiting or I omitted to give the required _ information on this form, | am liable to a dismissal as of the date the misrepresentation or omission was discovered, In” accordance with the bond requirements contained in the terms and conditions of the job contract. It is agreed and it is understood that if I am hired, I will subject as of the first working day, the file of control emitted by the Societe de I'Assurance automobile du Quebec which makes state of the suspensions, the revocations and the points of inaptitude.


Yes
No
Yes
No
Yes
No
Yes
No
Yes
No

Diamond Transportation (9249-7833 Quebec Inc.)


Previous Employer’s’ References
Information on the driver


Note : Please use one (1) form per employer called.
USA : In the case of drivers operating in the United States. Check the history of the applicant with the employers of the last three (3) previous years plus seven(7) years period which the applicant was an operator of a commercial motor vehicle.


Source

Term Of Employment

Questionnaire

Yes
No
Yes
No

What kind of attitude the employee had toward

Yes
No
Yes
No
Yes
No
Yes
No
Yes
No

Diamond Transportation ( 9249-7833 Quebec Inc.)


STATEMENT OF VALID DRIVER'S. LICENCE


(To be signed on the first date of service orat the annual review of driving record)


1.

2. I further certify that, in accordance with section 519,7 of the Quebec Highway Safety Code, I will immediately notify the company of any modification, suspension OF cancellation of my driver's licence or my class of licence specifying the reasons as soon as the modification,suspension OF cancellation takes effect.


3. In addition, | will notify my employer of the duration and the expiry date of any modification or suspension affecting my driver's licence and, in the event of a cancellation, | will notify him of the duration for which my licence or class of licence will be cancelled.


4. On my employer's request, | undertake to supply him with a copy of my driver's file every six (6) months or whenever he would like.


5. USA: if I am assigned to a position of driver operating in the United States and I am fined in relation to an offence against traffic regulation - except for parking - (FMCSR, section 383.31, b) when driving any vehicle, I undertake to notify my employer in writing within thirty (30) days.


Payment of renewal of driving license

To insure the validity of your driving licence and keep the right to drive the company’s vehicle, | (driver) confirm that the annual payment will be paid before the renewal, at the anniversary date, and / or the monthly payment made in the period. Failure to comply, you might be subject to disciplinary action.


Medical examination: When SAAQ notify you to conduct a medical examination, you have to respect the delay, in order to ensure the validity of the driving license and retain the right to drive a company vehicle.


Note :An owner or an operator who permits a vehicle to be operated, not with standing notification of the suspension or cancellation of the driver's licence as a result of a criminal offence pursuant to section 519.42 of the Highway Safety Code or if the licence was suspended as per indicated in article 105, is liable a fine of 700 $ to 2 100 $ (Sec. 519.42).


A driver who fails to notify his employer of the suspension, revocation or cancellation of his licence is liable to a fine of 350 $ to 1050$ (Sec. 519.50).


Diamond Transportation ( 9249-7833 Quebec Inc.)


ON DUTY TIME (Driving and on duty time)
Previous 14 days before the hiring


(To be completed on the first day of service.)


As per article 519.24 of the Quebec Highway Safety Code, no carrier shall permit a driver to exceed the number of driving or service hours prescribed by regulation.
519.25.Where the operator uses the services of a driver, obtain from the person who supplies the driver the daily logs of hours of driving and of work.
Please complete the following chart by stating the number of driving and working hours you have accumulated during the last 14 consecutive days(as the case may be).


Period from To

I attach to this statement a copy of my log of hours of driving and service for my first day of service (if | worked for another employer on that day). To the best of my knowledge, I certify that above information is accurate and that I have been relieved of past duties.


NOTE: A carrier who permits a driver to exceed the number of hours of driving or hours of service prescribed by regulation is liable to a fine of $700 to $2100 (section 519.53 of the Québec Highway Safety Code).


Diamond Transportation (9249-7833 quebec Ine.)


Daily Inspection and
Authorization to sign the Inspection report

(proof of repair)



Note:

  • If a mechanical defect was noted at the time of departure, immediately report the Defect.
  • The Operator or Representative must sign the report without delay.
  • In some circumstances, a driver can sign the report on behalf of the operator and put him on his return (Ex.: leaving for several days, starting the night, etc.)

  • « We The Company» there by appoint Proxy - Driver

    AND

    Daily Inspection

    Including; The Pre-Trip, during the work shift and post trip

    The Company

Diamond Transportation (9249-7833 quebec Ine.)


DDRIVER’S HEALTH STATEMENT

NOTE: The purpose of this questionnaire is to give a general overview of your current physical condition and information on your medical history. The information you will disclose will be used only in order for us to ensure you have ifie quaiivications and skills required for the job you apply for. This information will determine whether you need a medical check-up, but does not imply you will have to submit to one.


HISTORY

Yes
No
Yes
No
Yes
No

Have you ever been treated for any of the following diseases or conditions or have you ever felt any of their symptoms?

Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No

What is the weekly amount you take of: Did you use to take a larger amount

Yes
No
Yes
No
Yes
No

I declare that the information given in this questionnaire is accurate and complete to the best of my knowledge. | understand and accept that any misrepresentation or omission can result in the rejection of my application or the loss of my job or any benefit related to a pension or an allowance in connection with my health condition.


Diamond Transportation (9249-7833 Quebec Inc.)


ROAD EVALUATION

Tractor / straight truck pre-trip inspection

Documents verification

Inspection of safety equipment

Engine start-up

Trailer hitching

Tractor / Trailer pre-trip inspection

Departure with the Vehicles

Uphill and rough terrain start

Uphill driving

Downhill driving

Double clutch

Synchronization- Down and Up shifting

RPM while upgrading and downgrading gears

Transmission utilization

Progressive gear changing

Fuel Efficiency

Road handling

Lane Changing and overtaking

Curves and intersections

Anticipation-Tailgation distance

Acceleration- Tailgation distance

Braking

Control in the curves

Signs - Compliance (speed, stop, etc.)

Reverse driving

Unhitching

General driving and behavior

Reefer and verification

Application’s attitude