Employment

* Position:

Team Partner Name (If any):

* Date you can join us:

Referred by:

Are you 22 or older?

Yes No

Are you legally permitted to drive a tractor-trailer?

Yes No

How long have you been driving a tractor-trailer in North America?

Where? (check all that apply)

Canada USA

Do you have border-crossing (US-Canada) eligibility?

Yes No

Questions

* Have you ever had your Driver's License suspended or Revoked?:

Yes No

List any tickets in the last three years (Write NONE if you do not have any):

If so, please explain:

List any accidents regardless of fault in last three years? (Write NONE if you do not have any):

* Have you ever been cited for driving under the influence of alcohol or drugs?:

Yes No

* Do you allow Haulwolf Inc. to perform a criminal background check, review your record, CVOR, and conduct a Pre-Employment Screening Program prior to hiring you?:

Yes No

If so, please explain:

When:

* Have you ever been convicted of a criminal offense for which you have not received a pardon?:

Yes No

Where:

If so, please explain:

Additional Comments (Write NONE if you do not have any):

Employment History - Employer 1

Name of Current or most Recent Employer:

State/Provinces Operated in:

Can we reach out to them for a reference check?

Yes No

Type(s) of Equipment You Operated:

Employer Address:

Supervise Name:

Position Title:

Supervisor Phone number:

Supervisor’s Email:

Reason for leaving:

Employed (From - To):

Employment History - Employer 2

Name Of Second Most Recent Employer:

State/Provinces Operated in:

Can we reach out to them for a reference check?

Yes No

Type(s) of Equipment You Operated:

Employer Address:

Supervise Name:

Position Title:

Supervisor Phone number:

Supervisor’s Email:

Reason for leaving:

Employed (From - To):

Employment History - Employer 3

Name of The Third Most Recent Employer:

State/Provinces Operated in:

Can we reach out to them for a reference check?

Yes No

Type(s) of Equipment You Operated:

Employer Address:

Supervise Name:

Position Title:

Supervisor Phone Number:

Supervisor’s Email:

Reason for leaving:

Employed (From - To):

I certify the above information to be true and correct. I authorize HaulWolf Inc to conduct a complete background investigation, including past drug and alcohol employment testing results and driving records, in accordance with the governing legislation. I further authorize my previous employers to release any information requested by Haulwolf Logistics Inc. and hold them harmless from all liability from the release of said information.

Employment

Contact Information

General Information

Questions

Employment History - Employer 1

Employment History - Employer 2

Employment History - Employer 3

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