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Application for Employment - Non Driver Positions

Vitran Express is an equal opportunity employer. Applicants are considered for employment without regard to race, religion, sex, age, disability, citizenship status, or any other basis prohibited by law, unless such basis constitutes a bona fide occupational qualification. Vitran Express will comply with its legal obligation to provide reasonable accommodation to qualified individuals with disabilities.

All required fields are noted in Red and must be completed prior to submitting this application !!!

PERSONAL DATA

Date of Application:
First Name:
Middle Name:
Last Name:
Phone: - -
Email Address:

CURRENT AND PREVIOUS ADDRESSES

Current Street Address:
Current City:
Current State:
Current Zip:
* If the above residence is less than three years, list below all residence for the past three years. Use the "Additional Information" box for extra space if needed.
Address:
City, State, Zip:
Address:
City, State, Zip:
Address:
City, State, Zip:
Additonal Information:

POSITION

Position applying for:
Location you could work from:
Status seeking:

Who referred you?

How did you learn of this employment opportunity?
Advertisement (what source):
Relative (name):
Friend (name):
Other:
Rate of pay expected?

Have you worked for this company before?
If yes, list dates.
From:
To:
Where?
Position?
Rate of pay?
Reason for leaving?
Names of any relatives employed by Vitran Express:
Are you currently employed?
If not, how long since leaving last employment?

EDUCATION

Select highest education level completed:
Last school attended:
Address of school:

LEGAL

Have you ever been convicted of or pled guilty to a felony?  
If yes, state the nature of the conviction or plea, the date, and explain:
Are you a U.S. Citizen or an alien legally entitled to work in the position(s) for which you have applied?
For the purpose of verifying past employment and schools attended, please indicate any other names you may have used:

EMPLOYMENT RECORD

Starting with your present or most recent job, list all your employment experience for the last 10 years. You may include military assignments that reflect your qualifications for employment. Use the "Additional Notes" if needed for additional space.

Employer: Salary/Hourly Rate
Supervisor: Start:
Job Title: Finish:
Duties: Employment Dates
Address: From:
City, State, Zip: To:
Phone: Can we contact this employer?
Reason for Leaving:
Employer: Salary/Hourly Rate
Supervisor: Start:
Job Title: Finish:
Duties: Employment Dates
Address: From:
City, State, Zip: To:
Phone: Can we contact this employer?
Reason for Leaving:
Employer: Salary/Hourly Rate
Supervisor: Start:
Job Title: Finish:
Duties: Employment Dates
Address: From:
City, State, Zip: To:
Phone: Can we contact this employer?
Reason for Leaving:
Employer: Salary/Hourly Rate
Supervisor: Start:
Job Title: Finish:
Duties: Employment Dates
Address: From:
City, State, Zip: To:
Phone: Can we contact this employer?
Reason for Leaving:
Additional Information:
Have you ever been discharged or asked to resign from any position?
If yes, please state employer and explain:

If you are applying for a Maintenance position , please complete this section.

Job Function Formal training? Years of Experience
Drive Line Components
Diesel Engine Tune-up and Rebuild
Gas Engine Tune-up and Rebuild
Tire Service
Trailer Repair
Air Conditioning
Body Work
Electrical Repair
Frame and Wheel Alignment
Brakes
Cooling System
Inspections
General Car Repair

Shop Equipment:
Job Function Formal training? Years of Experience
Electrical Diagnostic Equipment
Sheet Metal Equipment
Frame & Axle Straightening Equipment
Engine Rebuilding
Diesel Injection Equipment
Electric Welder
Oxyacetylene Welder
Paint Spray Gun
Air Conditioning
Wheel & Tire Balancing Machine
Tire Servicing Machine
Tire Recapping Mold
Engine Dynamometer
Chassis Dynamometer
Magnetic Crack Defector
Engine Analyzer
Noise Measuring Equipment
Smoke Measuring Equipment
Inspections
General Car Repair

If you are applying for a Dock position , please complete this section.

List types of platform/dock experience and number of years of each:
List platform/dock equipment you can operate (lift truck, etc.)
List courses or training in platform work:

If you are applying for a Clerical position , please complete this section.

List courses or training in office work:
Skills:
Formal training? Years of Experience
Typing : wpm
Computers (indicate software):
Billing
Word processing equipment
Ten key touch
Photocopier
Rates (indicate tariffs with which you have worked)
Accounting
Switchboard equipment (indicate type)
OS&D
Dispatcher
Interline
Claims

If you are applying for a Service Center Manager or Account Manager position , please complete this section.

Has your license been suspended in the last 3 years?
Have you pled guilty to or have you been convicted of a DUI in the past 5 years?

APPLICANT STATEMENT

I certify that this application was completed by me and that all entries and information in it are trUE and COMPLETE to the best of my knowledge. In the event of employment, I understand that false, misleading or omitted information may result in discharge.

I authorize investigation of all statements contained in this application as may be necessary in arriving at an employment decision. I understand that an investigation may be made and information may be obtained through interviews with past employers or personal references and/or driver's record check. This inquiry may include information as to, among other things, my character, general reputation and personal characteristics, as well as information about my work performance and workplace conduct. I consent to this investigation and to the consideration of any statements of references, former employers or others that are given in response to the inquiry.

I hereby release all parties, including but not limited to Vitran Express, personal references and previous employers, from liability for an injury or damage that may result from their furnishing information concerning me or any action Vitran Express takes on the basis of such information.

I understand that, if I am offered a job, it may be conditioned on the result of a physical examination and drug screen. I agree to furnish any medical information with reference to me as may be necessary in conjunction with that examination and related considerations. I understand that, according to federal law, all individuals who are hired must, as a condition of employment, produce certain documentation to verify identity and U.S. citizen status or, if aliens, legal authorization to work in the U.S. As a consequence, I understand that any offer of employment is contingent upon my ability to produce the required documentation within the time period required by law.

I understand that this application is not, and is not intended to be, a contract of employment and that any resulting employment is for no fixed period of time and is able to be terminated at any time and for any reason by me or Vitran Express. I further understand that statements which may be contained in policies, practices, or other material do not create any guarantee of employment and that Vitran Express has the right to modify, amend or terminate policies, practices, benefit plans or other programs within the limits and requirements imposed by law. I understand that no representative of Vitran Express, other than an officer, has the authority to enter into any agreement for any specific period of time or to make any agreement contrary to the foregoing and that any such agreement must be in writing to be binding.