Independent Contractor Info

Driver Information:

Full Name:

Address:

City:

Postal Code:

Home Phone:

Cell Phone:

Email Address:

Any health or physical limitations which could affect your ability to do deliveries?
YesNo

If YES, please explain:

Do you have a current clean driver abstract?
YesNo

Vehicle Information:

Do you own the car? YesNo

Availability:

Are you legally able to work in Canada? YesNo

Are you Bondable? YesNo

Independent contractor position applied for: Van DriverCar Driver

Most recent Employment 1:

Company:

Address:

Telephone:

Your Job Position:

Who was your Supervisor?

Dates Worked: To

Reason for leaving:

Most Recent Employment 2:

Company:

Address:

Telephone:

Your Job Position:

Who was your Supervisor?

Dates Worked: To

Reason for leaving:

Additional Comments: