6191 Atlantic Drive, Mississauga, ON
905-670-1666

OWNER/OPERATOR APPLICATION

| Employment Information

Please mention the make, model and year.

Full Time
Part Time
Seasonal
Shift Work
Yes No
| Previous Experience

Dry bulk
Liquid bulk
Freight
Petroleum
Others

Box truck/walking-floor
Flatbed
Tanker
Live-bottom/live-floor
Dump truck
Dump trailer

Automatic 9-Speed 15-Speed 18-Speed
| Employment Eligibility
Yes No

Yes No

I am a Canadian citizen
I am legally entitled to work in Canada
I am bondable
The facts set forth in this application are true and complete to the best of my knowledge