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:

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