Who should we talk to about this pickup?
Where is the pickup location?
What is the contact information for the pickup location?
What is being shipped, and where?
Item 1 Details:
Item 2 Details:
Item 3 Details:
Item 4 Details:
Item 5 Details:
(Download Application Form, fill it out manually, and please email it back to us at sales@lubanatrucking.com)
Reference 1:
Reference 2:
Reference 3:
Licenses - Driver
License 1 Details:
License 2 Details:
License 3 Details:
License 4 Details:
Experience 1 Details:
Experience 2 Details:
Experience 3 Details:
Experience 4 Details:
Accident 1 Details:
Accident 2 Details:
Traffic Convictions & Forfeitures 1 Details:
Traffic Convictions & Forfeitures 2 Details:
Traffic Convictions & Forfeitures 3 Details:
Traffic Convictions & Forfeitures 4 Details:
AS PER D.O.T. TITLE 49 – 383.35: LIST THE NAMES OF EMPLOYERS THAT YOU WERE AN OPERATOR OF A COMMERCIAL VEHICLE FOR THE PAST 10 YEARS. NOTE: PLEASE LIST FROM MOST RECENT. *** LIST ON THE BACK OF THIS PAGE IF ADDITIONAL SPACE IS REQUIRED. ***
Last Employer Details:
Second Last Employer Details:
Third Last Employer Details:
PLEASE ATTACH THE FOLLOWING DOCUMENTS:
This certifies that this application was completed by me, and that all entries and information is true and complete to the best of my knowledge.
I hereby authorize Westfreight Systems, Inc. / Westfreight Holdings (USA) Inc. to make such investigations and inquiries of my personal, employment, financial and/or medical history and other related matters as may be necessary in arriving at at an employment decision. (Generally, inquiries regarding medial history will be made only if and after a conditional offer of employment has been extended.)
I hereby release employers, educational institutions, health care providers and other persons from all liability in responding to inquiries and releasing information in connection with my applications.
I understand that any false or misleading information given in my application or interview(s) will result in me not being extended an offer of employment. I also understand, that should I be extended an offer of employment, I will abide by all policies, rules and regulations of Westfreight Systems, Inc. / Westfreight Holdings (USA) Inc.
It provides coverage for preventive care, hospital services, etc.
1
You also have the opportunity to purchase additional life insurance.
2
We provide vacation pay to our employees.
3
sales@lubanatrucking.com
+1 (346) 424 9800 +1 (780) 975 4442
13201 Northwest Freeway Suite 800 Houston Texas 77040
5710 17 STNW EDMONTON AB T6P 1S4
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