Claresholm HQ Office - P.O. Box 938

Claresholm, Alberta, T0L 0T0

Toll Free Phone: 1.800.383.1934

Fax: 1.403.625.4185

nwatt@wattstewart.com

Saturday, May 19th, 2012 - 5:35am MDT

Online Employment Application Form


Thank you for applying for employment at Watt & Stewart Trucking Inc.

The purpose of this application is to determine whether or not the applicant is qualified to operate motor carrier equipment according to the requirements of the Federal Motor Carrier Safety Regulations and the Company named above.

Please fill in as much information as possible so we may better understand your qualifications. You can hover your mouse over the description/title of each field to view additional information and instructions for the field.

Note that 'Required' fields are identified with *
Personal Information
Full name including first middle and last names...
Phone number where we can contact you...
Please enter your email address in case we need to ask further questions...
Indicate your date of birth - month-day-year...
*The Age Discrimination of Employment Act of 1967 prohibits discrimination on the basis of age with respect to individuals who are at least 40 but less than 70 years of age.
Number to call in case of emergency - including area code...
Enter your social security number...
Indicate whether you are a contractor (owner/operator) or a driver...
Enter the expiration date for your physical exam - month-day-year...
enter your full current address including zip/area code...
Enter the number of years and months at your current address...
enter your address prior to the current address including zip/area code...
Enter the number of years and months at your previous address ...
enter your address prior to the previous address 1 including zip/area code...
Enter the number of years and months at your previous address ...


Education and Employment History
Education
Please enter the level(s) of education completed
Enter level of grade school completed...
Enter number of years you attended college...
Enter number of years you attended a post graduate institution...
Employment
Please provide a complete record of all employment for the past 3 years, including any unemployment time or self employment.

Present or Last Employer
Enter company name...
Enter the company phone number including the area code...
Enter the full address for the company...
Enter the dates you were employed - from month-day-year to month-day-year...
Enter the position (job title) held...
Enter the reason for leaving...
Previous Employer 1
Enter company name...
Enter the company phone number including the area code...
Enter the full address for the company...
Enter the dates you were employed - from month-day-year to month-day-year...
Enter the position (job title) held...
Enter the reason for leaving...
Previous Employer 2
Enter company name...
Enter the company phone number including the area code...
Enter the full address for the company...
Enter the dates you were employed - from month-day-year to month-day-year...
Enter the position (job title) held...
Enter the reason for leaving...
Previous Employer 3
Enter company name...
Enter the company phone number including the area code...
Enter the full address for the company...
Enter the position (job title) held...
Enter the dates you were employed - from month-day-year to month-day-year...
Enter the reason for leaving...
Please indicate any additional employment information in the text box (include company,phone,from-to dates,position and reason for leaving)...


Driving Experience
Vehicle Type 1
Enter the type of vehicle driven...
Enter the dates you drove this kind of vehicle - from month-day-year to month-day-year...
Enter the approximately number of total miles driven in this kind of vehicle...
Vehicle Type 2
Enter the type of vehicle driven...
Enter the dates you drove this kind of vehicle - from month-day-year to month-day-year...
Enter the approximately number of total miles driven in this kind of vehicle...
Vehicle Type 3
Enter the type of vehicle driven...
Enter the dates you drove this kind of vehicle - from month-day-year to month-day-year...
Enter the approximately number of total miles driven in this kind of vehicle...
Drivers Licenses Held
Please provide information for all drivers licenses you have had for the past 3 years (use the 'Other' field if more space is required).

Drivers License 1
Enter the State/Province where the drivers license was issued...
Enter the drivers license number...
Enter the type of Drivers License (Class 1 or Class 3, etc.)...
Enter any endorsements included on the drivers license (i.e. heavy trailer, etc.)...
Enter the expiration date for the license (m-d-y)...
Drivers License 2
Enter the State/Province where the drivers license was issued...
Enter the drivers license number...
Enter the type of Drivers License (Class 1 or Class 3, etc.)...
Enter any endorsements included on the drivers license (i.e. heavy trailer, etc.)...
Enter the expiration date for the license (m-d-y)...
Please list any additioanl license(s) you have (include the state, number, type, endorsement and expiration date for each license)...


Driving Record
Driving Record
Please provide information for all accidents, traffic violations and license forfeitures you have had for the past 3 years (use the 'Other' fields if more space is required).

Accident 1
Enter the date of the accident...
Enter the nature of the accident (head-on, rear-end, upset, etc.) ...
Enter the location/address where the accident occured...
Enter the number of fatalities(deaths) involved in the accident...
Enter the number of injuries involved in the accident...
Accident 2
Enter the date of the accident...
Enter the nature of the accident (head-on, rear-end, upset, etc.) ...
Enter the location/address where the accident occured...
Enter the number of fatalities(deaths) involved in the accident...
Enter the number of injuries involved in the accident...
Accident 3
Enter the date of the accident...
Enter the nature of the accident (head-on, rear-end, upset, etc.) ...
Enter the location/address where the accident occured...
Enter the number of fatalities(deaths) involved in the accident...
Enter the number of injuries involved in the accident...
Please list any additioanl accident(s) you have been involved in (include the date, location, type, #fatalities and #injuries)...
Traffic Convictions and Forfeitures
Other than parking violations, please provide information for any traffic convictions, license suspensions and license forfeitures for the past 3 years (use the 'Other' field if more space is required).

Traffic Violation 1
Enter the date of the incident...
Enter the location/address where the incident occured...
Enter the charge(s) you received because of the incident...
Enter the penalty you recieved as a result of the incident (including fines, license forfeiture, etc.) ...
Traffic Violation 2
Enter the date of the incident...
Enter the location/address where the incident occured...
Enter the charge(s) you received because of the incident...
Enter the penalty you recieved as a result of the incident (including fines, license forfeiture, etc.) ...
Traffic Violation 3
Enter the date of the incident...
Enter the location/address where the incident occured...
Enter the charge(s) you received because of the incident...
Enter the penalty you recieved as a result of the incident (including fines, license forfeiture, etc.) ...
Please list any additioanl violation(s) you have been involved in (include the date, location, type, charges and penalties)...


Other Information
Have you ever been denied a license, permit or privilege to operate a motor vehicle? * Please indicate if you have ever been denied a license, permit or privilege to operate a motor vehicle...
Indicate whether you have ever been denied a license, permit or privilege to operate a motor vehicle...
Has any license, permit or privilege ever been suspended or revoked? * Please indicate if a license, permit or privilege has ever been suspended or revoked...
No info for this field
Do you have ANY restrictions, legally or otherwise, for entering either the US, Canada or Mexico? * Please indicate if you have ANY restrictions, legally or otherwise, for entering either the US, Canada or Mexico...
No info for this field
Have you ever tested positive or refused a DOT drug or alcohol pre-employment test within the past two years from an employer who did not hire you? * Please indicate if you have ever tested positive or refused a DOT drug or alcohol pre-employment test within the past two years from an employer who did not hire you...
No info for this field
Have you ever been convicted of a felony? * Please indicate if you have ever been convicted of a felony...
No info for this field
*NOTE* If you answered YES to ANY of the questions stated above, provide full details in the box below... If you answered YES to ANY of the above questions, please provide full details in the field below...
List the states/provinces you have operated a vehicle in within the last 5 years...
List any special training you have (PTD/DDC, Haz Mat, etc)...
List any safe driving awards you hold and from whom...
Personal References
Other than family members, please list 3 persons for references who have knowledge of your safety habits

Personal Reference 1
Enter the name, address, phone number and relationship to you for this personal reference...
Personal Reference 2
Enter the name, address, phone number and relationship to you for this personal reference...
Personal Reference 3
Enter the name, address, phone number and relationship to you for this personal reference...
Please add any additional information or comments in the box below... If you have any additional information or comments that may assist us in processing your application, use the field below...


Submit Application Form
Before clicking the 'Submit Application' button, please ensure you have filled in as much information as possible. This will help us to expedite the process of selecting the right candidates. You must also read, and agree to, the Terms and Conditions information shown below.
Terms and Conditions

It is agreed and understood that any misrepresentation given on this application for qualification shall be considered an act of dishonesty.

I give the motor carrier and its agents or representatives the right to investigate all references and to secure additional information about my employment background. I hereby release from all liability for damages the motor carrier and its agents or representatives for seeking such information and all other persons, corporations or organizations for furnishing such information.

I agree to furnish such additional information and complete such examinations as may be required to complete my employment file.

It is agreed and understood that this application for qualification in no way obligates the motor carrier to employ me.

It is agreed and understood that if qualified to operate motor carrier equipment, I may be on a probationary period, during which I may be disqualified without recourse.

Clicking in the 'Agree to Terms and Conditions' checkbox below signifies my acceptance of the Terms and Conditions stated above and certifies that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge.

By checking this box, you agree that you have read the Terms and Conditions stated above.
Please enter the security code shown in the box provided...
Security Code
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  Agree to the Terms and Conditions and enter the Security Code shown in the box provided...  

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