Fields with an * are mandatory
Has your licence ever been suspended or revoked for any reason, or have you ever been denied a licence for any reason?*
Tractor/Trailer Driving Experience*:
This certifies that I completed this form myself, and that all entries and information on/in it are said to be true and completed to the best of my knowledge. In the event of employment, I understand that false or misleading information given on this form or interview(s) if said to be, may result in termination.
I authorize T.D. Smith Transport Ltd, to make such investigations and inquires as may be necessary to arrive at an employment decision. This can include my personal history, employment history, driving record, criminal record, drug and alcohol test results from previous employers and other related matters. Generally, inquires regarding medical history will be made only if required and after a conditional offer of employment had been extended.
If hired, this authorization shall remain on file , and I shall complete the required Contract and Full Form Application for T.D.Smith Transport Ltd. I understand that T.D. Smith Transport may need to make this information available to a second party and I authorize this as my written consent.
I agree to supply the following information upon interview:
Original Driver Cvor/Abstract, and Criminal Search(current within 30 days).