NOTE: Please provide as much information as possible to be considered for a position with Pacex. Your online application will be reviewed by our HR Department within three business days. All candidates that are of interest to us will be contacted by phone to arrange a more formal interview. We thank everyone that applies for a position with us however, only those candidates that are of interest will be contacted for a follow up interview.
Personal Information
Applicants Name:
Email Address:
Address:
Suite/Unit:
City:
Province:	[Select One] Alberta British Columbia Manitoba New Brunswick Newfoundland Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan
Postal Code:
Phone:	Phone2:
Fax:
Driver License Information
License Number:
State/Province Issued:	[Select One] Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Alberta British Columbia Manitoba New Brunswick Newfoundland Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan
Country:	[Select One] United States Argentina Australia Austria Bahamas Barbados Belgium Bermuda Botswana Brazil Bulgaria Canada Cayman Islands Chile China Colombia Costa Rica Croatia Czech Republic Denmark Finland France Germany Ghana Greece Guam Honduras Hong Kong Hungary India Indonesia Iran Ireland Israel Italy Ivory Coast Jamaica Japan Kandi Kenya Korea Lithuania Macedonia Madagascar Malaysia Malta Mexico Middle East Netherlands Netherlands Antilles New Zealand Nicaragua Norway Pakistan Panama City Peru Philippines Poland Portugal Puerto Rico Romania Russia Saipan Saudi Arabia Singapore Slovenia South Africa Spain Sri Lanka Swaziland Sweden Switzerland Taiwan Tanzania Thailand Tobao Turkey US Virgin Islands Ukraine United Arab Emirates United Kingdom Uruguay Venezuela Vietnam Virgin Islands West Africa Zimbabwe
Expires:	(mm/dd/yyyy)
Birth Date:	(mm/dd/yyyy)
What Is Your Current License Class:	[Select One] A B C D E F G
Please check all the boxes pertaining to your license.
Do You Have An Air Brakes Endorsement?	Yes  No
Do You Have A Hazardous Material Endorsement?	Yes  No
Do You Have Any Driving Convictions?	Yes  No
Have You Ever Been Involved in a Traffic Accident?	Yes  No
Driving School History
Graduated From Driving School:	Yes  No
(If still in school) Name of Driving School Currently Enrolled In:
Equipment for Owner Operators
Tractor Make:	[Select One] I Do NOT Own A Tractor Ford PeterBilt International Freightliner Kenworth Mack Volvo Western Star Marmon GMC White Other
Tractor Year:
Tractor Horsepower:	[Select One] 300-325HP 325-350HP 350-375HP 375-400HP 400-425HP 425-450HP 450-500HP 500HP and Above
Trailer Year:	[Select One] Pre 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 Other None Owned Box   Flatbed Other
# of Axles:	[Select One] One Two
5 Ton Vehicle:	[Select One] 5 Ton 26" 5 Ton 24" 5 Ton 22" 5 Ton 20" 5 Ton 18" 5 Ton 16" Other Box  Flatbed Other
Van Owners
Van Make:	[Select One] Ford GM Chrysler Japan Other
Van Type:	[Select One] Full Size 1 Ton 3/4 Ton 1/2 Ton MiniVan Cargo
Van Year:
Rear Door Type:	[Select One] Two Doors Hatch Other
Car Owners
Car Make:	[Select One] Ford GM Chrysler Japan Other
Car Type:	[Select One] Compact Midsize Fullsize
Car Year:
Experience
Years of Driving Experience:	[ Select One ] None Current Student Graduate 0-5 months 6-11 months 1+ years 2-3 Years 4-5 Years 6-10 Years 10+ Years
Approx. Miles:	None Under 10,000 10,000 - 100,000 100,000 - 300,000 300,000 - 500,000 500,000 - 1,000,000 Over 1,000,000
Previous Employers: (Please provide your last three employers below)
Employer Name Employer Phone # # of Years Reason For Leaving [Select One] Quit Fired Laid Off Medical Other [Select One] Quit Fired Laid Off Medical Other [Select One] Quit Fired Laid Off Medical Other
What Type of Work Do You Prefer?	Local  Short U.S.  Long Hauls
What Type of Hours Are You Available?	9 to 5  Evenings  24/7
NOTE: Preference will be given to those applicants that are available to work more flexible shifts.
Legal Information:
Are You Legally Entitled to Work In Canada?	Yes  No
Do You Have A Criminal Record?	Yes  No
Type Comments or Paste Drivers Abstract: