Resources - Online Application Form

Online application for employment. The application is a multi-step form, and there are three steps required in order to completely fill out the form

STEP 1

Position Applied for:

	Highway Driver		Day Warehouse
	Local Delivery		Night Warehouse
	Office Staff		Maintenance
	Other

PERSONAL INFORMATION

Surname:

First name:

Middle Name:

Mailing Address:

City/Town

Province

Country:

Postal Code:

Phone Number:

E-Mail:

Which location are you applying for?

Do you have any relatives working for Hi-Way 9 Express Ltd.?

Yes No

If you do have relatives working for Hi-Way 9 Express Ltd., please provide the following:

Name:

Relation:

Location:

Were you referred by a present employee of Hi-way 9 Express Ltd.?

Yes No

If yes, please state info:

Name:

Relation:

Location:

If your application is considered favorable, on what date will you be available for work?

If your application is considered favorable, what rate of pay do you expect?

During the past five (5) years have you had to report to workers compensation board for assistance with a problem or injury which would effect your ability to perform the job for which you are applying?

Yes No

Indicate the nature of the injury that you reported, if the injury relates to the job applied for:

Employment record for the past ten years (Most Recent Company First-In Order)

Company Name:

Address:

Phone Number:

Job Title:

Length of Service:

From:

To:

Reason for Leaving:

Company Name:

Address:

Phone Number:

Job Title:

Length of Service:

From:

To:

Reason for Leaving:

Company Name:

Address:

Phone Number:

Job Title:

Length of Service:

From:

To:

Reason for Leaving:

Company Name:

Address:

Phone Number:

Job Title:

Length of Service:

From:

To:

Reason for Leaving:

Company Name:

Address:

Phone Number:

Job Title:

Length of Service:

From:

To:

Reason for Leaving:

Do you have any objection to the company checking with your former employer(s) about your work habits and employment record?

Yes No

If Yes Please Explain:

Length of time you worked at type of job you are applying for:

Personal References (3)

Name:

Address:

Occupation:

Phone Number:

Relationship:

Name:

Address:

Occupation:

Phone Number:

Relationship:

Name:

Address:

Occupation:

Phone Number:

Relationship:

EDUCATION

Type	Institution	Years	Course Type	Date of Graduation
High School
College
Vocational
University
Other

Have you completed any other courses, upgrading or seminars that would be beneficial to the position you are applying for?

Yes No

If Yes please explain:

What are your employment goals? Are there talents or skills you would like to develop for further career opportunities within our company?

If your application is considered favorable, what do you feel your obligations to the company would be?

In your opinion are you able to establish and maintain a good working relationship with co-workers in a fast paced environment?

Yes No

If No Explain:

The Hi-way 9 Group of Companies are subsidiaries of Mullen Group Ltd.