Be Part of Our Team of Trucking Professionals

Driver Application Form

Step 1 of 8

First Name
Last Name
M/I
Residential Address
No. and Street City/Town Province Postal Code
Residential Address (if moved within the last 2 years)
No. and Street City/Town Province Postal Code

Contact Information
Home Phone
Cell Phone

Driver’s License Information
License Number
Province
License Class
Expiry Date
MM slash DD slash YYYY
Issue Date
MM slash DD slash YYYY
Restrictions?
Have you ever had your license Suspended or Revoked?
- Yes
- No
If Yes, please explain:
Have you ever been denied a license or permit to drive?
- Yes
- No
If Yes, please explain:
5 Year Commercial Driver’s Abstract MUST be attached*
Max. file size: 100 MB.

Driving Experience
Super B Experience
Oil Hauling Experience
Pressure Experience
Accident / Incident history for the past 3 years
Date
MM slash DD slash YYYY
Description
Injuries / Deaths
Damages
Date
MM slash DD slash YYYY
Description
Injuries / Deaths
Damages
Date
MM slash DD slash YYYY
Description
Injuries / Deaths
Damages
Date
MM slash DD slash YYYY
Description
Injuries / Deaths
Damages
Previously Held Driver’s License
License Number
Province
Class
Expiry Date
MM slash DD slash YYYY
License Number
Province
Class
Expiry Date
MM slash DD slash YYYY
License Number
Province
Class
Expiry Date
MM slash DD slash YYYY
Tickets and Traffic Violations for the past 3 years
Date
MM slash DD slash YYYY
Province
Charges
Penalties
Date
MM slash DD slash YYYY
Province
Charges
Penalties
Date
MM slash DD slash YYYY
Province
Charges
Penalties

Employment History for Previous 3 Years
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Company
Title Position
Contact Name
Contact Number
Address
Street Address
Reason for Leaving
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Company
Title Position
Contact Name
Contact Number
Address
Street Address
Reason for Leaving
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Company
Title Position
Contact Name
Contact Number
Address
Street Address
Reason for Leaving

References
Reference checks will be conducted to assess your past work performance and may include checks of attendance records. In addition to the references identified in the "Work History" section, you may wish to provide further references. If any references have known you by a previous name, please specify.
Name
Telephone #
Relationship
# of years known
Name
Telephone #
Relationship
# of years known
Name
Telephone #
Relationship
# of years known

Medical History
Do you have any medicals issues that could impact your ability to work here?
- Y
- N
If Yes, please explain
Are you on any medication that would render you Unfit for Duty?
- Y
- N
If Yes, please explain

Declaration:
Please read carefully before authorizing. This application is not valid unless your name, as authorization, is signed or written in the "Signature" space provided below. (Note: If this application is submitted electronically, it is not valid unless your name is keyed in the "Signature" space provided below). Your authorization on this application form is your consent that as a condition of being considered for employment at Mach Energy Services, Tidewater Logistics, a division of Tidewater Midstream and Infrastructure Ltd., references about past work performance will be obtained from your previous employers. I certify that the information provided in this application or attachments / resume is true and complete. I understand that if any information in this application or attachments / resume is found to be untrue or incomplete, my application may be rejected, or I may be terminated for just cause in the event that I am the successful applicant.
Name:
First
Date:
MM slash DD slash YYYY
Signature
Max. file size: 100 MB.

Driver Application Form.pdf

Warning – Recruitment Fraud

MACH ENERGY SERVICES is aware that some job seekers have received false employment offers from an individual or organization pretending to be a Company recruiter. Those false job offers may request personal information or money to advance the recruitment process.

Please be aware that MACH ENERGY SERVICES will never ask for money from employment applicants, nor ask for candidates to submit personal information beyond what is required in a resume. All those who are offered employment are required to go through a formal recruitment process, including an interview with a MACH ENERGY SERVICES employee responsible for hiring. We will make personal contact with prospective employees to discuss our employment opportunities.

For your protection, please check the address of the email you have received. Valid MACH ENERGY SERVICES emails end in @machenergyservices.com. Fake emails may use something similar that is made to look real. If you are concerned that you may have received any fake correspondence from MACH ENERGY SERVICES, please email us at [email protected].

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Be Part of Our Team of Trucking Professionals

Driver Application Form

Step 1 of 8

Contact Information

Driver’s License Information

Driving Experience

Accident / Incident history for the past 3 years

Previously Held Driver’s License

Tickets and Traffic Violations for the past 3 years

Employment History for Previous 3 Years

References

Medical History

Declaration:

Warning – Recruitment Fraud