PRE-SCREENING EMPLOYMENT APPLICATION FORM

DRIVER/COURIER

(Please complete the form and upload to the Driver/Courier Application form)

Applicant Information
Surname: First Name:

Pre-Screening Questions
The Pre-Screening Questions below MUST be completed by ALL interested Candidates.

1. Driver’s license No.: Issue Date: Expiration Date:

dd/mm/yy dd/mm/yy

2. Type of license:

3. Have you ever worked as a chauffeur/courier?

4. Have you had accidents during the past 3 years? If yes, how many?

5. Have you had any traffic violations in the past 3 years? If yes, how many?

Work Experience
Please list your work experience for the past three (3) years beginning with your most recent job held.
If you were self-employed, please provide the details in the last section of the application form.

Name of Name of Supervisor: Employment Pay or

Employer: date: salary:
Address: From: Start:
To: To:
Phone Your last job title:
number:
Reason (s) for leaving (Please be specific):
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you
worked at this company
Duties:
Skills:

Name of Name of Supervisor: Employment Pay or

Employer: date: salary:
Address: From: Start:
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 To: To:
Phone Your last job title:
number:
Reason (s) for leaving (Please be specific):
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you
worked at this company
Duties:
Skills:
Name of Name of Supervisor: Employment Pay or
Employer: date: salary:
Address: From: Start:
To: To:
Phone Your last job title:
number:
Reason (s) for leaving (Please be specific):
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you
worked at this company
Duties:
Skills:

7. May we contact your past employer?

8. Did you complete this application yourself? If not, who did?

9. If you are self-employed, also provide details:

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