PERSONAL INFORMATION Name (*) Email (*) Telephone (*) Date of Birth CURRENT ADDRESS Street Address (*) Apt/Suite City (*) Province (*) Postal Code (*) QUESTIONS I am applying for: (Note: We are currently only hiring Drivers - Must be over 25 years old) Crew Member Driver/Crew Lead Are you interested in Full time work? YES NO Are you interested in Part time work? YES NO Are you legally allowed to work in Canada? YES NO Do you have a valid Drivers license? YES NO Do you have experience driving trucks? YES NO Do you have previous Moving experience? YES NO If YES: for what company? If YES: contact number of reference Do you have any pre-existing medical conditions? YES NO Are you able to do intense physical activity for extended periods of time? YES NO Are you able to work long days (10+ hours)? YES NO Are you able to lift heavy objects (60 + pounds) repeatedly? YES NO What is your expected Starting Hourly wage? How Long have you lived in Montreal? Why Do you want to work for Bust a Move Moving? Briefly tell us about yourself (Hobbies, interests, relevant work experience). What do you expect from your employer? Please include any additional information that you feel is relevant. ATTACH RESUME Please attach your CV here before submitting your form. Type what you see below.