I hereby acknowledge that prior to submitting this application, I have been informed that the information provided herein may be used to conduct current or previous employer’s references or any other individuals the company considers necessary.
I hereby authorize my current and previous employers, references and any other individuals contacted by this company or their representatives acting on behalf of the company to release any past or present information including but not limited to past drug and alcohol test results. I release all said providers of said information from all liability stemming from the release of said information.
In connection with my application for employment with this company, I understand I have the right to review, correct or rebut any information obtained from former employers or references except as prohibited by law.
I understand that any false, misleading or incomplete answers or statements shall be considered sufficient cause for denial or termination of employment and/or the authorization to drive.
I understand that nothing contained in this application or in the granting of an interview or a road test is intended to create an employment contract or agreement between this company and myself for either employment, authorization to drive or for the provision of benefits. No promises regarding employment or Authorization to Drive have been made to me, and no such promise exists unless specifically made by the company in writing. If an employment relationship is established, I understand that, as an employee at will, I have the right to terminate my employment at any time and the company has a similar right.
The following certification and signature line are required by 49 CFR 391.21 (b) (12)
This certifies that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge.
