“This Company” is an Equal Opportunity Employer and does not consider race, color, sex, age, disability, religion, national origin or veteran status as a factor in the
election for employment.
The applicant understands that the satisfactory completion of this evaluation period in no way constitutes an obligation by the Company to continue his/her employment, and that all employees are subject to termination with or without cause as determined solely by the company in its best interest. This application is considered active for sixty (60) days.
TRADE, BUSINESS OR TECH SCHOOL
authorize you to make sure investigations and inquiries to my personal, employment, financial or medical history and other related matters as may be necessary in arriving at an employment decision. (Generally, inquiries regarding medical history will be made only if and after a conditional offer of employment has been extended.) I hereby release employers, schools, health care providers and other persons from all liability in responding to inquiries and releasing information in connection with my application.
In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the Company.
“I understand that information I provide regarding current and/or previous employers may be used, and those employer(s) will be contacted, for the purpose of investigating my safety performance history as required by 49 CFR 391.23(d) and (e). I understand that I have the right to:
This certifies that I completed this application, and that all entries on it and information in it are true and complete to the best of my knowledge.
Note: A motor carrier may require an applicant to provide information in addition to the information required by the Federal Motor Carrier Safety Regulations.
This following requested information is in accordance with 49 CFR Parts 382.413, 391.21 and 391.23 of the Federal Motor Carrier Regulations for the Federal Highway Department. Prior employers may be contacted, for the purpose of investigating applicant’s background as required by 49 CFR 391.23.
In completing and submitting this application, I understand and agree:
That I am applying for a job as an employee-at-will. That the falsification or concealment of facts, or failure to provide complete and correct information during this application process can result in discharge when discovered.
I hereby certify by my signature below that this application was completed by me, and that all information provided in this application is true and complete to the best of my knowledge. I further agree to hold any and all parties harmless for the disclosure of any information pertaining to my application for employment.
I consent to all of the following pre-employment processes, which are required by the Company, and I further understand that the offer of employment is contingent upon my successfully completing all pre-employment testing.
Motor Vehicle Report, Previous Employer Drug & Alcohol History (DOT applicants, 49 CFR 382.413), Drug Screen, Physical Examination & Functional Capacity (physical demand abilities), Alcohol Screen, Background Check
I agree and understand that this application for employment in no way obligates the employer to employ the applicant.
The Equal Employment Opportunity Commission (EEOC) requires organizations with 100 or more employees to complete an EEO-1 report each year. We are asking employees to complete this self-identification sheet below so that we can properly update our records according to report requirements.
Completion of this data is voluntary and will not affect your opportunity for employment or terms or conditions of employment. This form will be used for EEO-1 reporting purposes only and will be kept separate from all other personnel records and will only be accessed by Human Resources Department. Please return completed forms to the Human Resources Department.
GENDER:(Please check one of the options below)
RACE/ETHNICITY:(Please check one of the descriptions below corresponding to the ethnic group with which you identify.)
PLEASE RETURN FORM TO HUMAN RESOURCES DEPARTMENT. Thank you for your participation.