Application

To be read and acknowledged by applicant

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.

I authorize the company to make such investigations and inquiries of my personal, employment, financial, or medical history and other related matters as may be necessary in arriving at an employment decision. 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 that I am required to abide by all company rules and regulations, as permitted by law.

Commercial drivers: Provide at least 3 years of employment history, plus an additional 7 years of commercial driving history as required. Include gaps in employment and explain.

By submitting this application, I certify that the information provided is true and complete to the best of my knowledge. I understand that any misrepresentation or omission of facts may result in rejection of this application or, if employed, disciplinary action up to and including termination.

I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.