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By
submitting this application, I signify that I understand the
information in this application will be used for the purpose of
determining my qualifications for employment. I give permission
for the company to order MVR, DAC Reports, and do Background Check.
(Required)
DISCLAIMER I certify that I
personally completed this application and that all of the
information is true and correct.
I hereby authorize, without liability, any person or
organization, including but not limited to any educational
institution, training facility or any institution, whose name I
have given as a reference, or by whom I have been previously
employed to furnish this company any information they may have
concerning my character, habits, ability, financial
responsibility, job performance, reasons for leaving employment,
and all information concerning my employment or training to give
such information to other companies and carriers requesting such
information. Furthermore, there may be entities that the Company
does business with that may request investigative reports or
consumer reports which apply to my background. In this case,
these reports would apply to my assignment to projects related to
the Customer, permission to be on the Customers' premises and to
handle its products and other security concerns of the customer.
I hereby release all such persons and organizations from any
claims for damages of any kind, which may occur to me by reasons
of furnishing such information. I hereby authorize any law
enforcement agency or court of record to furnish this
company information concerning Motor Vehicle Record, or any
felony or misdemeanor of which I have been convicted.
Under the authority granted me by 49 CFR Parts 40 and 382, I
hereby authorize and require my previous and/or current employers
specifically listed as ewll as any other person or company
provided by me in writing or by verbal interview by whom I was
employed or to whom I applied for employment in the two year
period preceding the date of this application to release the
date, type of test and result of all drug and alcohol test taken
by me, including the date and type of test for any refusals by me
to take a drug or alcohol test, to the individual(s) assigned to
process my application at this company. If I tested positive on
any controlled substance test, had an alcohol test with a
concentration of 0.04 or greater, or refused to take any drug or
alcohol test, I also authorize the release of all information
concerning my referral to a Substance Abuse Professional (SAP)
including all records pertaining to my evaluation and treatment
(if required by SAP). I authorize this release by whatever means
is most expedient and agree to hold harmless any past employer or
any person or company I applied with as well as their employees,
agents, or representatives from all liability or damage that may
arise from the release of the information specifically authorized
here.
I have completed this application of my own free will and hold
matstrucking.com, Mats Trucking Inc, it's owners,
affiliates, copyright holders and other associated individuals
harmless of all liability for providing this application for my
use. I also understand that a written and signed version of this
release will be required upon successful completion of a phone
interview. I also understand I will be required to fill in a long
form application for records purposes at orientation if I am
selected for this position.
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