I certify that the answers given herein (including but not limited to the Criminal and Additional Driver
Record Information Supplement and Commercial Motor Vehicle Driver Supplement if applicable) are true
and complete to the best of my knowledge. I understand that any misrepresentations, omissions of facts
or incomplete answers in any application document may disqualify me from further consideration for
employment. I further understand that, if employed, any misrepresentations or omissions of facts in any
application document may be cause for my dismissal at any time without prior notice. I consent to and
authorize this Company to contact my former employers, references, and any and all other persons and
organizations for information bearing upon my qualifications for employment. I further authorize the
listed employers, schools and personal references to give the Company (without further notice to me) any
and all information about my previous employment and education, along with any other pertinent
information they may have and hereby waive any actions which I may have against either party(ies) for
providing a good faith reference.
I EXPRESSLY AGREE AND UNDERSTAND THAT, IF EMPLOYED, MY EMPLOYMENT IS NOT FOR A
SPECIFIC TERM, IS BASED ON MUTUAL CONSENT AND MAY BE TERMINATED BY ME OR MY
EMPLOYER WITH OR WITHOUT NOTICE OR CAUSE AT ANY TIME. I FURTHER UNDERSTAND THAT
NO ORAL PROMISE, EMPLOYER POLICY, CUSTOM, BUSINESS PRACTICE OR OTHER PROCEDURE
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(INCLUDING THE BASIC EMPLOYMENT POLICIES, PERSONNEL HANDBOOK OR ANY PERSONNEL
MANUALS) CONSTITUTE AN EMPLOYMENT CONTRACT OR MODIFICATION OF THE AT-WILL
EMPLOYMENT RELATIONSHIP BETWEEN ME AND THE EMPLOYER. I ALSO UNDERSTAND THAT
THIS ASPECT OF MY EMPLOYMENT MAY NOT CHANGE ABSENT AN INDIVIDUAL WRITTEN
AGREEMENT SIGNED BY BOTH ME AND THE PRESIDENT OF THE COMPANY.
I understand that applicants for certain positions may be required to qualify for employment based on
additional employment criteria. For example, I may be required to take job-related tests; take a driver’s
examination; submit to a background investigation or take a pre-employment drug test. If I am offered
employment or start work before any required test is completed, my employment is contingent on a
satisfactory result on all required tests. I authorize the release of any background check results and of
any drug/alcohol test to any state or federal authority requesting such information and in response to a
valid subpoena or other legal document.