I hereby certify that all questions answered are correct and authorize EMPLOYER to contact my former employers, references furnished, and all other sources that they see fit in order to verify the facts and information furnished with regard to my character and qualifications. Included in these qualifications will be the appropriate documents furnished by me verifying citizenship or valid authority to work in the United States. These will be furnished in conjunction with the immigration reform and control act of 1986 and/or other applicable laws. In addition, I understand that a preemployment physical, controlled substance screening, and breath alcohol tests may or may not be preformed and will be part of the determination of my ability to perform in the position for which I am applying. I understand that the completion of this form or any other application form of the company does not assure me a position with said company or obligates the company in any way. This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an “at will” nature, which means that the employee may resign at any time and the employer may discharge employee at any time with or without notice or cause. It is further understood that this “at will” employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization. I further understand that this application is not nor is it intended to be a contract of employment and that any employment relationship established between the applicant and the company may be terminated at the will of either the applicant or the company. Should any employment relationship occur, I understand that I am required to abide by all the rules and regulations of the company. I understand that any misleading, incorrect, or omitted statements may render this application void, and, if employed, would be cause of immediate discharge. I CERTIFY THAT THIS APPLICATION WAS COMPLETED BY ME, AND ALL ENTRIES ON IT AND INFORMATION IN IT ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. I also understand and agree that any conduct which would have been reason for my discharge can and will be used against me by EMPLOYER even if it is acquired after my employment ceases. I agree to submit a urine sample and/or specimen for testing and agree to breath alcohol tests for the purpose of screening for preemployment medical qualifications and thereafter as warranted by EMPLOYER policy or Federal Regulatory agencies. I agree to submit to blood testing for controlled substances and alcohol testing if it becomes necessary. I authorize any and all previous employers to disclose any employment history and controlled substance and alcohol test results upon request.

As a prospective employer, we must ask any applicant for a driving position with our company whether he/she has tested positive, or refused to test, on any pre-employment drug or alcohol test administered by an employer to which the applicant applied for, but did not obtain, “safety-sensitive transportation work” (driving a commercial motor vehicle) during the past two years.