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  • APPLICATION FOR EMPLOYMENT

  • Applicant Information

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  • Education

  • Previous Employment

  • Professional References

    Please provide at least 3 professional references

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  • For driver applicants of commercial motor vehicles that require a Commercial Driver License (CDL) the applicant must disclose their controlled substance and alcohol status per the requirements of 49 CFR part 40.25(j).

  • As a prospective driver employee, you have the right to review information provided by previous employers. You have the right to have errors in the information corrected by the previous employer(s) and for that previous employer(s) to re-send the corrected information to the prospective employer; the right to have a rebuttal statement attached to the alleged erroneous information, if the previous employer and the driver cannot agree on the accuracy of the information.

    Driver employees who have previous Department of Transportation regulated employment history in the preceding three years, and wish to review previous employer provided investigative information, must submit a written request to the prospective employer, which may be done at anytime, including when applying or as late as thirty (30) days after being employed or being notified of denial of employment. The prospective employer must provide this information to the applicant within five (5) business days of receiving the written request. If the prospective employer has not yet received the requested information from the previous employer(s), then the five (5) business day deadlines will begin when the prospective employer receives the requested safety performance history information. If the driver has not arranged to pick up or receive the requested records within thirty (30) days of the prospective employer making them available, the prospective motor carrier may consider the driver to have waived their request to review the records.

  • Certification of Accuracy of Information Provided

  • I certify that this application was completed by me and I certify that all information in this applicaton is true and correct.  I understand that if LEGACY6 INC discovers that I have omitted employment history information, or provided false, incomplete or misleading information, it will be grounds for my immediate termination.

    I hereby authorize investigation of all statements in this application and agree to waive, hold harmless, and release from all liability my previous employers(s) and any third party listed herein, or any outside party contacted to verify the information provided in this application.  Similarly, I release LEGACY6 INC from any claims or causes of action associated with its efforts to verify this information.

    I further acknowledge that if I am hired, my employment at LEGACY6 INC will be "at will", meaning that both LEGACY6 INC and I have the right to termination my employment "at will" at any time, with or without cause and with or without prior notice.

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