Please provide the address(es) where you have resided for the past 3 years.
Previous Address #1
Previous Address #2
Criminal convictions or arrests will not automatically disqualify an applicant from a particular job. The Company will consider the nature of the crime, its seriousness, the substantial relation to the position`s function and qualifications, the number of occurrences, the applicants`s age at the time of the crime, the time elapsed since the crime, the applicant`s entire work and educational history, employment references and recommendations, and the business necessity of any exclusion when required by law.
Please list three references of former managers/supervisors who are NOT related to you.
In the event that the company determines that I am eligible for an offer of employment, I understand that I may be required to participate in blood and/or urine for alcohol, chemical dependency or other substance abuse. I consent to administration of such testing and understand that in addition to testing as a part of the application or hiring process, I may be subject to future random testing and testing `for cause,` which may include involvement in job-related accidents, suspicious behavior, etc. I understand that in the event that I refuse to consent to such a test or violate the Company’s drug and alcohol policy, or test positive for substance abuse or chemical dependency, my application for employment will be disqualified from further consideration or my employment will be terminated without notice. Accommodation will be made for the use of legally prescribed medication taken under the direction of a physician.
AUTHORIZATION TO RELEASE DRIVING RECORD: I hereby authorize D.W. Cary Hauling Inc. and its agents to request periodically any information concerning my driving record. I hereby authorize any persons having knowledge thereof to provide such information to D.W. Cary Hauling Inc. and/or its agents, and I hereby agree to release from liability and agree to hold harmless any person who furnishes such information in good faith.
D. W. Cary Hauling, Inc is an equal opportunity employer. We have provided a voluntary section below for you to enter self-identifying information. This information is not used to make a hiring decision, but rather to gather information for record keeping and governmental reporting purposes.
D.W. Cary Hauling is an equal opportunity employer. D.W. Cary Hauling does not discriminate with regard to race, color, religion, creed, national origin, age, or sex.
If hired, I understand that D.W. Cary Hauling may terminate my employment at any time and for any reason, with or without cause, and without prior notice. I understand that no representative of D.W. Cary Hauling has the authority to make any assurance to the contrary.
I have given D.W. Cary Hauling true and complete information on this application. No information has been concealed. I authorize D.W. Cary Hauling to conduct reference checks, criminal background checks, DMV history and drug testing. Any information found to be false or concealed, will constitute cause for denial of employment or immediate dismissal.
I understand that should employment be offered and accepted by me, I will fully adhere to the policies, rules and regulations of the employer. I further understand that neither the policies, rules, regulation of employment nor anything discussed during the interview process shall be deemed to constitute the terms of implied employment.
I further understand that any employment offered is for an indefinite duration and at will and that either I or the Employer may terminate my employment at any time with or without notice or cause.
I certify that I have read and understand all of this employment application. It is agreed and understood that the employer or his agents may investigate the applicant’s background to ascertain any and all of the information of concern to applicant’s record, whether same is of record or not, and applicant releases employers and other persons names herein from all liability for any damages on account of his furnishing such information. I understand that, as an applicant for a position with this company. I may be asked to demonstrate that I am capable of performing tasks that are pertinent to the job.
It is also agreed and understood that under the Fair Credit Reporting Act, Public Law 91-508, I have been told that this investigation may include an investigative Consumer Report, including information regarding my character, personal reputation, personal characteristics and mode of living.
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.