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Personal Information

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Additional Information

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All information provided by me is true and correct to the best of my knowledge. I understand omissions or misrepresentations may be cause for rejection or, if employed, may be just cause for subsequent dismissal. I hereby authorize any former employer, person, firm or corporation listed hereon including this company to answer any and all questions and agree to hold all persons harmless for giving any and all truthful information within their knowledge or records. I understand this is a preliminary application and not a contract to employ me. Proof of employment eligibility under immigration regulations is required. Furthermore, in the event I am employed, my employment shall be completely voluntary and may be terminated at will at any time by either the company or myself. I understand that my employment is contingent on passing any job related pre-employment physical, a drug screen, and a criminal background check. DOT drivers must also present a valid CDL with required endorsements, and pass written and road tests. If employed, I agree to comply with all rules of the company as a condition of continued employment. In the event the company advances me money or other things of value, or I otherwise become indebted financially to the company, I agree to repay the company and also that any wages due me upon termination may be offset by payroll deduction against any such monies due the company.

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