Job Application: Long Haul Driver

Title: Long Haul Driver

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Personal Details

Name *
Surname *
Email Address *

Contact Details

Post code
Cell phone


Do you have a degree? Yes
Where did you complete your degree?
Title of your degree
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TO BE READ AND SIGNED BY APPLICANT It is agreed and understood that the motor carrier or his agents may investigate the applicant’s background to ascertain any and all information of concern to applicant’s record, whether same is for record or not, and applicant releases employers and persons named herein from all liability for any damages on account of his furnishing such information. I agree to furnish such additional information and complete such examinations as may be required to complete my employment file. It is agreed and understood that if qualified, the driver may be on a probationary period during which time he may be disqualified without recourse I understand that misrepresentation or omission of facts called for on this employment application will, if hired, result in discharge. I authorize you to make such investigations and inquiries of my personal, employment, financial or medical history and other related matters as may be necessary in arriving at an employment decision. (Generally, inquiries regarding medical history will be made only if and after a conditional offer of employment has been extended.) I hereby release employers, schools, health care providers and other persons from all liability in responding to inquiries and releasing information in connection with my application. I certify that this application was completed by me and that all entries on it and information on it are true and complete. Furthermore, I have read and understand all of the conditions upon which this offer of employment is made. Due process Rights: I understand as an applicant I have the right to review information provided by previous employers, the right to have errors in the information corrected by the previous employer, and for that previous employer to re-send the corrected information to the prospective employer; and the right to have a rebuttal statement attached to the alleged erroneous information, if the previous employer and I cannot agree on the accuracy of the information.