COMPANY: THOMAS TRUCKING, INC.
ADDRESS: 2350 SEYMOUR AVE
CITY: CINCINNATI STATE: OHIO ZIP: 45212
In compliance with Federal and State equal opportunity laws, qualified applicants are considered for all positions without regard to race, religion, sex, national origin, age, marital status, or nonjob related disability.
TO BE READ AND SIGNED BY APPLICANT
I understand that information I provide regarding current and/or previous employers may be used, and those employer(s) will be contacted, for the purpose of investigating my safety performance history as required by 49 CFR 391.23(d) and (e).
I also understand that I have the right to:
Review information provided by previous employers
Have errors in the information corrected by previous employers and for those previous employers to resend the corrected information to the prospective employer, and
Have a rebuttal statement attached to the alleged erroneous information, if the previous employer(s) and I cannot agree on the accuracy of the information
MUST BE READ AND CONSENTED BY THE APPLICANT
I authorize the carrier to make such inquiries and investigations of my personal, employment, driving, 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.
In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I agree to abide by the rules and regulations of the carrier as well as the Federal Motor Carrier Safety Regulations. I also agree and understand that if I am selected to drive for the carrier that I will be on a probationary period during which time I may be discharged without recourse.
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.
IMPORTANT NOTICE Regarding Background Reports From The PSP Online Service
In connection with your application for employment with THOMAS TRUCKING, INC. ("Prospective Employer"), it may obtain one or more reports regarding your credit, driving, and/or criminal background history from a consumer reporting agency and/or other sources. If the Prospective Employer uses any information it obtains from a background report in a decision to not hire you or to make any other adverse employment decision regarding you, the Prospective Employer will provide you with a copy of the report upon which its decision was based and a written summary of your rights under the Fair Credit Reporting Act before taking any final adverse action. If any final adverse action is taken against you based upon a background report, the Prospective Employer will notify you that the action has been taken and that the background report was the reason for the action. The Prospective Employer cannot obtain background reports from consumer reporting agencies or other sources regarding you unless you consent in writing. If you agree that the Prospective Employer may obtain such background reports, please read the following and sign below:
I authorize THOMAS TRUCKING, INC. ("Prospective Employer") to contact any organization or individual that I have listed on my employment application or resume or mentioned in job interviews and obtain from them any relevant information about my job qualifications, including my experience, skills, and abilities. I understand that I am consenting to the release of safety performance information including crash data from the previous five (5) years and inspection history from the previous three (3) years, as well as any reference-related information about me held or known by my former employers, supervisors, and co-workers. In addition, I consent to the release of any information about my education, experience, abilities, or work-related characteristics or traits held or known by other organizations or individuals, including schools and educational institutions, professional or business associates, and friends and acquaintances that Prospective Employer might contact in the course of conducting a reference check or background investigation of my suitability for employment.
I understand and acknowledge that this release of information can involve my qualifications, performance, credentials, or other characteristics or factors affecting my suitability for employment with Prospective Employer. Specifically, I am authorizing the release of any information about my performance, experience, capability, attitude, specific events, or other work-related characteristics that currently are in the possession of the requested organizations or their managers or representatives.
In exchange for Prospective Employer’s consideration of my employment application, I agree not to file or pursue any complaints, claims, or legal actions of any kind against any organization or individual that provides work-related information about me to Prospective Employer or its agents in accordance with the terms and intent of this release. I also agree not to file or pursue any complaints, claims, or legal actions against Prospective Employer or any of its employees, representatives, or agents arising out of their efforts to obtain work-related information about me.
I have read the above Notice Regarding Background Reports provided to me by Prospective Employer and I understand that if I sign this consent form, Prospective Employer and/or any entity it retains to obtain such background reports may obtain reports of my credit, driving, and/or criminal background history in addition to information regarding my background, references, education, specific events, and past employment.
I hereby authorize Prospective Employer and its employees, agents, and affiliates to obtain the information authorized above.
CERTIFY THIS APPLICATION
I certify that I have read and understood all of this driver qualification file. It is agreed and understood that THOMAS TRUCKING, INC., or it's agents may investigate my background to ascertain any and all information of concern to my employment history, whether same is of record or not., and I release past employers and other persons named herein from all liability for any damages on account of furnishing such information. I understand that, as an applicant to drive for an Owner-Operator or lease to this company, I may be asked to demonstrate that I am capable of performing tasks which are pertinent to the job. I also understand that if offered a job driving for an Owner-Operator or a lease to THOMAS TRUCKING, INC., it may be conditioned on the results of a physical examination and drug/alcohol test.
I further understand that no representation, whether oral or written by any representative or agent of the Company, at any time, can constitute a contract of employment.
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, general reputation, personal characteristics, and mode of living. Under company policy, THOMAS TRUCKING, INC., may perform a criminal check to verify some personal information.
I further certify that I am a genuine applicant for driving and this driver qualification file is being submitted soley for the purpose of seeking a driver or owner-operated position. All driver positions must be cleared by the Owner Operator you are employed with first!
I agree to furnish such additional information and complete such examinations as may be required to complete my driver qualification file.
I understand that misrepresentation or omission of information or facts may result in my rejection or dismissal from leasing equipment to THOMAS TRUCKING, INC., and or driving for an owner-operator leased to THOMAS TRUCKING, INC.
If leased, I agree to abide by all the rules and policies of THOMAS TRUCKING, INC., and the U.S. Dept of Transportation / Federal Highway Administration.
This certifies that this Driver Qualification file was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge.