* You will be asked to provide original copies of documents at time of hire.
I hereby authorize the potential employer to contact, obtain, and verify the accuracy of information contained in this
application from all previous employers, educational institutions, and references. I also hereby release from liability the
potential employer and its representatives for seeking, gathering, and using such information to make employment
decisions and all other persons or organizations for providing such information.
I understand that any misrepresentation or material omission made by me on this application will be sufficient cause for
cancellation of this application or immediate termination of employment if I am employed, whenever it may be discovered.
If I am employed, I acknowledge that there is no specified length of employment and that this application does not
constitute an agreement or contract for employment. Accordingly, either I or the employer can terminate the
relationship at will, with or without cause, at any time, so long as there is no violation of applicable federal or state law.
I understand that it is the policy of this organization not to refuse to hire or otherwise discriminate against a qualified
individual with a disability because of that person's need for a reasonable accommodation as required by the ADA.
I also understand that if I am employed, I will be required to provide satisfactory proof of identity and legal work
authorization within three days of being hired. Failure to submit such proof within the required time shall result in
immediate termination of employment.
I represent and warrant that I have read and fully understand the foregoing, and that I seek employment under these
FAIR CREDIT REPORTING ACT DISCLOSURE AND AUTHORIZATION STATEMENT
PLEASE READ CAREFULLY BEFORE SIGNING BELOW
For the purpose of evaluating my application for maintenance and/or employment with Choice Transportation
, I understand that the before company may obtain or have
prepared a consumer report or investigative consumer report concerning my prior employment, military
record, education, credit worthiness, credit standing , credit capacity, character, general reputation,
personal characteristics, criminal background record, or mode of living.
I understand that upon written request to the above company, I will be informed whether an investigative
consumer report was requested, and given full information as to the nature and scope of this
investigation. I understand that an investigative consumer report is a report in which information
concern ing my character, general reputation, personal characteristics, or mode of living is obtained
through personal interviews with neighbors, friends, or associates with whom I am acquainted.
By signing below, I am autho1·izing the above company to obtain a consumer or investigative consumer
report on me as part of the Company's screening process for employment and access authorization .
During the period in which I retain access authorization, I further authorize the Company to obtain
additional consumer or investigative consumer reports on me to evaluate my trustworthiness and
reliability for purposes of determining continued employment.
By my signature below, I also acknowledge that the above company has provided me with a summary of
my rights under the Federal Fair Credit Reporting Act (attached copy p1·epared by the Federal Trade
I have read and understand this consent and authorize the above company to take such actions as are described herein.