Motor Vehicle Accident Record for last 3 years
Traffic convictions (other than parking violations) for last 3 years
It is agreed and understood that the answers to the foregoing questions are true and correct, and that any misrepresentation of information given in this application shall be considered an act of dishonesty.
It is agreed and understood that the employer or their agents may investigate the applicant's background to ascertain any and all information of concern to applicant's record, whether same is of record or not, and applicant releases employers and persons named herein from all liability of any damages on account to their furnishing such information.
The applicant agrees to furnish such additional information and complete such examinations as may be required to complete his/her/their employment file. It is agreed and understood that this application for employment in no way obligates the employer to employ the applicant. It is agreed and understood that if hired, employee may be on a probationary period during which time he/she/they may be discharged without notice or recourse.
Employment HistoryI, the undersigned, declare that the information presented above, on my resume, and application form, and information provided verbally by me to Truck Freight International Ltd. is complete and accurate. I understand that a false statement provides grounds to disqualify me from employment and/or give the Company just cause for my dismissal if I am employed by it.
I understand that a condition of employment with Truck Freight International Ltd. is the completion of a background check, which will include the following:
A criminal conviction will not necessarily disqualify a candidate and only convictions relevant to the position applied for will be considered. I consent to the above information arising from the background check being collected for the purpose of conducting pre-employment due-diligence screening or where I am or have been employed, for the purpose of determining my suitability to perform security sensitive services. I understand that the Company will use the results of the background check for the purpose of conducting pre-employment due-diligence screening or where I am or have been employed, of screening my suitability to perform security sensitive services.
Where this information is being collected for the purpose of conducting pre-employment due-diligence screening, and if I am hired, I consent to the information being transferred to my employee file for the purpose of the employment relationship.
If I am already employed by the Company, I consent to the information being transferred to my employee file for the purpose of the employment relationship.
I agree that the Company may periodically update the background check and I agree that I shall immediately inform the Company of any conviction for a criminal offense arising subsequently to completion of the initial background check. I hereby authorize the holder(s) of the information relating to the background check, including any updates thereof as provided in the previous statements, to disclose this information to the Company and its authorized employees and/or authorized agents, subcontractors or suppliers, and to any of the Company’s clients.
I hereby release and forever discharge the holder(s) of information relating the background check, including any updates thereof to the Company, their clients and respective affiliated entities and all of their former, current or future partners, directors, officers, employees, agents, successors, and assigns from any actions, claims and demands of any kind whatsoever in any way relating to the collection, disclosure and use of this information by the holder(s) of information relating to the background check, including any updates to the Company or clients.
Drug and Alcohol Testing RecordsI hereby authorize release of information from my Department of Transportation regulated drug and alcohol testing records by my previous employer to Truck Freight International Ltd. This release is in accordance with DOT Regulation CFR Part 40, Section 40.25. I understand that information to be released by my previous employer is limited to the following DOT regulated testing items:
I understand that personal information shall not be used or disclosed for purposes other than those for which it was collected, except with my prior consent or as required by law. Personal information shall be retained only as long as necessary for the fulfilment of those purposes.
22nd Floor, 333 Main Street, Winnipeg, Manitoba, R3C 4E2Phone: 204 926-3450 Fax: 204 942-4758truck-freight.com
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