To be read and signed by applicant
It is agreed and understood that any misrepresentation given on this application shall be considered an act of dishonesty
It is agreed and understood that motor carrier or his agents may investigate the applicant's background to ascertain any and all information of certain applicant's record, whether same is of record or not, and applicant releases employers and persons named herein from liability of any damages on account of his furnishing such information
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 investigating Consumer Report, including information regarding my character, general reputation, personal characteristics, and mode of living.
I agree to furnish such additional information to complete such examinations as may be required to complete my application.
It is agreed and understood that this Application for Qualification in no way obligates the motor carrier to employ or hire the applicant.
It is agreed and understood that if qualified and hired, I may be on a probationary period during which time I may be disqualified 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.