Source: https://www.randstrucking.com/employment/application.php
Timestamp: 2019-04-21 13:08:32+00:00

Document:
Are you employed? Yes No When will you be Available?
I CERTIFY I DO NOT HAVE MORE THAN ONE DRIVER'S LICENSE.
Non-CDL driver applicants must provide 3 years employment history. CDL driver applicants must provide 10 years. We are required under §391.23 to investigate your safety performance history of all Federal Motor Carrier Safety Administration regulated employers that you worked for in the preceding 3 years. We are required to investigate your participation in a U.S. DOT mandated drug and alcohol testing program, whether you violated and probations under §382 subpart B, and whether you failed to undertake or complete rehabilitation as required under §382.605 or subpart O §40 of all U.S. DOT regulated employers that you worked for in the preceding 3 years. You must give written consent for these investigations in order to be considered for employment as a driver. You have due process rights regarding the information received from the investigations under §391.23(i).
All information obtained from previous employers will be kept confidential.
Applicant - If employer has not explained or given a job description, make sure one is given to you and that you fully understand what is expected of you prior to answering the following two questions.
Can you perform the functions described in the job description?
please explain how, with or without reasonable accommodation, you will be able to perform those functions.
I agree and understand that any misrepresentations or omissions of information or facts given on this form shall be considered an act of falsification.
I agree and understand that the carrier or its agents may investigate any and all information given on this form to determine its validity.
I understand that all employment history information from previous employers will be used by the carrier only as part of deciding whether to hire me.
I understand that under U.S. DOT regulation §391.23(i), I cannot bring an action or proceeding for defamation, invasion of privacy, or interference with a contract against this carrier or any previous employer base on furnishing or using employment history information.
I agree to furnish such additional information and complete such examinations as may be required to complete my driver qualification and employment files.
If hired, I agree to abide by all the rules and policies of this carrier.
Rands is Hiring Drivers! $3,000 Signing bonus. Fill out the form to apply to drive with Rands Trucking today.
By checking this box, I herby authorize all previous employers listed to release and forward the information of this document concerning my Alcohol and Controlled Substances Testing Records within the last 3 years from previous employees listed on this application to Rands Trucking Inc. In compliance with 40.25(h) and 391.23, release of this information must be made in a in a written form that ensures confidentiality such as a fax, email, or letter.

References: §391
 §382
 §382
 §40
 §391
 §391