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 as required by 49 CFR 391.23 (d) and (e). I understand that I have a right to:
*Review information provided by previous employers;
*Have errors in the information corrected by previous employers and for those previous employers to re-send the corrected information to the prospective employer; and
*Have a rebuttal statement attached to the alleged erroneous information, if the previous employer and I cannot agree on the accuracy of the information
I understand that any offer of employment with ER Lewis Construction Co, Inc. is contingent upon the satisfactory results of a Background Check and successful completion of a DOT pre-employment drug screen to be conducted at my expense and at a location to be designated by ER Lewis Construction Co, Inc.
I certify that all the information submitted on this application is true and complete and completed by me. I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected, and if I am employed, my employment may be terminated at any time. In consideration with employment, I agree to conform to the company’s rules and regulations, and I agree that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at either my or the company’s option. I also understand that, if hired, my employment will be at will and agree that the terms and conditions of employment may be changed, with or without cause, and with or without notice, at any time by the company. I understand that no company representative other than its president, and then only when in writing and signed by the president, has an authority to enter into any agreement for employment for a specific period of time, or to make any agreement contrary to the foregoing.