CDL Application

1. I authorize the Company to investigate and confirm each and every statement I have made on this application. I grant permission to each of my former employers, schools, and references to provide the Company with information they may have related to this application. I hereby release the Company and any former employers, schools, and references from any and all liability or damages on account of their furnishing of any such information.

2. I certify that the information provided by me to the foregoing questions and statements are true and correct. I understand that any omissions or inaccuracies may result in a rejection of my application, a revocation of an offer that already has been made or termination of employment.

3. I understand and agree that employment with the Company is terminable at the will of either the Company or me, that my employment is not for any specific duration of time.

4. I understand that I am required to conform to the rules, regulations, instructions, and guidelines of the Company if hired. I understand that Dartmouth Building Supply’s drug testing policy includes, pre-employment testing, post-injury testing, and accident testing if there is a reasonable possibility that employee drug use could have contributed to the reported injury, reasonable suspicion, and random drug testing (for safety-sensitive positions).

5. To the extent permitted by state and federal law, I agree to a pre-placement drug test by a licensed laboratory designated by the Company and authorize any licensed testing facility to provide the results of the drug test tot he Company. I understand that the Company may reject my application for employment, or terminate me from any initial hire if I fail to get a negative drug test result. I hereby release the Company from any and all liability or damages associated with any pre-placement drug test, the results of such a test, the furnishing of any such information to the Company and/or the rejection of the Application or termination from any initial hire pending the pre-placement drug test.

6. I authorize my above listed previous employers to disclose to Dartmouth Building Supply the results of any drug test, evidential breath or saliva alcohol test, refusals to test including verified adulteration or substitutions, and treatment records (to determine compliance with 49 CFR Part 40.25) performed upon myself within the last two (2) years as required under Federal Requirement 49 CFR 40.25. This authorization expires without express revocation 60 days from the date that appears below. I understand I have the right to inspect and copy any written information disclosed.