It is agreed and understood that any misrepresentation given on this application shall be
considered on act of dishonesty.
It is agreed and understood that the motor carrier or his agents may investigate the applicant's
background to ascertain any all information of concern to applicant's record, whether some is
of record or not, and applicant releases employers ond persons named herein from all liability
for any damages on account of his furnishings such information.
It is also agreed and understood that under the Foir Credit Reporting Act, Public Low 97-508, 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
I agree to furnish such additional information and complete such examinations as may be
required to complete my application file.
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 o 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.