Please list the nature and extent of your operation of motor vehicles, including the type of equipment (such as buses, trucks, truck tractors, semitrailers, full trailers, and pole trailers) which you have operator; along with approximate number of miles driven with each type of equipment.
*If you are applying for CDL job, license must be attached.*
I authorize you to make sure investigations and inquiries to my personal, employment, financial or medical history and other related matters as may be necessary in arriving at an employment decision. Including but not limited to Motor Vehicle Reports (Generally, inquiries regarding medical history will be made only if and after a conditional offer of employment has been extended.)
I hereby release employers, schools, health care providers and other persons from all liability in responding to inquiries and releasing information in connection with my application. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge.
I understand, also, that I am required to abide by all rules and regulations of the Company. “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 by 49 CFR 391.23(d) and (e). I understand that I have the right to: Review information provided by current/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(s) and I cannot agree on the accuracy of the information.
I understand that any pre-employment credentials and/or drug testing paid for by Leblanc Brothers will be reimbursed in full if employee does not remain employed for a minimum of 90 days, whether it be voluntary or not.
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.
If this application leads to employment, I understand that false or misleading information in my application or interview 
may result in my release.
All employment is pending a clear driving record, negative drug and alcohol test, and agreement to random drug testing.
Thank you for applying. Our team will be in touch.
