Employment Application

Acela Truck Company, Inc. (ATC) provides equal employment opportunity to all qualified persons, and does notunlawfully discriminate against any person on the basis of race, color, creed, religion, sex, national origin, age, disability,marital or veteran status, sexual orientation, or any other status or personal choice.
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Please:
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• Complete all information on the application (even if included on your resume or other document submitted).
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• Sign and date your application.
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• Specify the exact title of the position for which you are applying.
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• Type or print all requested information.
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• If necessary, you may attach additional 8½”x11” sheets of paper to this application.
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• Submit your application to the Human Resource Department, preferably be email.

Personal Information

General Information

Are you legally eligible for work in the U.S.A.?

(Proof of identity and work authorization eligibility will be required within 3 business days of the first day of work. If such information isnot provided by the third day, your employment will be immediately terminated.)

Have you ever applied to or worked ATC before?

Are any of your relatives currently working for ATC?

Have you ever been convicted of a felony?

Employment Request

If applicable, are you available for overtime?

Are you available to work at least 40 hours per week in varied shifts on varied days?

What is your desired long-term schedule?
*Work schedules are subject to business needs and management discretion.
**The office is open from 8:00 am to 5:00 pm except Sunday

How did you hear about this position?

Employment History

*Please begin with most recent employment
** You may also attach your resume but be sure to complete the employment section of this application

May we contact your current employer?

Education

*School
** High School/GED MUST ADVERTISE SUCH

Do you hold any certificates or licenses?

Do you speak English?

Do you speak Spanish?

Military Service

Military Service:

References

Signature / Certification

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I certify that the facts set forth in this application are true, complete, and correct to the best of my knowledge. I understand that any misrepresentations, falsifications, or omissions on this application, any supporting documents I have provided, and any informationI have provided during any discussions and/or interviews with ATC representatives are true and complete to the best of my knowledge and belief and that I have made no attempt to conceal relevant and pertinent information. I further understand that any false or misleading information or omission of facts given in my application or interview(s) may be justification for refusal to hire, or termination of employment.

I authorize ATC and/or its agents, including consumer reporting bureaus, to obtain a consumer report to verify any of the foregoing information. I hereby authorize all former employers, persons, schools, companies, organizations, including but not limited to law enforcement agencies and licensing agencies, having relevant information or knowledge to provide it to ATC or its duly authorized representative for its use in deciding whether or not to offer me employment or for any other reason. I specifically waive any required written notification. I hereby release employers, schools, persons, and organizations from all liability in responding to such inquiries.

I also understand that ATC is a drug free workplace. As ATC’ policy requires, I am willing to submit to drug testing as a job applicant and/or employee to detect the use and/or abuse of illegal drugs, alcohol, and other substances prior to or during employment.

ATC is an equal opportunity employer. I am aware of ATC’s policy of hiring and promoting on the basis of ability, without regard to race, color, religion, sex, national origin, veteran status, disability, age, sexual orientation, genetic information, and any other basis prohibited by law.

Should I become an employee of ATC, I will conduct ATC’s business strictly in an ethical and legal manner.

I understand that I must provide document that demonstrates my identity and authorization to work in the United States with 3business days of the first day of work and that this information will be used to verify my employment eligibility.

I understand that this employment application and any other ATC documents are not contracts of employment between AcelaTruck Company, Inc. its subsidiaries and affiliates, and me for either employment or for the providing of a benefit. If an employment relationship is established. I also understand that any handbooks, manuals, policies and procedures maintained byAcela Truck Company, Inc. are not contractual in nature and may be revised, amended, supplemented, or rescinded at the sole discretion of ATC at any time.

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