By signing and submitting this application you authorize () Incorporated and its subsidiaries to use HireRight, Tulsa, Oklahoma for your background investigation. This investigation may include driving records, criminal records, employment history verification, Social Security Number Validation, etc. from federal, state and other agencies which maintain such records; as well as information from HireRight concerning previous driving record requests made by others from such state agencies, and state provided driving records. You have the right to make a request to HireRight to request the nature and substance of all information in its files including the sources of information; and the recipients of any reports which HireRight has previously furnished within the two year period preceding your request. Do you authorize, without reservation, any party or agency contacted by HireRight to furnish the above-mentioned information and consent to () Incorporated & its subsidiaries obtaining the above information from HireRight?:

I understand that my completing this application does not imply any promise of my employment with (). I further understand that if I am employed, my employment will be at will, and, I may leave employment or () may terminate my employment at any time for any reason or for no reason.

Should () employ me, I will be able to show proof of my legal right to work in the Unites States as required by the Immigration Reform & Control Act of 1986. I understand I may request accommodation if I am currently disabled or become disabled.

I realize that as a part of the applicant process I will be required to undergo a D.O.T. substance abuse screening and D.O.T. physical. I understand that if I am offered a job, my employment with () will be dependent uponmy satisfactory completion of the D.O.T. substance abuse screening and D.O.T. physical.

It is agreed and understood that the employer or its agents may investigate the applicant and background to determine the accuracy and completeness of this information and I as the applicant release employers and persons named herein from all liability for any damage on account of his/her furnishing such information.

I understand according to 391.23(i)(1) of the Federal Motor Carrier Safety Regulations I as a driver applicant have the right to review the information obtained from previous employers, to correct errors in that information and rebut perceived incorrect information. If I wish to review previous employer-provided investigative information I must submit a written request to () Corporate Logistics - Compliance Department up to thirty (30) days after being employed or being notified of denial of employment.

I certify that the information on 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. I understand that the falsification of any information on this application will be grounds for (), to refuse to hire me or to terminate my employment should such falsification be discovered after I am employed.

is an equal employment opportunity/Affirmative Action/Veteran/Disability Employer