By filling my signature and date below, I certify that the answers given by me are true and accurate to the best of my knowledge, and omissions or misrepresentations of facts called for in this application, whether on this document or not, may result in rejection of my application or discharge at any time during my employment. I also understand that the use of illegal drugs is prohibited during employment. I will submit to drug testing to detect the use of illegal drugs prior to and during employment.
I hereby authorize the collection of a urine sample for the purpose of determining the presence of alcohol and/or drugs in my system. I understand that employment with Knoxville Area Transit (KAT) is contingent upon collection of this sample and that a subsequent detection of alcohol and/or drugs will result in the immediate withdrawal of any offer of employment. Additionally, I understand that a positive drug and/or alcohol screen or a refusal to test from a previous employer within the past two years will also result in an immediate withdrawal of any offer of employment.
I hereby give my consent for the release of these test results and other relevant medical information to the KAT’s Medical Review Officer and appropriate Officers. I understand that KAT will not accept results from previous employers as a substitute for this screening.
I further understand that my refusal to submit to a drug and/or alcohol analysis or the required physical evaluation will result in the withdrawal of any offer of employment with KAT.
The urine sample being collected will be tested for evidence of (1) marijuana; (2) cocaine; (3) opiates; (4) phencyclidine (PCP); and (5) amphetamines.
I hereby authorize, without reservation, KAT, any agent of KAT and/or any law enforcement agency to check my driver’s license record and to obtain a copy of this record. I understand this is necessary in order to maintain the current status of my license and address information. This permission is granted for the above as often as deemed necessary by KAT.
I am aware that many jobs at KAT require a State of Tennessee Commercial Drivers’ License, Class B with a passenger endorsement and that, while KAT will train me for the license, it is my responsibility to acquire this license. Additionally, I understand that until I obtain the appropriate license, I will be passed over in seniority in favor of someone hired after me who is in possession of the required license. Furthermore, I understand that if, for any reason, my training takes longer than those hired on or around my hire date, I will be passed over in seniority in favor of those who have completed the training.