I AUTHORIZE YOU TO MAKE INVESTIGATIONS AND INQUIRIES INTO MY PERSONAL, EMPLOYMENT, FINANCIAL OR MEDICAL HISTORY AND OTHER RELATED MATTERS AS MAY BE NECESSARY IN ARRIVING AT AN EMPLOYMENT DECISION. (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 OR ENTITIES FROM ALL LIABILITY IN RESPONDING TO INQUIRIES AND RELEASING INFORMATION IN CONNECTION WITH MY APPLICATION.
I UNDERSTAND THAT AQUA GULF WILL BE REVIEWING MY DRIVING HISTORY AND I AGREE TO A FULL MVR REPORT.
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 THAT I AM REQUIRED TO ABIDE BY ALL RULES AND REGULATIONS OF AQUA GULF AND / OR ANY OF ITS DIVISIONS.
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 391.23(E).
I UNDERSTAND THAT I HAVE THE RIGHT TO:
(1) REVIEW INFORMATION PROVIDED BY CURRENT / PREVIOUS EMPLOYERS
(2) HAVE ERRORS IN THE INFORMATION CORRECTED BY PREVIOUS EMPLOYERS AND FOR THOSE PREVIOUS EMPLOYERS TO RESENDTHE CORRECTED INFORMATION TO THE PROSPECTIVE EMPLOYER
(3) HAVE A REBUTTAL STATEMENT ATTACHED TO ANY ALLEGED ERRONEOUS INFORMATION, IF THE PREVIOUS EMPLOYER(S) AND ICANNOT AGREE ON THE ACCURACY OF THE INFORMATION