AAR Drug & Alcohol DOT Questionnaire

AAR CORP. 1100 N. Wood Dale Rd. Wood Dale, IL 60191 Phone :630.227.2000 Fax: 630.227.2069

APPLICANT QUESTIONAIRE REGARDING PREVIOUS DRUG & ALCOHOL TESTING INFORMATION

APPLICANT: PLEASE SELECT "YES" OR "NO" IN RESPONSE TO THE FOLLOWING QUESTIONS AS REQUIRED BY U.S. DEPARTMENT OF TRANSPORTATION REGULATIONS (49 CFR PART 40 IN THE PAST TWO YEARS:

1. Have you had any DOT required alcohol tests with a result of 0.04 or higher alcohol concentration?

Select One:*

2. Have you had any verified positive DOT required drug tests?

Select One:*

3. Have you refused to be tested (including having a verified adulterated or substituted drug test result)? 4. Have you had any other violation of a DOT agency drug or alcohol testing regulation?

Select One:*

4. Have you had any other violation of a DOT agency drug or alcohol testing regulation?

Select One:*

5. Were there any situations in which you tested positive on a pre-employment test for a DOT employer that did not hire you?

Select One:*

6. Were there any situations in which you refused to submit (including any adulterated or substituted findings) to a pre-employment test for a DOT employer that did not hire you?

Select One:*

Applicant's Full Name*

Applicant's Social Security#*

Applicant's Signature*

Today's Date*

Date