An Equal Opportunity Employer You will be considered for all positions without regard to race, color, religion, weight, height, sex, national origin, marital status, veteran status, the presence of non-job-related medical conditions, handicap or any other protected status as required by law. Personal Information Date Name (Last, First, Middle)

TO BE READ AND SIGNED BY APPLICANT

 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 also, that I am required to abide by all rules and regulations of the company.

I understand that by law, the company requires all persons applying for a truck driving position of vehicles weghing more than 26,001 pounds or more must undergo pre-employment drug test., I understand that refusal to undergo this test will be considered a withdrawal of my application for employment. I also understand that if the test disclose the presence of foreign substance, I will be denied employment. I understand that information I provide regarding current and / or previous employers may be used, and those employers(s) will be contacted, for the purpose of investigating my safety performance history as required by 49 CFR 391.23(d and (e). I understand that I have the right to:

• Review information provided by previous employers
• Have errors in the information corrected by previous employers and for those previous employers to re-send corrected information to the prospective employe; and
• Have a rebuttal statement attacehd to the alleged erroneous information, if the previous emploer(s) and I cannot agree on the accuracy of the information.

Application form Waiver 

In exchange for the consideration of my employment application by Vassar Building Center, Inc. (hereinafter called "the Company), I agree that: Neither the acceptance of this application nor the subsequent entry into any type of employment relationship, either in the position applied for or any other position, and regardless of the contents of employee handbooks, personnel manuals, benefit plans, policy statements, and the like as they may exist from time to time, or other Company practices, shall serve to create an actual or implied contract of employment "at will" relationship between it and undersigned, and that relationship cannot be altered except by a written instrument signed by the President/General Manager or the Company. Both the undersigned and the Company may end the employment relationship at any time, with or without cause. If employed, I understand that the Company may unilaterally change or revise their benefits, policies, and procedures, and such changes may include reduction in benefits.

In connection with my application for employment, I authorize this prospective employer to contact any or all previous employers to discuss my employment history, including reasons for termination of past employment. I also authorize this prospective employer to obtain a copy of my driving record from the Michigan Secretary of State or from the Secretary of State's offices in those states in which I held previous employment. I also authorize this prospective employer to confirm any or all information contained in this employment application and I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice.

(1) the Company has a drug and alcohol policy that provides for pre-employment testing as well as testing after employment; (2) consent to and compliance with such policy is a condition of my employment; and (3) continued employment is based on the successful passing of testing under such policy. I further understand that continued employment may be based on the successful passing of job-related physical examinations.

In connection with the routine processing of your employment application, the Company may request from a consumer reporting agency, an investigative consumer report including information as to my credit records, character, general reputation, personal characteristics, and mode of living. Upon written request from me, the Company will provide me with additional information concerning the nature and scope of any such report requested by it, as required by the Fair Credit Reporting Act.

We are an equal opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age, or disability. We assure you that your opportunity for employment with Vassar Building Center, Inc. depends solely on your qualifications.