Applicant: Read the following statement, then date and sign the application form
I authorize Emerson Express Co., Inc. to make any such inquiries and investigations of my driving history, past employment background, personal, financial and/or medical history. I hereby release state agencies, past employers, schools, health care providers and/or any other person from all liability in connection to their responding to any and all inquiries from Emerson Express Co., Inc., and the subsequent release of information to verify the accuracy of this application.
I understand that in the event of my employment by Emerson Express Co., Inc., any false or misleading statments given in my applicaiton or interview(s) may result in my discharge. I also understand that I am required to abide by all rules and regulations of Emerson Express Co., Inc..
This certifies that this applicaiton was completed by me, and that all entries on it and information in it are true and complete to the best of my knowlege.