By signing and submitting this form, you declare the following; I hereby authorize, without liability, any person or organization whose name I have given as reference, or by whom I have been previously employed with, to furnish Twin Star Transfer, LLC., any information they may have concerning my character, habits, ability, job performance, reason for leaving employment, and all information concerning my employment. I hereby release all such persons and organizations from any claims for damages of any kind which may occur to me by reasons of furnishing such information.
I hereby authorize any law enforcement agency or court of record to furnish Twin Star Transfer, LLC. information concerning Motor Vehicle Record, or any felony or misdemeanor of which I have been convicted. This certifies that this application was completed by me and that all entries on it and information in it are true and complete to the best of my knowledge. Any false, misleading or incomplete statement of the information requested in this application shall be sufficient grounds for disqualification.
I acknowledge and agree to submit a urine sample and/or breathalyzer test for the purpose of drug controlled substance screening. I further acknowledge and agree that evidence of illegal drug use during my employment or qualification period will be grounds for immediate disqualification without recourse.