CAREERS

Driver's License Information

**Submit Copy of Driver's License Previous Licenses - Past 3 years

Employment History List, in reverse order, your employment history for the past 10 years. If work history is not that long, list back to first job and annotate in the margins that this was your first job.

Driving Experience

Traffic Convictions – Past 3 Years (Exclude parking tickets)

Accidents – Past 3 Years

TO BE READ AND SIGNED BY APPLICANT 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. It is also understood that the company will contact my previous employers and verify the information on this application as required by the Federal and State DOT.

DISCLOSURE REGARDING BACKGROUND INVESTIGATION Garris Evans Lumber Company, Employer (“The Company”) may obtain information about you from a third-party consumer reporting agency for employment purposes. Thus, you may be the subject of a “consumer report” and/or an “investigative consumer report” which may include information about your character, general reputation, personal characteristics, and/or mode of living, and which can involve personal interviews with sources such as your neighbors, friends, or associates. These reports may contain information regarding your credit history, criminal history, social security verification, motor vehicle records (“driving records”), verification of your education or employment history, or other background checks. Credit history will only be requested where such information is substantially related to the duties and responsibilities of the position for which you are applying. You have the right, upon written request made within a reasonable time, to request whether a consumer report has been run about you, and disclosure of the nature and scope of any investigative consumer report and to request a copy of your report. Please be advised that the nature and scope of the most common form of investigative consumer report is an employment history or verification. These searches will be conducted by PeopleFacts, 135 Chesterfield Lane Maumee, OH 43537 800-772-0130 www.peoplefacts.com. The scope of this disclosure is all-encompassing, however, allowing the Company to obtain from any outside organization all manner of consumer reports throughout the course of your employment to the extent permitted by law.

ACKNOWLEDGMENT AND AUTHORIZATION FOR BACKGROUND CHECK I acknowledge receipt of the separate document entitled DISCLOSURE REGARDING BACKGROUND INVESTIGATION and A SUMMARY OF YOUR RIGHTS UNDER THE FAIR CREDIT REPORTING ACT and certify that I have read and understand both of those documents. I hereby authorize the obtaining of “consumer reports” and/or “investigative consumer reports” by Employer at any time after receipt of this authorization and throughout my employment, if applicable. To this end, I hereby authorize, without reservation, any law enforcement agency, administrator, state or federal agency, institution, school, or university (public or private), information service bureau, employer, or insurance company to furnish any and all background information requested by People Facts 135 Chesterfield Lane Maumee, OH 43537 800-772-0130 www.peoplefacts.com and/or Employer. I agree that a facsimile (“fax”), electronic or photographic copy of this Authorization shall be as valid as the original.

The person named above has applied to Garris Evans Lumber Company for employment. Your firm is listed by the Applicant as a previous employer. Please complete the following items and return to Garris Evans as soon as possible at the address listed above. **

If the above Applicant was employed as a driver with your company, Department of Transportation regulation S382.405m (f) and (h) 391.23(a)2 require that you provide the following information.

Applicant Consent and Release: I do hereby authorize my previous employers to release and forward all requested information regarding my alcohol and controlled substance testing (if I was employed as a driver) and all other records of employment including job performance to the above named carrier in connection with my application for employment, herby release my former employers from any and all liability of any type as a result of the providing the above information.

Instructions: When using a driver for the first time or intermittently, a signed statement must be obtained, giving the total time on duty (driving and on duty) during the immediately preceding 7 days and the time at which the driver was last relieved from duty prior to beginning work.

I hereby certify that the information contained herein is true to the best of my knowledge and belief and that my last period of release from duty is listed below:

Driver's Certification of Violations

I certify that the above information is a true and complete list of traffic violations (other than parking) for which I have been convicted or forfeited bond or collateral during the past 12 months.

This day I have reviewed the driving record of the above-named driver in accordance with 391.25 of the Federal Motor Carrier Safety Regulation. I considered any evidence that the driver has violated applicable provisions of the Federal Motor Carrier Safety Regulations and the Hazardous Materials Regulations. I considered the Driver’s Accident record and any evidence that He/She has violated laws governing the operation of motor vehicles and gave great weight to the violations, such as speeding, reckless driving, and operation while under the influence of alcohol or drugs, which indicate the driver has exhibited a disregard for the safety of the public.

I, hereby provide consent to Garris Evans Lumber Co. to conduct a limited query of the FMCSA Commercial Driver’s License Drug and Alcohol Clearinghouse to determine whether drug or alcohol violation information about me exists in the Clearinghouse. This consent is valid from the date shown below until my employment with the above-named motor carrier ceases or until I am no longer subject to the drug and alcohol testing rules in 49 CFR Part 382.701(b) for the above-named motor carrier. I understand that if the limited query conducted by Garris Evans Lumber Co. indicates that drug or alcohol violation information about me exists in the Clearinghouse, FMCSA will not disclose that information without first obtaining additional specific consent from me. If a limited query ever reveals that the Clearinghouse has information about me, I will be required to log in to the Clearinghouse website within 24 hours to grant electronic consent for the motor carrier to obtain my full Clearinghouse record per 382.701(b). I further understand that if I refuse to provide consent to conduct a limited query of the Clearinghouse, Garris Evans Lumber Co. must prohibit me from performing safety-sensitive functions, including driving a commercial motor vehicle, as required by FMCSA’s drug and alcohol program regulations.

In accordance with Federal Motor Carrier Safety Administration regulation 391.23(i)(I), we are required to make known to Driver applicants for employment with our company that you have the following rights regarding the investigative information that will be provided to our company pursuant to paragraphs (d) and (e) of this section of the regulation.

1. You have the right to review information provided by your previous employers.
2. You have the right to have errors in the information corrected by the previous employer and for the previous employer to re-send the corrected information to our company.
3. You have the right to have a rebuttal statement attached to the alleged erroneous information if the previous employer and the driver cannot agree on the accuracy of the information.

I understand that I have been informed of these rights in accordance with the above-listed regulations.

Note: There are additional provisions for rights to review employment history which goes back farther than 3 years required in the application process. Should you wish to pursue these please review FMCSA Regulation 391.23 (i) (2).

Download Driver’s Information Packet
I acknowledge receipt of the “Driver’s Information Packet”. This package contains educational materials and policy concerning the use of alcohol and drugs as required by 382.601(d).

Driver's License Information

Employment History Please list your employment history for the past 10 years, if applicable.

Experience & Qualifications

Traffic Convictions – Past 3 Years (Exclude parking tickets)

Accidents – Past 3 Years

PLEASE READ THE FOLLOWING STATEMENTS CAREFULLY BEFORE SIGNING THIS APPLICATION. ONLY THOSE APPLICATIONS THAT ARE SIGNED AND DATED ARE CONSIDERED VALID. IF YOU HAVE ANY QUESTIONS REGARDING THIS STATEMENT, PLEASE ASK THEM BEFORE SIGNING. I certify that all answers and statements I have made on this application (and resume’ or other supplementary materials) are true and complete with omissions. By signing below, I authorize Garris Evans Lumber Company to investigate all statements contained in this employment application as they may deem necessary in arriving at an employment decision. I understand that any false information provided by me will likely result in a refusal to hire or immediate discharge if I am employed. I authorize any of the persons or organizations named in this application to give you complete information and records regarding my employment, education, character, and qualifications. If hired, I will be responsible for familiarizing myself with all the rules and regulations of Garris Evans Lumber Company as they presently exist or are later modified. If hired, I understand my employment can be terminated, at the discretion of Garris Evans Lumber Company or at my option, without notice, at any time, and for any reason. I also understand that no representative of Garris Evans Lumber Company has any authority to enter into any employment agreement for any specified period of time or to assure me of any future position, benefits, or terms and conditions of employment, except as specifically stated in a current written agreement signed by the President or Vice-Present of Garris Evans Lumber Company. I understand this application is not an offer of employment and no promises or representations of employment have been made to me at this time. I have read, understand, and agree with the above. This certifies that this application was completed by me and that all entries on it and the information in it are true and complete to the best of my knowledge.

This application is valid for only ninety (90) days from the date I signed. If I want to be considered for job openings more than 90 (ninety) days from the date signed, I will submit a new application

DISCLOSURE REGARDING BACKGROUND CHECK Garris Evans Lumber Company, Employer (“The Company”) may obtain information about you from a third-party consumer reporting agency for employment purposes. Thus, you may be the subject of a “consumer report” and/or an “investigative consumer report” which may include information about your character, general reputation, personal characteristics, and/or mode of living, and which can involve personal interviews with sources such as your neighbors, friends, or associates. These reports may contain information regarding your credit history, criminal history, social security verification, motor vehicle records (“driving records”), verification of your education or employment history, or other background checks. Credit history will only be requested where such information is substantially related to the duties and responsibilities of the position for which you are applying. You have the right, upon written request made within a reasonable time, to request whether a consumer report has been run about you, and disclosure of the nature and scope of any investigative consumer report and to request a copy of your report. Please be advised that the nature and scope of the most common form of investigative consumer report is an employment history or verification. These searches will be conducted by PeopleFacts, 135 Chesterfield Lane Maumee, OH 43537 800-772-0130 www.peoplefacts.com. The scope of this disclosure is all-encompassing, however, allowing the Company to obtain from any outside organization all manner of consumer reports throughout the course of your employment to the extent permitted by law.

ACKNOWLEDGMENT AND AUTHORIZATION FOR BACKGROUND CHECK I acknowledge receipt of the separate document entitled DISCLOSURE REGARDING BACKGROUND INVESTIGATION and A SUMMARY OF YOUR RIGHTS UNDER THE FAIR CREDIT REPORTING ACT and certify that I have read and understand both of those documents. I hereby authorize the obtaining of “consumer reports” and/or “investigative consumer reports” by Employer at any time after receipt of this authorization and throughout my employment, if applicable. To this end, I hereby authorize, without reservation, any law enforcement agency, administrator, state or federal agency, institution, school, or university (public or private), information service bureau, employer, or insurance company to furnish any and all background information requested by People Facts 135 Chesterfield Lane Maumee, OH 43537 800-772-0130 www.peoplefacts.com and/or Employer. I agree that a facsimile (“fax”), electronic or photographic copy of this Authorization shall be as valid as the original.

Employment Verification

EMPLOYER REFERENCE (most recent)

*In compliance with federal law, all persons hired will be required to verify their identity and eligibility to work in the United States, and to complete the required employment eligibility verification document form upon hire.

Education

Special Skills, Qualifications, and Considerations

PLEASE READ THE FOLLOWING STATEMENTS CAREFULLY BEFORE SIGNING THIS APPLICATION. ONLY THOSE APPLICATIONS THAT ARE SIGNED AND DATED ARE CONSIDERED VALID. IF YOU HAVE ANY QUESTIONS REGARDING THIS STATEMENT, PLEASE ASK THEM BEFORE SIGNING. I certify that all answers and statements I have made on this application (and resume’ or other supplementary materials) are true and complete with omissions. By signing below, I authorize Garris Evans Lumber Company to investigate all statements contained in this employment application as they may deem necessary in arriving at an employment decision. I understand that any false information provided by me will likely result in a refusal to hire or immediate discharge if I am employed. I authorize any of the persons or organizations named in this application to give you complete information and records regarding my employment, education, character, and qualifications. If hired, I will be responsible for familiarizing myself with all the rules and regulations of Garris Evans Lumber Company as they presently exist or are later modified. If hired, I understand my employment can be terminated, at the discretion of Garris Evans Lumber Company or at my option, without notice, at any time, and for any reason. I also understand that no representative of Garris Evans Lumber Company has any authority to enter into any employment agreement for any specified period of time or to assure me of any future position, benefits, or terms and conditions of employment, except as specifically stated in a current written agreement signed by the President or Vice-Present of Garris Evans Lumber Company. I understand this application is not an offer of employment and no promises or representations of employment have been made to me at this time. I have read, understand, and agree with the above. This certifies that this application was completed by me and that all entries on it and the information in it are true and complete to the best of my knowledge.

This application is valid for only ninety (90) days from the date I signed. If I want to be considered for job openings more than 90 (ninety) days from the date signed, I will submit a new application

DISCLOSURE REGARDING BACKGROUND INVESTIGATION Garris Evans Lumber Company, Employer (“the Company”) may obtain information about you from a third-party consumer reporting agency for employment purposes. Thus, you may be the subject of a “consumer report” and/or an “investigative consumer report” which may include information about your character, general reputation, personal characteristics, and/or mode of living, and which can involve personal interviews with sources such as your neighbors, friends, or associates. These reports may contain information regarding your credit history, criminal history, social security verification, motor vehicle records (“driving records”), verification of your education or employment history, or other background checks. Credit history will only be requested where such information is substantially related to the duties and responsibilities of the position for which you are applying. You have the right, upon a written request made within a reasonable time, to request whether a consumer report has been run about you, and disclosure of the nature and scope of any investigative consumer report and to request a copy of your report. Please be advised that the nature and scope of the most common form of investigative consumer report is an employment history or verification. These searches will be conducted by PeopleFacts, 135 Chesterfield Lane Maumee, OH 43537 800-772-0130 www.peoplefacts.com. The scope of this disclosure is all-encompassing, however, allowing the Company to obtain from any outside organization all manner of consumer reports throughout the course of your employment to the extent permitted by law.

ACKNOWLEDGMENT AND AUTHORIZATION FOR BACKGROUND CHECK I acknowledge receipt of the separate document entitled DISCLOSURE REGARDING BACKGROUND INVESTIGATION and A SUMMARY OF YOUR RIGHTS UNDER THE FAIR CREDIT REPORTING ACT and certify that I have read and understand both of those documents. I hereby authorize the obtaining of “consumer reports” and/or “investigative consumer reports” by Employer at any time after receipt of this authorization and throughout my employment, if applicable. To this end, I hereby authorize, without reservation, any law enforcement agency, administrator, state or federal agency, institution, school, or university (public or private), information service bureau, employer, or insurance company to furnish any and all background information requested by People Facts 135 Chesterfield Lane Maumee, OH 43537 800-772-0130 www.peoplefacts.com and/or Employer. I agree that a facsimile (“fax”), electronic or photographic copy of this Authorization should be as valid as the original.