General Information

    Do you have a CDL?Class AClass BClass CChauffeur LicenseNo

    Have you had and Operating While Intoxicated within the past 5 years? YesNo


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    Work Experience *

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    Driving Record Acknowledgement and Release

    ***IMPORTANT NOTICE*** Motor Vehicle Records may be obtained as part of Jerry David Enterprises or (JDE) evaluation of my job application/ employment. The reports will be obtained by David Enterprises, and will include my driving record, an assessment of my insurability under the JDE Insurance coverages or other consumer reports. By signing this disclosure, I hereby authorize JDE to procure such reports and additional reports about me from time to time, as it deems appropriate, to evaluate my insurability or for other permissible purposes.


    Drug Screening Acknowledgement and Release

    You Must Pass a Drug Screen To Work Here

    Jerry David Enterprises has a policy prohibiting the possession, distribution, use, consumption or being under the influence of illegal drugs and controlled substances. If we offer you a job, it will be contingent upon you taking and passing a drug screen.

    I agree to submit voluntarily to drug screening and authorize any testing agency selected by Jerry David Enterprises to provide the results of such drug screen to Jerry David Enterprises. I understand that I may terminate the drug screening at any time during the testing process for employment by Jerry David Enterprises. In consideration for having my application for employment considered, I hereby release on behalf of myself, my heirs, personal representatives and assigns, Jerry David Enterprises, its agents, directors, officers and employees from any and all charges, claims liabilities, causes of action or demands of any nature whatsoever, known or unknown arising from my submission to drug screening and from the use and disclosure of any drug screening results or any other information concerning this testing. I have read this Acknowledgement and Release and accept the conditions set out above. I understand that this Acknowledgement and Release includes in RELEASE OF ALL CLAIMS and I expressly agree to the terms of this Acknowledgement and Release.