Superior Regional Construction Services
CALL TODAY: 701-699-5171
In connection with my application for employment (including contract for services) with Gowan Construction, Inc., I understand that consumer reports, which may contain public record information, may be requested from other agencies. These reports may include the following types of information: names and dates of previous employers, reason for termination or employment, work experience, accidents, etc. I further understand that such reports may contain public record information concerning my driving record, workers’ compensation claims, credit, bankruptcy proceedings, criminal record, etc., from federal, state and other agencies with maintain such records.
Disclosure and Release
I authorize, without reservation, any party or agency contacted to furnish the above mentioned information.
I hereby authorize procurement of consumer report(s). If hired (or contracted) this authorization shall remain on file and shall serve as ongoing authorization for you to procure consumer reports at any time during my employment (or contract) period.
Drug and Alcohol Policy Receipt
I understand Gowan Construction, Inc. has a Controlled Substance & Alcohol Testing Program and authorize the pre-employment Drug and Alcohol test. Until all testing information has been reviewed any offer of employment made is conditional. This means that an offer of employment can be withdrawn.
I understand the Federal Motor Carrier Safety Regulations as it pertains to me. Until all background information and driver qualification requirements have been verified by the Company Safety Department, any offer of employment made is conditional. This means that an offer of employment may be withdrawn. Areas that will be verified includes but are not limited to:
You have the right to review information provided by previous employers and the right to correct that information, the right to have errors in the information corrected by the previous employer, and for that previous employer to re-send the corrected information to the prospective employer. 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 the information in this application will be used and that prior employers will be contracted for purposes of investigation as required by Section 391.23 of the Federal Motor Carrier Safety Regulations and other purposes. I also understand that I have due process rights regarding information received as part of this background check. This certifies that this application was completed by me. All information in this application is true and complete to the best of my knowledge. Any conditional offer of employment or actual employment does not constitute a guarantee of continued employment. I understand that misrepresentation or omission of information or facts may result in my rejection or dismissal.
PO Box 228
Oslo, MN 56744
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