Job Application

College or University

Vocational or Technical

U.S. Military Service or Training

Driver License

Driving Experience

Conviction Details

Part 382 controlled substances and alcohol use testing applies to cdl drives of this company; tests will be administered in compliance with the federal motor carrier safety regulations.

§382.113 requirement for notice – before performing an alcohol or controlled substances test under this part, each employer shall notify a driver that the alcohol or controlled substances test is required by this part. No employer shall falsely represent that a test is administered under this part.

I authorize Rohrer’s Incorporated, its agents, employees, or representatives to make such investigations of my employment, education, financial, driving, and/or other related matters as may be necessary in arriving at an employment decision. I hereby release employers, schools, health care providers, licensing authorities, and other persons, corporations, or organizations from all liability to inquiries and releasing truthful information, in a lawful manner, in connection with my application.

I certify that all information I have provided in order to apply for and secure work with Rohrer’s Incorporated is true, complete, and correct. I understand that any false, misleading, or omitted information in my application or interview(s) may disqualify me from further consideration for employment and may result in my dismissal if discovered at a later date. I understand, also, that I am required to abide by all rules and regulations of the Company.

I understand that if I am extended an offer of employment, it may be conditioned upon my successfully passing a pre-employment physical and/or drug and/or alcohol screen examination. I hereby consent to both pre- and/or post-employment physical and drug and/or alcohol screen exams as a condition of employment, if required. Federal Motor Carrier Regulations Part 282 Controlled Substances and Alcohol Use Testing applies to CDL drivers of this company; tests will be administered in compliance with the Federal Motor Carrier Safety Regulations.

I understand this application or subsequent employment does not create a contract of employment nore guaranteed employment for any definite period of time. if employed, I understand that employment is on an at-will basis, and this means that Rohere’s Incorporated or I can terminate the relationship, at any time, with or without cause and/or notice.

For commercial drivers/mechanics:

I understand that information I provide regarding current and/or previous employers will be used, and those employer(s) will be contacted, for the purpose of investigating my safety performance history as required by 49 CFR 391.23(d) and (e). I understand I have the right to:

Review information provided by previous employers; Have errors in the information corrected by previous employers to re-send the corrected information to the prospective employer; and Have a rebuttal statement attached to the alleged erroneous information, if the previous employer(s) and I cannot agree on the accuracy of the information.