Professional Driver Application

Current Employer

I authorize investigation of all statements contained in this application for employment. I authorize a background investigation; and education institutions, law enforcement authorities, and any other organizations and individuals to release such information and documents as deemed appropriate or necessary by AMERICA'S ENERGY, INC. I understand that falsifications, omissions, or misstatements of information may result in refusal to hire, or if hired, dismissal from employment. I certify that I, the undersigned applicant, have personally completed this application. I agree that AMERICA'S ENERGY, INC., my previous employers, and all parties providing information shall not be held liable in any respect if any employment offer is not tendered, is withdrawn, or my employment is terminated due to falsifying the statements and answers in the application. I understand that as a condition of employment, I will be required, prior to employment, to take and pass a controlled substances test. I understand that Company benefits and rules and regulations may be changed, modified, deleted, or added to by the Company at any time, at the Company's sole option with 7 days prior notice. AMERICA'S ENERGY, INC. is an at-will employer, and I understand that my employment may be terminated at any time with or without cause and with or without notice either at my option or the option of the Company. No employee, agent or representative of AMERICA'S ENERGY, INC. has authority to enter into a verbal agreement for employment for any specified period of time or to make any verbal representations contrary to the foregoing. I understand that if the position offered to me by the Company requires me to operate a vehicle; I must provide a valid driver's license at the time of my employment. I also authorize the Company to check Department of Motor Vehicle records to ensure that I am in compliance with Company policy. I understand that if I do not meet Company requirements, I may be subject to termination of employment. In accordance with Section 391.21 of the Federal Motor Carrier Safety Regulations, please note that all of your previous employers will be contacted for the purpose of investigating your safety performance history information as required by FMCSR Section 391.23 (d) and (e). Also note that you have the following rights regarding the investigative information provided to as specified in FMCSR Section 391.23 (i): - The right to review information provided by previous employers - 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 - 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 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.