R+L Carriers

R+L Carriers

APPLICATION FOR EMPLOYMENT

R+L Carriers Shared Services, LLC ("R+L Carriers") and its subsidiary companies will provide equal employment opportunities to all applicants without regard to an applicant's race, color, religion, sex, gender, genetic information, national origin, age, veteran status, disability, or any other status protected by federal or state law. R+L Carriers will provide reasonable accommodations to allow an applicant to participate in the hiring process (e.g., accommodations for a test or job interview) if so requested. When completing this application, you may exclude information that would disclose or otherwise reference your race, religion, age, sex, genetic, veteran status, disability or any other status protected by federal or state law. This application is considered current for sixty (60) days only. At the end of this period, if you are still interested in employment, it will be necessary for you to reapply by completing a new application.

THIS APPLICATION DOES NOT CREATE A CONTRACT OF EMPLOYMENT NOR DOES IT GUARANTEE EMPLOYMENT WITH R+L CARRIERS.

State/Terminal
TO BE COMPLETED BY ALL APPLICANTS
Personal
TO BE COMPLETED BY ALL APPLICANTS

Give a complete record of all address(es) you have maintained for the past three (3) years.

This is my current address
If yes, state the current employee's name and position with R+L Carriers and his/her relationship to you:
Work Preferences
TO BE COMPLETED BY ALL APPLICANTS
What days of the week are you available to work?
Skills
EDUCATION
TO BE COMPLETED BY ALL APPLICANTS
Education Type
EMPLOYMENT HISTORY
TO BE COMPLETED BY ALL APPLICANTS

EMPLOYMENT DATA: Please list below all of your present and past work experience for the past ten (10) years. Please account for all periods of unemployment or self-employment during the past ten (10) years. If you need additional space, please attach a separate sheet. You must complete this section and provide all requested information even if attaching a resume. You may include any verified work performed as a volunteer.

***If applying for a position in Oregon, Philadelphia, PA, or New York City, do not disclose salary information, including Base Salary Starting, Base Pay/Hourly Rate, and Ending or Current Salary. Please leave the section blank or insert N/A.***

Add File
    Present or Last Employer
    DRIVERS LICENSE/BACKGROUND
    TO BE COMPLETED BY CMV DRIVER APPLICANTS ONLY

    The information requested below is required by federal law (49 CFR) to be provided by any driver applying for a commercial driver position as defined in 49 CFR 390.5. Failure to complete required areas can place both the applicant and carrier in violation of federal law. Information provided will be verified by carrier as required under various parts of 49 CFR, including Part 382 and Part 391.

    R+L Carriers Shared Services, LLC, 600 Gillam Road, Wilmington, OH 45177

    - -

    For each unexpired CDL or permit that has been issued to you, please provide:

    Unexpired CDL

    (You are subject to these regulations if you drove a vehicle with gross vehicle weight rating of 10,001 lbs.).

    (A failed alcohol and/or drug test more than three (3) years from the date of submission of this application does not prevent you from employment consideration.)
    DRIVING EXPERIENCE
    TO BE COMPLETED BY CMV DRIVER APPLICANTS ONLY
    Driving Experience
    List any and all motor vehicle accidents and/or incidents, private or commercial in the last three (3) years, regardless of fault. (Attach additional sheet if necessary):
    Driving Accident
    List any and all violations of motor vehicle laws and ordinances (other than violations involving only parking) of which you were convicted or forfeited bond or collateral in the three (3) years prior to submitting this application. (Attach additional sheets if necessary.)
    Driving Violation
    REFERENCES

    Please list three (3) people not related to you whom you have known for at least one (1) year.

    Reference
    CRIMINAL BACKGROUND INFORMATION

    If you are currently residing in or applying for jobs in CT; HI; IL; MA; OR; or Columbia, MO or you are applying for a job in MN; NJ; VT; or Portland, OR; the below question should not be answered with a "yes" or "no" but instead with "I currently reside in or am applying for job positions in CT; HI; IL; MA; OR; or Columbia, MO or I am applying for a job in MN; NJ; VT or Portland, OR; and therefore am not required to answer the question on this application and for that reason am checking this box."

    In responding to the question below, AK, AL, AR, CA, CT, DE, IL, IN, KS, KY, LA, MA, MD, ME, MO, MI, MN, MS, NC, NH, NV, NJ, OH, OK, RI, VA, and WA applicants are not required to disclose the existence of any conviction which has been annulled, erased, sealed, expunged, or otherwise eradicated by state or court order. If your criminal records have been erased or expunged in accordance with state or federal law, you are deemed to have never been arrested with respect to those proceedings. Applicants residing in AL, CA, IL, IN, ME, MI, NE, NY, NV, NH, NC, OH, OK, OR, TX, UT, VT, VA, WA, WV, WY are not required to disclose the existence of any juvenile conviction which has been annulled, erased, sealed, expunged, or otherwise eradicated by state or court order.

    CA applicants: Applicants are not required to disclose misdemeanor convictions involving marijuana or controlled substances as described in CA Labor Code § 432.8 that are more than two years old, and misdemeanor convictions for which probation has been successfully completed or discharged and that have been judicially dismissed.

    CT applicants: Applicants are not required to disclose any conviction that has been erased pursuant to § 46(b)-146, 54-76(o) or 54-142(a) of the CT General Statute. Criminal records subject to erasure are records pertaining to a finding of delinquency or that a child was a member of a family with service needs, an adjudication as a youthful offender, a criminal charge for which the person has been found not guilty, or a conviction for which the person received an absolute pardon. Any person whose criminal records have been erased shall be deemed to have never been arrested within the meaning of the general statutes with respect to the proceedings so erased and may so swear under oath.

    GA applicants: Applicants may exclude convictions discharged under Georgia's First Offender Programs.

    MA applicants: Under Massachusetts law, an employer is prohibited from making written, pre-employment inquiries of an applicant about his or her criminal history. Massachusetts applicants should not respond to any question seeking criminal record information. After the application stage, applicants may omit from disclosing a first conviction for drunkenness, simple assault, speeding, affray, minor traffic violations, or disturbances of the peace. Applicants are also only required to disclose misdemeanor convictions occurring within five (5) years preceding the date of this application.

    NV applicants: Applicants are not required to disclose misdemeanor convictions older than 10 years.

    NY applicants: Applicants for job positions may exclude an adjudication as a youthful offender.

    OH applicants: Applicants with a conviction for a minor misdemeanor violation involving marijuana does not constitute a criminal record and does not need to be reported by the person so convicted in responding to the questions on this application.

    WA applicants: Applicants are not required to disclose felony or misdemeanor convictions older than 10 years.

    A criminal conviction is not an automatic or absolute bar to employment, and while convictions will be considered based on the time and nature of the offense and as related to jobs applied for, applicants should answer the following question.

    An applicant that resides in or is applying for positions in the states/counties/cities that prohibit employers from asking the criminal question on the application will not be adversely impacted by checking the third box below in response to the criminal background question.

    If YES, please describe the circumstances of your conviction, including the date, nature, place of the offense, and disposition of the case. (ATTACH EXTRA SHEETS IF NECESSARY)

    APPLICANT'S CERTIFICATION AND AGREEMENT
    TO BE COMPLETED BY ALL APPLICANTS

    RELEASE: I hereby authorize the release of information held by any party regarding my prior employment, my driving record or education to R+L Carriers. I hereby release said persons, companies, law enforcement authorities and schools from any liability for any damage whatsoever resulting from issuance of the information. I promise that I will not bring any legal claims or actions against my current or former employers or any other entity giving references due to their responses to any job reference request.

    CERTIFICATION: I certify that this application was completed by me, and that all entries on it and information in it (including information supplied by me in any attachment(s) to the application) are true and complete. I certify that I have not knowingly withheld any information that might adversely affect my chances for employment with R+L Carriers, and I understand that any misrepresentation, falsification, or omission of relevant information on this application or on any document submitted by me to secure employment with R+L Carriers shall be sufficient reason for rejection of this application or refusal to hire me, or for my immediate dismissal if I am employed by R+L Carriers, regardless of the amount of time elapsed before discovery.

    AT-WILL EMPLOYMENT: I further understand that the completion of an application with R+L Carriers is a preliminary step to employment. It does not obligate R+L Carriers to offer employment to me, or for me to accept employment. I understand and agree that if I am hired by R+L Carriers, my employment with R+L Carriers is for no definite term or specific period of time, and may be terminated at will, with or without cause, and with or without prior notice, at any time, at the option of either R+L Carriers or me. I further understand that nothing contained in this application or in any oral or written statements provided to me by R+L Carriers or any of its representatives, will limit R+L Carriers' right to terminate my employment at will, and that no representative of the Company has the authority to change the at-will relationship unless such a change is documented in a writing, states that it is a contract of employment, and is signed by the President of R+L Carriers or authorized designee. I further acknowledge that if offered employment, any offer of employment may be a conditional offer of employment pending successful completion of a drug screening and/or criminal background check. Any consideration of the background check will be tailored to the requirements of the job.

    DRIVER APPLICANTS: R+L Carriers Shared Services, LLC ("R+L Carriers") hereby informs you that the information provided by you on this form may be used, and your previous employers may be contacted, for the purpose of investigating your safety performance history information as required by paragraphs (d) and (e) of the Federal Motor Carrier Safety Regulations ("FMCSR"). 391.23. You are hereby notified of your due process rights as specified in FMCSR s. 391.23(i) regarding information received as a result of these investigations, including 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 R+L Carriers, and the right to have a rebuttal statement attached to the alleged erroneous information, if the previous employer and you cannot agree on the accuracy of the information. R+L Carriers may obtain reports regarding your driving and safety inspection history from the Federal Motor Carriers Safety Administration PreEmployment Screening Program ("FMCSA"). If R+L Carriers decides to obtain reports regarding your driving and safety history, R+L Carriers will comply with all applicable state and federal authorization and disclosure requirements.

    FOR CALIFORNIA APPLICANTS: I RECOGNIZE THAT I MAY WAIVE MY RIGHT TO RECEIVE A COPY OF ANY PUBLIC RECORD OBTAINED BY THE COMPANY WHEN CONDUCTING A BACKGROUND INVESTIGATION OF ME PER THE REQUIREMENTS OF CALIFORNIA'S INVESTIGATIVE CONSUMER REPORTING AGENCIES ACT (CALIFORNIA CIVIL CODE § 1786, ET SEQ.).

    I MAY WAIVE MY RIGHT BY CHECKING THIS BOX:

    FOR MARYLAND APPLICANTS: UNDER MARYLAND LAW, AN EMPLOYER MAY NOT REQUIRE OR DEMAND, AS A CONDITION OF EMPLOYMENT, PROSPECTIVE EMPLOYMENT OR CONTINUED EMPLOYMENT, THAT AN INDIVIDUAL SUBMIT TO OR TAKE A LIE DETECTOR OR SIMILAR TEST. EMPLOYER WHO VIOLATES THIS LAW IS GUILTY OF A MISDEMEANOR AND SUBJECT TO A FINE NOT EXCEEDING $100.

    FOR MASSACHUSETTS APPLICANTS: IT IS UNLAWFUL IN MASSACHUSETTS TO REQUIRE OR ADMINISTER A LIE DETECTOR TEST AS A CONDITION OF EMPLOYMENT OR CONTINUED EMPLOYMENT. AN EMPLOYER WHO VIOLATES THIS LAW SHALL BE SUBJECT TO CRIMINAL PENALTIES AND CIVIL LIABILITY.

    THIS CERTIFIES THAT THIS APPLICATION WAS COMPLTED BY ME THAT ALL ENTRIES ON IT AND INFORMATION ENTERED ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.

    Your electronic signature below indicates your agreement with the following statement:

    By typing my name in the following box, I certify all information in my application is true, accurate and complete, and that this information can be used for the purpose of processing my employment application.