I authorize Fleet Transit, Inc. to make such investigation and inquiries of my personal, employment, financial or medical history and other related matters as may be necessary in arriving at an employment decision.  (Generally, inquiries regarding medical history will be made only if and after a conditional offer of employment has been extended.)  I hereby release employers, schools, health care providers and other persons from all liability in responding to inquiries and releasing information in connection with my application.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in a non-hire or discharge.  I understand also that I am required to abide by all rules and regulations of Fleet Transit, Inc.  

I understand that information I prodvide regarding current and/or previous employers may 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 that I have the right to:

-  Review information provided by previous employers

-  Have errors in the information corrected by previous employers and for those previous emplouers to resent the corrected information to the prospective employer

-  Have a rebuttal statement atttached to the alleged erroneous information, if the previous employer(s) and I cannont aggree on the accuracy of the information.

List addresses for the past two (2) years.

Conviction of a crime is not an automatic bar to employment, all circumstances will be considered and each applicant reviewed on an individual basis.  Fleet Transit, Inc. reserves the right not to offer employment to a convicted felon at its own discretion.

All driver applicants to drive in interstate commerce must provide the folling information on all employers during the preceding three (3) years.  List complete mailing address, street number, city, state and zip code.  Applicants to drive a commercial motor vehicle* in intratstate or interstate commerce shall also provide an additional seven (7) years of information those employers for whom the applicant operated such vehicles.  A listing of a total of ten (10) years of background is required.

*Includes vehicles having a GVWR of 26,001 lbs. or more, vehicles designed to transport 16 or more passengers (including the driver), or any size vehicle used to transport hazardous materials in a quantity requiring placards.

Please continue to enter previous employers in order of most recent to least recent.  If no other employers, please leave blank and proceed to the next page.

The Fair Credit Reporting Act (FCRA) is a complex piece of legislation and contains numerous provision not
listed on this page. This page is only a summary of the FCRA - for more information and the complete text of the
FCRA go to www.ftc.gov/credit or write to: Consumer Response Center, Room 130-A, Federal Trade
Commission, 600 Pennsylvania Avenue, N.W., Washington, DC 20580.

·  You must be told if information in your file has been used against you. Anyone who uses a credit report or another type of consumer report to deny your application for credit, insurance or employment - or to take other adverse action against you - must tell you, and must give you the name, address and phone number of the agency that provided that information.

·  You have a right to know what is in your file. You may request and obtain all the information about you in the files of a consumer reporting agency (your "file disclosure"). You will be required to provide proper identification, which may include your Social Security number. In many cases, the disclosure will be free.

·  You are entitled to a free disclosure every 12 months upon request from each nationwide credit bureau and from nationwide specialty consumer reporting agencies. See www.ftc.gov/credit for more information.

·  A consumer agency may not provide your credit report to any party that lacks a permissible purpose, such as the evaluation of an application for a loan, credit, or employment. Permissible uses include several business and legal uses.

·  You have a right to dispute incomplete or inaccurate information. If you identify inforniation in your file that is incomplete or inaccurate and report it to the consumer reporting agency, the agency must investigate unless your dispute is frivolous.

·  Consumer reporting agencies must correct or delete inaccurate, incomplete or unverifiable information. This must be done within 30 days. However, the agency may continue to report information that has been verified as accurate.

·  Consumer agencies may not report outdated negative information. In most cases an agency can not report negative information that is more than seven (7) years old or bankruptcies that are more than ten (10) years old.

·  Remove your name from marketing lists upon request. You can request that the three nationwide consumer reporting agencies not share your information with creditors and insurers for marketing purposes by calling 1-888-5-OPT OUT.

·  You must give your consent for reports to be provided to employers. A consumer reporting agency may not give out information about you to your employer, or potential employer without your written consent. Written Consent is generally not required in the trucking industry.

Read this summary thoroughly before signing the FCRA disclosure and authorization statement.

I have read the FCRA Summary of Rights provided to me by Fleet Transit, Inc. and I understand that if I sign this consent form, Fleet Transit, Inc. and/or any entity it retains to obtain such background information reports may obtain reports of my credit, driving, criminal background history and /or CSA2010 information, in addition to information regarding my background, references, education, specific events and past employment.

It is the policy of Fleet Transit, Inc. that its drivers should be free of substance abuse. Consequently, the use of illegal drugs / alcohol by drivers is prohibited. The over all goals of drug / alcohol testing are to insure a drug / alcohol free transportation environment and to reduce accidents, injuries and fatalities.

Pursuant to regulations of the Department of Transportation (DOT), Fleet Transit, Inc. has implemented six (6) types of drug / alcohol testing: (1) Pre-employment (drug only), (2) Return to duty (3) Reasonable cause testing (4) Post accident testing (5) Random testing (6) Follow up.

Fleet Transit, Inc. has a "Zero" tolerance policy for drug use. Refusal to submit to the drug / alcohol testing employed by Fleet Transit, Inc. will be grounds for refusal to hire driver applicants and to terminate the employment of existing drivers. Any driver who becomes unqualified to drive on the basis of violation of the terms of this policy will be subject to termination of employment / lease with Fleet Transit, Inc.

All applicants for driving positions must submit to a urine drug test. A "negative" drug testing result will be obtained before the driver takes his / her first dispatch or before any safety sensitive function is performed.

Fleet Transit, Inc. has fully implemented random testing; existing drivers are subject to this testing as part of the Department of Transportations requirements. Random testing may be for drugs, alcohol or both.

Reasonable cause for requiring a driver to submit to drug / alcohol testing shall be deemed to exist when a driver manifests physical or physiological symptoms or reactions commonly attributed to the use of controlled substances / alcohol.

When a driver is involved in a reportable accident and receives a citation for a moving violation arising from the accident, the driver must contact Fleet Transit, Inc. as soon as possible. If the conditions of a reportable accident and the issuance of a citation to the driver are present, Fleet Transit, Inc. will instruct the driver to present himself / herself to a collection site for Post Accident Testing. The breath alcohol test must be done with in two (2) hours after release from the accident scene and the urine drug test must be done with in thirty-two (32) hours after release from the accident scene to be in accordance with Federal regulations.

In the unfortunate event that the driver is so seriously injured that they cannot provide a urine specimen at the time of the accident, the driver must provide authorization for Fleet Transit, Inc.

to obtain hospital records and / or other documents that would indicate if there were controlled substances / alcohol in the drivers system.

If anyone is fatally injured in an accident, any surviving driver must comply with the testing regulations even if they are not at fault.

Fleet Transit, Inc. will periodically select drivers for unannounced random drug / alcohol testing.

A company official will notify the driver whose name has been selected for the random testing procedure. At that time the driver will report to the collection site for the drug / alcohol test.

Because the selection is random, some drivers may be chosen to participate more than once in a twelve (12) month period and others may not be chosen at all during the same twelve (12) months.

Under DOT regulations, Fleet Transit, Inc. must randomly test 50% of its average number of drivers for drugs and 10% of its average number of drivers. Tests will be unannounced and regulations require that every driver selected at random will be placed back in the pool for the next selection.

Any applicant who tests positive for the presence of the following drugs is medically unqualified to drive and will not be considered for the position of driver (1) marijuana (2) cocaine (3) opiates (4) amphetamines of (5) phencyclidine (PCP). Also any driver testing above 0.02 to 0.39 for alcohol will be removed from safety sensitive functions for 24 hours. Furthermore, any driver who tests positive, or has a blood alcohol concentration of 0.04 or above, shall be medically disqualified and immediately removed from service.

Any driver who has been medically unqualified by a positive drug / alcohol test result and who subsequently becomes requalified shall be subject to follow-up drug / alcohol testing. This random testing of requalified drivers is required for continued service with Fleet Transit, Inc. and is separate from and in addition to the Fleet Transit, Inc. drug testing procedures.

For information or questions regarding Fleet Transit, Inc.'s drug and alcohol policy please contact Kathleen Jones at 410-355-7910 x 108.