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APPLICATION FOR AT-WILL EMPLOYMENT/ CONTRACTOR POSITION

We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, or any other legally protected status.

Position
Position Applied For
How Did You Learn About Palmetto Xpress
Choose one
Employee
Who Referred You
Other Source
Where did you hear of us
First Name *
Your First Name
Last Name *
Your Last Name
Email *
Your Email
Phone Number *
Your Phone Number
Address Line 1 *
Your Address
Address Line 2
Address Second Line
City *
Your City
State
Your State
Zip Code
Your Zip Code

Please answer the following questions


Do you have a current SC driver’s license? *
Please share your driver's license number *
Expiration Date *
Do you have any driving infractions within the last 3 years? *
What were they? *
If applying for a contractor position with Palmetto Xpress *
Do you have a valid commercial insurance policy with at least $500,000 coverage? *
Can you frequently lift over 75 pounds? *
Have you ever filed an application with us? *
When was it? *
May we contact your present employer? *
Do you have relatives employed with us? *
Who is/was employed by Palmetto Xpress? *
On what date will you be available for work?
How many hours are you looking for to work?

Applicant's Statement

I certify that answers given herein are true and complete to the best of my knowledge.
I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.
This application for employment shall be considered active for a period of time not to exceed six (6) months.
An applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.

I HEREBY UNDERSTAND AND ACKNOWLEDGE THAT, UNLESS OTHERWISE DEFINED BY APPLICABLE LAW, ANY EMPLOYMENT RELATIONSHIP WITH PALMETTO XPRESS, LLC IS OF AN “AT-WILL” NATURE, WHICH MEANS THAT THE EMPLOYEE MAY RESIGN AT ANY TIME AND THE EMPLOYER MAY DISCHARGE THE EMPLOYEE AT ANY TIME OR WITHOUT CAUSE. IT IS FURTHER UNDERSTOOD THAT THIS “AT-WILL” EMPLOYMENT RELATIONSHIP MAY NOT BE CHANGED BY ANY WRITTEN DOCUMENT OR BY CONDUCT UNLESS SUCH CHANGE IS SPECIFICALLY ACKNOWLEDGED IN WRITING BY AN AUTHORIZED EXECUTIVE OF THIS ORGANIZATION.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge.

Authority to Release Information: By my signature, I consent to the release of information to authorized officers, agents, and employees of Palmetto Xpress, LLC, which may include but not be limited to information concerning my past and present work; including my official personnel files; attendance records, evaluations, education records including transcripts, military service, background checks with the SC Law Enforcement Division and/or applicable state/federal agency; and any personnel record deemed necessary. In addition, I consent to authorize appropriate officers, agents, and employees of Palmetto Xpress, LLC, to make inquiries of third parties. I further release the organization, educational entity, present and former employers, law enforcement organizations, all third parties from any and all claim of whatever nature that I may have as a result of any inquiry or response given to such inquiries made in connection with my application for employment. I understand also that I am required to abide by all rules and regulations of the employer.

Signature *
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