(503) 581-8787 info@oregontruss.com

Employment Application

Personal Information

Employment Application

PERSONAL INFORMATION

EMPLOYMENT DESIRED

Education History

EDUCATION HISTORY

High School

College

Other

MILITARY SERVICE

Former Employers / Personal References

PREVIOUS EMPLOYMENT

Include name and address, phone number, supervisor, dates of employment, staring salary, ending salary, job title, reason for leaving, and if we have permission to contact previous supervisor for a reference.

GENERAL INFORMATION

REFERENCES

Include name, address, relationship, and phone number

Authorization

Authorization

I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.

I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from the utilization of such information.

I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.

This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws.

Oregon Truss is a drug-free employer. As a part of the hiring process all individuals must submit to and pass a test for controlled substances defined as alcohol, narcotics, depressants, stimulants, hallucinogens and cannabis.

Twenty-four (24) hours after the final interviews for employment and as a condition of employment this test must be completed and passed.

lf you wish to complete the application process you must consent to such testing by completely filling out this employment application and checking the box below.

OFFER OF EMPLOYMENT CONSENT FORM

Employee Consents:

l do hereby, freely agree, consent and permit Oregon Truss Co., Inc. to arrange for a laboratory test on a specimen provided by me to determine the presence of controlled substances. I recognize, understand and agree that the results of an analysis of such specimen will be reported to OregonTruss Co., Inc. and will be used to determine my suitability for employment.

I further recognize and understand the testing may detect the presence of controlled substances which may be properly taken pursuant to a doctor\’s prescription. Therefore, I acknowledge that it is important for the testing facility to know of all such substances, and that it is my sole responsibility to provide written medical reasons for and the nature of such medication if requested.

I hereby certify that I understand and I agree to pay for the test and I understand that I will be reimbursed for the actual cost of the test upon completion of my first full day of employment with Oregon Truss Co., Inc. I further agree to hold Oregon Truss Co., Inc. and it’s representative harmless of any liability whatsoever which may arise from any legitimate internaI use of the information gained from the tests, whether known or unknown, suspected or unsuspected. I understand that Oregon Truss Co., Inc. shall take reasonable precautions to protect the confidentiality of such information.

NOTICE BEFORE ORDERING MOTOR VEHICLE REPORT

The Fair Credit Reporting Act (FCRA) provides individuals with certain rights regarding Motor Vehicle reports and places certain obligations on employers using this information.
Consistent with the FCRA’s requirements, this notice is provided to inform you that Oregon Truss Co., Inc. for the purpose of determining Certified Driver Status, will obtain your driving record information from the Department of Motor Vehicles.

Oregon Truss Co., Inc. will not. obtain this report without your signature below authorizing us to do so.

AUTHORIZATION TO OBTAIN DRIVING RECORD INFORMATION

I hereby acknowledge that I have read and understand the contents of the above notice and; by signing below, specifically authorizes Oregon Truss Co., Inc. to obtain this report for the purposes as outlined above.

By submitting this application you agree you have read the above text