Answering yes to these questions does not constitute an automatic rejection for employment. Date of the offense, seriousness and nature of the violation, rehabilitation and position applied for will be considered.

By submitting this form you give permission for us to run a background check on your Driver's License. You also will certify that your answers are true and complete to the best of your knowledge. You authorize investigations and inquiries of your personal, employment, educational, financial and other related matters that are necessary for an employment decision. You hereby release employers, schools or individuals from all liability when responding to inquiries in connection with my application. In the event you are employed, you understand that false or misleading information given in the application or interview(s) may result in discharge.