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By submitting this application I certify that I personally completed this application
and that all of the information is true and correct. I hereby request and authorize any
company that receives this application to cause to be conducted, at any time, an
investigation of my background for employment purposes, which may include, but is not
limited to, any information relating to my character, general reputation, personal
characteristics, mode of living, criminal history, past work experience, educational
background, alcohol or drug test results, or failure to submit to an alcohol or drug test,
or any other information about me which may reflect upon my potential for employment
gathered from any individual, organization, entity, agency, or other source which may have
knowledge concerning any such items of information. I have completed this application of
my own free will and hold Frock Bros. Trucking Inc. harmless of all liability for
providing this application for my use.
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