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Instructions: Please answer all questions. If the answer to any question is "No" or "None", do not leave the item blank — write "No" or "None". Choose your application type above; the relevant sections will appear.

In compliance with Federal and State equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status, veteran status, non-job related disability, or any other protected group status.

I authorize you to make such investigations and inquiries of my personal, employment, financial or medical history and other related matters as may be necessary in arriving at an employment decision. (Inquiries regarding medical history will generally be made only after a conditional offer of employment.) 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.

I understand that false or misleading information given in my application or interview(s) may result in discharge, and that I may be required to abide by all Company rules and regulations.

I understand that information I provide regarding current and/or previous employers may be used, and those employers contacted, to investigate my safety performance history as required by 49 CFR 391.23(d) and (e). I understand I have the right to: review information provided by previous employers; have errors corrected and re-sent; and attach a rebuttal statement if the previous employer(s) and I cannot agree on the accuracy of the information.

By submitting this application I acknowledge and agree:

• Any misrepresentation given on this application shall be considered an act of dishonesty.
• Bonneville Transloaders (BT Incorporated) or its agents may investigate my background to ascertain any information of concern to my record, and I release employers and persons named herein from all liability for furnishing such information.
• Under the Fair Credit Reporting Act (Public Law 91-508), this investigation may include an investigating Consumer Report regarding my character, general reputation, personal characteristics, and mode of living.
• I agree to furnish additional information and complete examinations as required to complete my application file.
• This Application for Qualification in no way obligates BT Incorporated to employ or hire me.
• If qualified and hired, I may be on a probationary period during which I may be disqualified without recourse.
• This certifies that this application was completed by me and that all entries and information are true and complete to the best of my knowledge.