must be of the same name - Carroll Fulmer Logistics Corporation

Revised 07/14/2011
Page: 4
I understand and acknowledge that if I am considered for pre-employment by
CFLC, that any pre-employment offered is a conditional offer to me and is an at will
relationship and CFLC may terminate my employment at any time, with or without
cause.
The pre-employment process will include a full application packet and an
orientation program at which time a complete evaluation of my application will be
conducted at CFLC in Groveland, FL Corporate Office. It will include a Criminal
Background Investigation, Road Test, DOT Medical Physical with physical agility
assessment, and Past Work History including Drug History.
I further acknowledge that, as an applicant for conditional employment at CFLC,
and during this orientation process, I will be required to take a drug test.
I understand that if my drug test is positive or I have failed to notify CFLC of a
positive drug test in my past employment, I will be disqualified from employment at
CFLC and I will no longer participate in orientation.
I further understand and agree that in the event that any of my drug test results are
positive, or my application is denied for any reason or I elect not to work for CFLC
after arriving for orientation, CFLC will not pay for my transportation expenses in
connection with my return home from orientation and that I will be solely
responsible for paying my own transportation expenses in returning home from
CFLC orientation.
I understand this form must be signed and returned to CFLC in order for my preemployment
application to be considered by CFLC.
_________________ _________________________________________
Date CFLC Prospective Employment Applicant Signature
_________________________________________
Applicant Print Your Name