APPLICATION FOR EMPLOYMENT

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

TO BE READ AND SIGNED BY APPLICANT

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 (generally, extended). I hereby release employers, school, health care providers and other persons from all liability in responding to inquiries and releasing information in connection with my application.
In the event of employment, I understand that false or missing information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of Henner Tank Lines, Inc.
I understand that information I provide regarding current and/or previous employers may be used and those employers will be contacted for the purpose of investigating my safety performance history as required by CFR 391.526(d) and (e). I understand that I have the right
to:
• Review information provided by previous employers;
• Have errors in the information corrected by previous employers and for those previous employers to re-send the corrected information to the prospective employer; and
• Have a rebuttal statement attached to the alleged erroneous information, if the previous employer(s) and I cannot agree on the accuracy of the information.

CONSENT FORM

AS AN APPPLICANT FOR A POSITION OF EMPLOYMENT WITH {HENNER TANK LINES, INC, I HEREBY CONSENT TO A TEST FOR THE PRESENCE OF ILLEGALLY USED SUBSTANCES IN MY BODY. I UNDERSTAND THAT SHOULD THE PRESENCE OF ANY ILLEGALLY USED SUBSTANCE BE DETECTED AND CONFIRMED, I WILL NOT BE HIRED. I ALSO UNDERSTAND THAT SHOULD I REFUSE TO BE TESTED IN ACCORDANCE WITH THE ABOVE POLICY OR IF I INTERFERE WITH THE TEST, I WILL NOT BE HIRED.
I ALSO CONSENT TO THE RELEASE OF THESE TEST RESULTS TO A DESIGNATED COMPANY OFFICIAL, AND AGREE TO HOLD {HENNER TANK LINES, INC} HARMLESS FROM ANY SUCH RELEASES PROVIDED FOR HEREBY.

HENNER TANK LINES, INC.

Employment At-Will Policy

APPLICATION FOR EMPLOYMENT

OTHER EMPLOYMENT
Describe all previous employment. List the most recent employer first. Do not omit any employer and describe the reason for any gaps in employment. Use additional paper if necessary to provide a complete response. Beginning with most recent employer:

NEXT EMPLOYER (2)

NEXT EMPLOYER (3)

Reference (1)

Reference (2)

Reference (3)

Prospective employees may be required to undergo the Company’s drug/alcohol examination. The examination includes laboratory testing or a urine sample from a prospective employee to determine the presence of certain drugs and/or alcohol in the body.
Please Note: You should not rely upon a contingent offer of employment from Henner Tank Lines, Inc., or otherwise engage in any activity based upon a contingent offer of employment. Unless or until a final offer of employment is made, you should not take any action which could result in financial loss of a contingent offer is withdrawn, such as giving notice of intent to terminate current employment, selling real estate, or incurring any other costs associated with accepting employment with Henner Tank Lines, Inc. No such activity should be undertaken until after medical clearance has been received and you have received a final offer of employment from Henner Tank Lines, Inc. Under no circumstances should you report to work before medical clearance is received.

AGREEMENTS
I authorize the investigation of all information provided in this application, information provided in the application process and in any supporting documents. I understand that falsification, misrepresentation or omission of facts will result in immediate dismissal or removal of my application from consideration. I authorize Henner Tank Lines, Inc. to secure information about my background and experience from other employees, educational institutions, references and government agencies, and for those parties to provide information concerning my background and experience. I release all parties from any liability arising there from.

My signature below certifies that I have read and understand this application, and to the best of my
knowledge, the information I provided is true and correct. My signature below also certifies that I agree to be bound by the terms and conditions of employment stated in this application, including at-will employment and arbitration of disputes. This application contains all the understandings and
agreements between me and Henner Tank Lines, Inc. concerning the nature of my employment, if any, by Henner Tank Lines, Inc., and supersedes all prior and/or contemporaneous practices, oral or written agreements, understandings, representations and promises, express or implied, between me and Henner Tank Lines, Inc.

It is Henner Tanks Lines, Inc.’s, policy to fill every position without regard to race, color, religion, creed, sex, marital status, age, national origin, ancestry, disability, medical condition, sexual orientation or any other consideration made unlawful by applicable federal, state, or local laws. Henner Tank Lines, Inc., is an equal opportunity employer and selects employees on the basis of qualifications. Please contact the President of Henner Tank Lines, Inc., if you have any questions or complaints regarding this policy.