JOB APPLICATION

This form is my authorization for the City of Grand Prairie, and Dave's Hi-Way Wrecker Service to obtain consumer reports, driving records, and criminal history reports for the purposes of employment with Dave's Hi-Way Wrecker Service. These reports are necessary to evaluate my insurability under Dave's Hi-Way Wrecker Service's insurance coverage and contractual agreement with governmental agencies of which Dave's Hi-Way Wrecker Service conducts business with. By signing this disclosure, I authorize the above mentioned parties to obtain these reports from time to time, as they deem appropriate to evaluate my employment status or other permissible purposes.

The company identified above is an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including age, sex, color, race, creed, national origin, religion, marital status, sexual orientation, political belief or disability.

I certify that this application was completed by me and that the answers given by me to the foregoing questions and statements are true and correct without any consequential omissions of any kind whatsoever. I understand that my misleading or incorrect statements may render this application void, and, if employed, would be cause for my termination. I further agree that DAVE'S HI-WAY WRECKER SERVICE shall not be liable, in any respect, if my employment is terminated because of false statements, answers or omissions made by me in this application. I certify that all statements and answers to questions about my health are true and were made without reservations, agree to expressly waive all provisions of law prohibiting any physician, person, hospital or other institution from disclosing to DAVE'S HI-WAY WRECKER SERVICE any information regarding treatment rendered now or in the future. I further understand that taking drug and alcohol tests are a condition of my employment with DAVE'S HI-WAY WRECKER SERVICE and refusal to take such tests when asked will subject me to termination. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I hereby release employers, schools or persons from all liability in responding to inquiries made in connection with my application.

I hereby acknowledge and understand that, unless otherwise defined by applicable law, any employment relationship with DAVE'S HI-WAY WRECKER SERVICE is of an "at will" nature, which means that the employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless an authorized representative of DAVE'S HI-WAY WRECKER SERVICE specifically acknowledges such change in writing.

I understand that this application for employment shall be considered active for a period of time not to exceed sixty (60) days. If I wish to be considered for employment beyond this time period, I should inquire as to whether applications are being accepted at this time.