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General information

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Driver’s License Information
Are you authorized to work in the United States?*
Do you take any medication that could affect your driving?
Has your license ever been denied, revoked, or suspended?
Have you ever worked/applied for work at Charlotte Mechanical, LLC?
Education



Employment History

A complete record of employment for the past ten years is necessary for your application to be processed. Please list your present employer first. All periods of time must be accounted for during this ten-year period, including military service, self-employment, and periods of unemployment. Provide complete address and phone numbers, including area codes and zip codes.




Personal References

(Do not use relatives or former employers)



CREDIT, CRIMINAL, AND DRIVING RECORD INFORMATION DISCLOSURE AND CONSENT

By my signature below, I authorize Charlotte Mechanical, LLC or Morrow Insurance Agency, Inc. to obtain information – written, oral, or other – from a consumer reporting agency bearing on my creditworthiness, credit standing, credit capacity, character, general reputation, personal characteristics, mode of living, criminal background, and driving background. I understand that this investigation may include interviews with friends, acquaintances, or others who may have relevant information and that this report will be used for employment purposes, including evaluating me for employment, promotion, reassignment, or retention as an employee of Charlotte Mechanical, LLC. I understand that I have a right to request disclosure of the nature and scope of the report, including the name, address, and phone number of the consumer-reporting agency, if the report involves personal interviews with sources such as my friends, acquaintances, or others who may have relevant information. Finally, notwithstanding anything else in this document, I understand Charlotte Mechanical, LLC reserves the ability to avail itself of any rights set forth in any applicable federal, state, or local law, including the Fair Credit Reporting Act, as amended by the Fair and Accurate Credit Transactions Act (the “FACT Act”).

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