I certify that all the information submitted by me on this  application is true and correct to the best of my knowledge. I do understand that any false information  provided on the application can lead to my application being rejected for employment purposes.  

I also understand and permit Pro-Formance Intermodal Inc to complete background checks on the  references provided on this application. I understand that ALL references obtained on my file, will be held  in confidence by Pro-Formance Intermodal Inc and will be used only to determine my application fitness.  

I also understand and permit Pro-Formance Intermodal Inc to obtain any previous history of all pre screening results of any testing I have on file from my previous employers.  

I also understand that Pro-Formance Intermodal Inc may extract and submit information about my pre employment testing results to The Clearinghouse as per the Federal Motor Carrier Safety Administration  (FMCSA) drug and alcohol program. (The Clearinghouse will contain records of violations of drug and alcohol prohibitions in 49 CFR Part 382, Subpart B, including positive drug or alcohol test results and test refusals)