Name *

Must be as shown on your drivers license.

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Are you are interested in additional locations? *

Yes

No

I understand that employment with Optimal US Logistics is at-will, meaning that I or Optimal US Logistics may terminate my employment at any time, or for any reason consistent with applicable state or federal law. *

I Agree

I authorize Optimal US Logistics to conduct a thorough background investigation of my work and personal history, and verify all data given on this application and during interviews. *

I Agree

I hereby release the Organization, and its representatives or agents, from any liability that might result from such an investigation. *

I Agree

I authorize all individuals, schools, and firms named to provide any requested information and release them from all liability for providing the requested information. *

I Agree

I understand that Optimal US Logistics requires the successful completion of a drug and/or alcohol test as a condition of employment. *

I Agree

I understand this application will be active for a period of 90 days; after that time, if I wish to be considered for employment, I must submit a new application. *

I Agree

I certify that all the statements in this completed application are true and understand that any falsification or willful omission shall be sufficient cause for dismissal or refusal to hire. *

I Agree

I hereby consent to submit to a drug or alcohol test and to furnish a sample of my urine, breath, and/or blood for analysis, as shall be determined by Optimal Logistics US in order to meet with their policy regarding the selection of applicants for employment. *

I agree

I further authorize and give full permission to have the Company and/or its authorized agents and physicians to send the specimen or specimens so collected to a laboratory for a screening test for the presence of any prohibited substances under the policy, and for the laboratory or other testing facility to release any and all documentation relating to such test to the Company. I further agree to and hereby authorize the release of the results of said tests to the Company. *

I agree

I understand that it is the current use of illegal drugs that would prohibit me from being employed at this Company. *

I Agree

I further agree to hold harmless the Company and its agents and physicians from any liability arising in whole or part, out of the collection of specimens, testing, and use of the information from said testing in connection with the Company's consideration of my application of employment. *

I Agree

I further agree that a reproduced copy of this pre‐employment consent and release form shall have the same force and effect as the original. *

I Agree

I have carefully read the foregoing and fully understand its contents. I acknowledge that my signing of this consent and release form is a voluntary act on my part and that I have not been coerced into signing this document by anyone. *

I Agree

Consent *

I confirm that by typing my full name above, I am providing my electronic signature and agreeing to the terms and conditions.