Start with your present or last place of employment. You may include any verifiable work performed on a volunteer basis, internships, or military service. Alternatively, you may attach a resume.

Please list the names of work-related references we may call. Individuals with no prior experience may list school or volunteer related references.

I understand and agree that if driving is a requirement of the job for which I am applying, my employment and/or continued employment is contingent on possessing a valid drivers license and automobile liability insurance in an amount equal to the minimum required by New York.

I understand that Central Roadways, lnc./On Site of WNY has a drug free and smoke free workplace and a drug and alcohol testing program consistent with applicable federal, state and local law. I understand that any offer may be conditional upon a pre-employment drug and/or alcohol test and that if that test is positive, the employment offer may be withdrawn.

I certify that all the information on this application, my resume, or any supporting documents is complete and accurate to the best of my knowledge. I understand that any falsification, misrepresentation, or omission of any information may result in disqualification from consideration for employment or if employed, disciplinary action, up to and including immediate dismissal.

I authorize Central Roadways, lnc./On Site of WNY or its agents to confirm all statements contained in this application and/or resume as it relates to the position I am seeking and to the extent permitted by federal, state, and local law. I agree to complete and requisite authorization forms for a background investigation, if asked.

I authorize and constant to, without reservation, any party or agency contacted by this employer to furnish the above-mentioned information. I hereby release, discharge and hold harmless, to the extent permitted by federal, state, and local law, any party delivering information to Central Roadways, lnc./On Site of WNY or its duly authorized representative pursuant to this authorization from any liability, claims charges, or causes of action which I may have as a result of the delivery of disclosure of the above requested information. I hereby release from liability Central Roadways, lnc./On Site of WNY and its representative for seeking such information and all other persons, corporations, or organizations furnishing such information.

I understand Central Roadways, lnc./On Site of WNY hires only individuals who are legally eligible to work in the United States.

I UNDERSTAND THAT NEITHER THIS APPLICATION OR ANY COMMUNICATION BY A MANAGEMENT REPRESENTATIVES INTENDED TO CREATE OR DOES CREATE A CONTRACT OF EMPLOYMENT, OFFER, OR PROMISE OF EMPLOYMENT. I ACKNOWLEDGE THAT IF HIRED BY THE COMPANY, EMPLOYMENT IS ON AN AT-WILL BASIS. THIS MEANS THE COMPANY IS FREE TO TERMINATE MY EMPLOYMENT AT ANY TIME, WITH OR WITHOUT CAUSE OR ADVANCE NOTICE, IN ACCORDANCE WITH NEW YORK LAW, AND ACCEPTANCE OF EMPLOYMENT IS NOT A CONTRACT OF EMPLOYMENT FOR ANY SPECIFIED TIME. SIMILARLY, I AM FREE TO TERMINATE MY EMPLOYMENT WITH THE COMPANY AT ANY TIME FOR ANY REASON. THIS AT-WILL PROVISON MAY BE MODIFIED OR WAIVED ONLY IN A WRITTEN AGREEMENT SIGNED BY AN AUTHORIZED REPRESENTATIVE OF CENTRAL ROADWAYS, INC./ON SITE OF WNY AND ME.