Minnesota Commercial Railway Company

AN EQUAL OPPORTUNITY EMPLOYER

Application For Employment

Please answer all questions to the best of your knowledge and belief. Omission or falsification will result in refusal to hire or termination should you become employed. NOTICE: As set forth in Title 1 of the Americans with Disabilities Act, you are requested to advise Minnesota Commercial Railway Company if you need a reasonable accommodation to complete this application or to perform the essential functions of any position you are offered.



APPLICANT INFORMATION

Position Applied for

Are you a citizen of the United States?

Yes:
No:

Are you authorized to work in the U.S.?

Yes:
No:

Have you ever worked for this company?

Yes:
No:
EDUCATION

Did you graduate?

Yes:
No:

Did you graduate?

Yes:
No:

Did you graduate?

Yes:
No:
REFERENCES

Please list three professional references.

PREVIOUS EMPLOYMENT

May we contact your previous supervisor for a reference?

Yes:
No:

May we contact your previous supervisor for a reference?

Yes:
No:

May we contact your previous supervisor for a reference?

Yes:
No:
MILITARY SERVICE
ADDITIONAL INFORMATION

Other Qualifications: Summarize special job related skills and qualifications acquired from previous employment or other experiences.

State any additional information you feel may be helpful to us in considering your application for employment.

NOTE TO APPLICANTS: DO NOT answer this question unless you have been informed about the requirements of the job for which you are applying. A description of the activities involved in such a job or application may be obtained upon request.

Are you capable of performing in a reasonable manner, with or without a reasonable accomodation, the activities involved in the job or occupation for which you have applied?

Yes:
No:
CERTIFICATION

All statements made by me in connection with this application are correct to the best of my knowledge. I understand that intentionally withholding information or making false or misleading statements in this application, or whenever discovered, is cause for rejection of my application or termination. Further, I hereby grant Minnesota Commercial Railway Company permission to investigate my suitability for employment based on the information contained herein, or otherwise, except where I make a specific exception below in writing that no investigation be made. Also, I hereby forever release Minnesota Commercial Railway Company from all liability arising from, incidental to, or in connection with such inquiry or the results of such inquiry.

I understand that if hired for full time employment, I will be required to resign all other full time conflicting employment positions prior to commencing employment with Minnesota Commercial Railway Company.

I understand that if offered employment with Minnesota Commercial Railway Company that I will be required to undergo and successfully pass a physical examination, including a drug screening, as a condition of employment.

I understand that if offered employment with Minnesota Commercial Railway Company that I will be required by Federal Railroad Administration (FRA) Guidelines, to allow the FRA access to my personal cellular records while I am on duty (only required for positions governed by Hours of Service).

I understand that nothing in this employment application, in the policy statements or personnel guidelines of Minnesota Commercial Railway Company, or in my communications with any company official, is intended to create an employment contract between Minnesota Commercial Railway Company and myself. Minnesota Commercial Railway Company has the right to modify its policies at any time without prior notice. I have the right to terminate my employment at any time and the Minnesota Commercial Railway Company retains the same right.

I UNDERSTAND and AGREE

Yes: