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TTC MOT, LLC is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Should an applicant need reasonable accommodation in the application process, he or she should contact a company representative.

Applicant Information

Employment Position

Personal Information

(Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.)

Job Skills/Qualifications

Education and Training

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Previous Employment

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Notification
The position for which I am being considered requires me to consent to a criminal background check as a condition of employment. This check includes the following: Criminal history reference searches for felony and misdemeanor convictions at the county and federal levels of every jurisdiction where I currently reside or where I have resided during the past 7 years; and sex offender registry searches at the county and federal levels in every jurisdiction where I currently reside or where I have resided.

Authorization
I hereby authorize FLORIDA TTC, A TTC MOT, LLC to conduct the criminal background check described above. In connection with this, I also authorize the use of law enforcement agencies and/or private background check organizations to assist FLORIDA TTC, A TTC MOT, LLC in collecting this information. Has been secured as a third party vendor (consumer reporting agency) to assist FLORIDA TTC, A TTC MOT, LLC in collecting and verifying information.

I also am aware that records of arrests on pending charges and/or convictions are not an absolute bar to employment. Such information will be used to determine whether the results of the background check reasonably bear on my trustworthiness or my ability to perform the duties of my position in a manner which is safe for FLORIDA TTC, A TTC MOT, LLCs employees.

Please print (for identification purposes):

Have you ever been convicted of a criminal *offense or have any pending criminal* charges against you?

*This refers only to felonies and misdemeanors; you do not need to include non-criminal traffic violations or municipal ordinance violations.

To the best of my knowledge, the information provided in this Notice and Authorization and any attachments thereto is true and complete. I understand that any falsification or omission of information may disqualify me for this position and/or may serve as grounds for the severance of my employment with FLORIDA TTC, A TTC MOT, LLC. By signing below I hereby provide my authorization to FLORIDA TTC, A TTC MOT, LLC to conduct a criminal background check and I acknowledge that I have been provided with a summary of my rights under the Fair Credit Reporting Act which is attached. In addition to those rights, I understand that I have a right to appeal an adverse employment decision made by FLORIDA TTC, A TTC MOT, LLC based on my background check information within three business days of receipt of such notice and that a determination on my appeal will be made in seven working days from FLORIDA TTC, A TTC MOT, LLC's receipt of such appeal.