For your application to be considered, you MUST Fax or Mail this form to Genesis Express & Logistics
With the Date and your Signature.

Genesis Express & Logistics
3126 Devon Drive
Windsor Ontario
N8X 4L2
  Fax #: 519 - 250 - 3495

Phone #: 1-888-230-9250



I acknowledge that I completed the on-line application myself, and that all entries/information are true and complete to the best of my knowledge. I authorize Genesis Express & Logistics Inc. to make such investigations/inquiries of my personal, employment, financial, medical, driving history and other related matters as may be necessary in arriving at an employment decision and may continue to make such investigations/inquiries for the duration of my employment. I release employers, schools or persons from all liability in responding to inquiries in connection with my application. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am to abide by all rules and regulations of the Genesis Express & Logistics Inc. as permitted by law.


__________________________
Date
  ______________________________________
Applicant's Signature



PRINT AUTHORIZATION FORM

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