Application for Employment

An Equal Opportunity Employer

(Application will remain active for 60 days)

Present or Last Employer:

1. As a final step in the hiring process, an applicant may be subject to an employment entrance exam that may include screening for illegal drugs. Applicants who confirm positive on drug screening will not be considered for employment. If a job offer is made, it may be made contingent upon the successful passing of a physical.

2. I Certify that the facts contained in this application are true and complete, and understand that if employed, false, misleading or incomplete statements on this application shall be grounds for immediate dismissal.

3. I Authorize the company to investigate and verify any information contained in my application or pre-hire interviews, including my previous employment, education and background. I further release all parties from all liability for any damage that may result from furnishing or receiving such information.

4. I understand and agree that my employment and compresastion may be terminated at any time without prior notice, with or without reason, at the option of the company or myself, and understand that no representative of the company, other that the president, has authority to enter into any agreement contrary to the foregoing.