Online Employment Application

List four former and/or current employers, starting with the most recent

List names of at least three people, not related to you, whom you have known at least one year

(Please read and sign below)

I understand that nothing contained in this application or in the granting of an interview creates a contract between the company and me for either employment or the providing of any benefit. No promises regarding employment have been made to me, and I understand that no such promise or guarantee is binding upon the company unless made in writing by the designated company executive officer. If an employment relationship is established, I acknowledge that no consideration has been furnished to the company for my employment other than my services.

The answers I have given herein are true and complete. I authorize the company to investigate all statements contained in this application for employment that may be necessary in arriving at an employment decision. I authorize all persons and entities, including but not limited to schools, companies, and corporations, credit bureaus and law-enforcement agencies, to supply the company with information concerning my background, and I release everyone from liability for any damage that may result from furnishing information to the company.

I understand that if hired: (1) Employment could be made contingent on my taking and passing a job-related medical examination, background or credit check and/or test for illegal drug use, with any fees being paid by the company; (2) My employment would not be for a definite period but would be irrevocably at-will, meaning that I would be discharged at any time, either with or without cause or prior notice; (3) Only the Company President, Vice President, or Owner has authority to enter into an agreement for employment for any specified period of time and the at-will employment relationship can only be changed in writing and signed by the President, Vice President, or Owner; (4) I would be required to submit proof of my eligibility to work in the United States; (5) I could be immediately discharged for having omitted or given false or misleading information in my application or interview(s); (6) I would be required to obey all rules and policies of the company; (7) Except for the item of employment, which specifies that my employment with the company would be irrevocably AT WILL, the company could, for any or no reason, change, revoke or add to the terms and conditions of my employment at any time by notifying me of the change, revocation or addition, and by remaining in the company's employment after having to be notified, I will have agreed to the change, revocation or addition.

The foregoing specifies the entire agreement between me and the company on the matter it covers. There are no oral or collateral agreements of any kind. This agreement cannot be modified except in writing.