The information provided in this Application for Employment is true, correct and complete. If you employ me, any misstatement or omission of fact on this application may result in my dismissal. If extended an offer of employment, I consent to undergo a pre-employment physical examination, which includes breathalyzer, drug screen, and back x-ray performed by a physician selected by the Company. I understand that any offer of employment is conditioned upon the results of this post-offer examination, and that all Applicants must pass a drug and alcohol screen.

I understand, acknowledge and agree that unless otherwise expressly agreed to in writing signed by a duly authorized official of the Company, if employed by the Company, my employment will be at-will and without fixed term.

I hereby authorize the Company to investigate all statements contained in my application or accompanying forms. I also authorize former employers to release employment records and history.