APPLICANT'S STATEMENT

I certify that all information provided in this employment application is true and complete. I understand that any false information or omission may disqualify me from further consideration for employment and may result in my dismissal if discovered at a later date. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I authorize the employer to investigate consumer report, criminal history, immigration status, driving history and any other public notices deemed necessary by employer from a consumer-reporting agency and/or employment screening company. I understand that if I am extended an offer of employment it may be conditioned upon my successfully passing a complete pre-employment physical exam and drug-screening exam. I hereby consent to a pre and/or post employment drug screen as a condition of employment. I hereby understand that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. it is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless an authorized executive of this organization specifically acknowledges such change in writing. This application for employment shall be considered active for a period of time not to exceed 90 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.