By signing this employment form, I hereby certify that the facts set forth in this employment application are true and correct to the best of my knowledge. I further understand that if employed, falsified statements or misrepresentations contained in this employment application, whether by statement or omission, constitute grounds for my immediate dismissal.

By signing this employment application form, I acknowledge my agreement that if an offer of employment is made to me, my employment is for no definite period or time. And may regardless of the date of payment of my wages or salary are terminated at any time with or without cause without notice.

By signing this employment application form I acknowledge my agreement that if an offer of employment is made to me, I will willingly submit to post- employment random post-accident and periodic urinalysis polygraph and breath testing for illegal drugs and/or alcohol. Further I authorize and consent to you sending copies of my urinalysis test result to the proper law enforcement authorities. also further, I authorize and consent to you notifying and providing information to the proper law enforcement authorities should I refuse to Submit to a urinalysis test. Specifically, I consent to the taking of these tests on any occasion upon which I may be injured or be involved in an accident.

By siging this employment application form, I acknowledge my agreement and authorize you to contact any former employers for purposes of obtaining my personnel records and files, as well as my work history form those former employers.

By signing this employment application form, I acknowledge my agreement and authorize any present or former employer, school, police department, financial institution division of motor vehicles, or other persons or agencies having personal knowledge about me to furnish hearer with any and all information in their possession regarding me in connection with this application for employment. I agree that a photocopy of this authorization be accepted with the same authority as the original.

By singing this employment application form I acknowledge my agreement that if an offer of employment is made to me, I will willingly submit to random searches of my person, personal effects and vehicle. Further, I authorize and consent to you taking into custody and /or turning over to proper law enforcement authorities any illegal drugs, drug paraphernalia, intoxicating beverages, firearms, weapons, or stolen property discovered by these searches.

By signing this employment application form, I acknowledge my agreement that if an offer of employment is made to me I will willingly submit to a post- employment medical examination by a physician chosen by my employer, and that I shall truthfully and fully comply with any and all requests by the medical examiner regarding my medical history and current medical status or condition.

I HAVE READ AND FULLY UNDERSTAND THESE CONDITIONS AND BY SIGNING THIS EMPLOYMENT APPLICATION I AGREE AND WILL COMPLY WITH THESE TERMS.

Please Test This Application Mrs. Angela