PLEASE READ CAREFULLY:

1. Certification of Truthfulness.

I certify that all statements on this Application for Employment are made truthfully and
without evasion, and further understand and agree that such statements may be investigated and if found to
be false will be sufficient reason for not being employed, or if employed may result in my dismissal.

2. Authorization for Employment/Educational Information.

I authorize the references listed in the Application for Employment and any prior employer,
educational institution, or any other persons or organizations to give this Company any and all information
concerning my previous employment/educational accomplishments, disciplinary information or any other
pertinent information they may have. I understand that such information may contain my social security number. I release all parties from all liability for any damage that may result from furnishing that information to this Company. In addition, I hereby waive written notice that employment information is being provided by any person or organization.

3. Employment at Will.

If I am hired, in consideration of my employment, I agree to abide by the rules and policies
of the Company, including any change made from time to time, and agree that my employment and
compensation can be terminated with or without cause, and with or without notice, at any time, at the option
of either the Company or myself. I understand that no manager or other representative of the Company,
other than the Personnel Director, has any authority to enter into any agreement for employment for any
specific or indefinite period of time, or to make any agreement contrary to the foregoing. Any such
agreement made by the Personnel Director must be made in writing to be effective.

4. Authorization to Work.

If I am selected for hire, I will be offered employment provided I verify that I am authorized
to work as requested by the Immigration Reform and Control Act of 1986.

5. Criminal Records Check.

I agree to execute an authorization for this employer to secure criminal conviction history
from the appropriate law enforcement agency, should the Company determine it is necessary to do so.

6. Physical Exam and Drug and Alcohol Testing.

I understand that any offer of employment made by the Company is conditional upon my submission to a drug test. If I refuse to consent to or cooperate in the conduct of such a test, or if I test positive for a controlled substance, I understand that the Company may rescind any job offer or terminate my employment.

I agree to submit to physical examinations permitted by law before and during my employment, at the request and expense of the Company, and I agree to disclose all information lawfully requested at such examinations about my physical and mental condition and medical history. I also agree that before and during my employment, at the request and expense of the Company, I will cooperate in such lawful medical test (including blood, urine or other testing) as the Company requests to check for drugs or alcohol in my system. I waive any claims against the Company or its agents or any agency retained by the Company or its agents relating to any such testing, or from decisions made regarding my employment or termination of employment based upon the results of such testing or analysis.

7. Protected Disability.

I also understand that if I have a protected disability that affects my ability to do the job I
seek, I may ask the Company to attempt to make a reasonable accommodation for it. I must make my
request in writing to the personnel department as soon as possible after the date I know that accommodation
is needed.


8. Driving Records Check.

If applying for a position that requires driving a company vehicle, I authorize the Company
and its agents the authority to make investigations and inquiries of my driving record.

9. Consideration Of Employment.

I understand that my application will be considered pursuant to the Company's normal
procedures for a period of sixty (60) days. If I am still interested in employment thereafter, I must reapply.



I have read and understand items one through thirteen above, and acknowledge that with my
signature below.