As an applicant for employment or an employee of this company, you have rights under the Fair Credit Reporting Act (FCRA). By this document, this company discloses to you that a consumer report may be obtained for employment purposes as part of the preemployment background investigation and at any time during your employment, if you are hired. If this company obtains a consumer report about you, and if this company considers any information in the consumer report when making an employment related decision that directly and adversely affects you, this company will provide you upon request, with a copy of the consumer report and a summary of your rights under the FCRA before the decision is finalized. You also may contact the Federal Trade Commission about your rights under the FCRA.

AUTHORIZATION

By submitting this application, I acknowledge that I have received the foregoing disclosure that this company may obtain a consumer report as part of its preemployment background investigation and/or during the course of my employment, if I am hired. By submitting this application, I voluntarily authorize this company to obtain consumer reports about me and to consider the consumer report in its preemployment background investigation and/or when making decisions during the course of my employment, if I am hired. I understand that I have rights under the Fair Credit Reporting Act, including the rights discussed above.

All qualified applicants will receive consideration for employment without regard to sex, race, color, national origin or ancestry, age or disability. No information on this application will be used for the purpose of discrimination.

Submitting this application certifies that my answers to the forgoing questions are true and correct and that I understand that intentionally false information will result in refusal of employment or termination of employment if discovered after the date of hire.

I voluntarily grant this company the right to investigate and verify the information and statements I have provided in this application and agree to hold all persons harmless with respect to any information they may give, receive or verify.

I agree that, if hired, I will observe all policies and strict confidentiality concerning all affairs of this company and its members.

I hereby acknowledge and agree that 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 agreed that this "at will" employment relationship may not be changed by any written document or by conduct, unless such change is specifically agreed and acknowledged in writing by an authorized executive of this organization.

If you are asked to be interviewed, you will sign the application at that time.

By submitting this application, I affirm that I have read and agree to all of the disclosures and conditions included in the on-line application.