Statement

PLEASE READ THIS STATEMENT CAREFULLY BEFORE SUBMITTING.

I understand that any employment by this Company will be on a 90-day introductory basis. If employed by the Company, I agree to abide by its rules and regulations. Further, I understand that my employment can be terminated any time by either party. The above information is complete and true to the best of my knowledge. I understand that discovery of misrepresentation or omission of facts herein will be cause for immediate dismissal upon discovery thereof. I authorize the Company to contact any or all of my references for full information. I agree to take a physical examination including drug testing at any time, at the request of the Company and at no personal expense to me, and agree that the examining physician may disclose the finding to the Company or an authorized agent of the Company. Further, this application shall be considered active for no more than 30 days and neither this document nor any offer of employment constitutes a contract of employment unless a specific document is executed in writing and signed by both parties.

JOB APPLICATION

DENVER, PA HQ

PITTSBURGH, PA

NEWARK, NJ

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