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Company’s Statements

This company is an Equal Opportunity and an Affirmative Action Employer, No question on this application is asked for the purpose of limiting or excluding any applicant’s consideration for employment because of their race, color, religion, sex, national origin or age, or physical or mental disability unrelated to ability required to perform the work required, or their being a veteran of the Vietnam era.

This application for employment is not valid unless it has been signed and dated by the applicant.

Applicant’s Statement:

I certify that the answers given are true and complete to the best of my knowledge. I voluntarily give the Company the right to investigate my past employment and activities, except as otherwise indicated, agree to cooperate in such investigation, and release from all liability or responsibility all persons, companies or corporations supplying such information consent to take a physical examination, including substance abuse screen and such future physical examinations as may be required by the Company, and understand that the medical evaluation procedure is consistent with the Company’s Affirmative Action commitments to the handicapped.

I understand that any false answers or omissions made by me on this application, or in connection with above-referenced investigation or medical evaluation will be cause for the termination of my employment.

I understand that my employment is at will and for no definite period, and that either party is free to terminate the employment relationship without cause or notice.

I understand that a consumer report is being obtained for the purpose of evaluating me for employment, promotion, reassignment or retention as an employee. Needs new paragraph

If employed, I will be required to complete an Employment Verification Form, (1-9) and within three days show satisfactory evidence of identity and eligibility for employment.

Please read the following information:

I acknowledge that I have been given notification that the Woodbridge Group or any entity acting on its behalf, may conduct a complete background check, and that it may obtain a consumer report and/or an investigative consumer report from a consumer reporting agency for the purpose of evaluating me for employment, promotion, reassignment or retention as an employee.

I understand that these reports may contain information bearing on my credit worthiness, credit standing, character, general reputation, personal characteristics, or mode of living from public record sources or through personal interviews with my neighbors, friends or associates, and I understand that I have a right to request a complete and accurate disclosure regarding the nature and scope of the investigation where the report involves personal interviews with sources such as my neighbors, friends or associates.

I expressly grant the Woodbridge Group or any entity acting on its behalf the right to procure a credit and/or consumer report and/or investigative consumer report from a consumer reporting agency for employment purposes, including reports containing medical information. I understand that the Woodbridge Group may procure such a report to determine my initial eligibility for employment with the Woodbridge Group, and expressly give my authorization for the Woodbridge Group to do so.

I also understand that if hired, the Woodbridge Group or any entity acting on its behalf, may obtain additional consumer reports in the future to determine my eligibility for other employment opportunities at the Woodbridge Group, including, but not limited to promotions, transfers, etc. I expressly give the Woodbridge Group, or any entity acting on its behalf, the authority to procure such reports and to use them to determine my eligibility for these and any other employment opportunities.

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