Spring City — Job Application

I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative. This waiver does not permit the release or use of disability-related or medical information on a manner prohibited by the Americans with Disabilities act (ADA) and other relevant federal and state laws.

I hereby authorize any person, educational institution, or company I have listed as a reference on my employment application to disclose in good faith information they may have regarding my qualifications and fitness for employment. I will hold Spring City Electrical Manufacturing, any former employers, educational institutions, and any other persons giving references, free of liability for the exchange of this information and any other reasonable and necessary information incident to the employment process.

All job applicants of Spring City Electrical MFG are subject to drug testing. Any applicant refusing to participate in such testing will not be eligible for hiring. Any applicant testing positive for controlled drugs, including but not limited to amphetamines, barbiturates, benzodiazepines, cannabis metabolites, benzoylecgonine ecgonine, methadone, methaqualone, opiate derivatives, heroin, morphine, codeine, phencyclidine, PCP, and propoxyphene will not be hired by the company.