APPLICATION for EMPLOYMENT

In Case of Emergency, I authorize You to Contact:

Exceptional Case Services Is An Equal Opportunity Employer

Applications are received and employees are hired without regard to race, sex (including pregnancy, sexual orientation, gender identity, and gender expression) religion, age, national origin, color, marital status, disability or handicap, genetic information, veteran's status, citizenship status, or any other protected class under state, local, or county regulations. The receipt of this application does not mean that job openings exist and does not obligate us in any way. We appreciate your interest in our organization.

THIS IS A DRUG-FREE WORKPLACE



$

(Proof of eligibility/identity required upon hire)

High School or GED

Trade, Business, or Correspondence

College

Graduate School

(e.g., real estate license, driver's or boater's license, etc.)

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Agreement and Release

For the purpose of this agreement and release, Exceptional Case Services is referred to as "the company," "this company," or "you" in the following paragraphs

The facts set forth above in my application for employment are true and complete. I understand that false statements or omissions of information on this application (even if discovered after employment) or any other employment form may lead to dismissal or denial of employment. If required, I agree to take a personality profile and to take, participate in, or submit to any other preemployment processes. I also agree to submit to any drug or alcohol testing prior to or after employment.

In making this application for employment, I also understand that an investigative consumer report may be made whereby information is obtained through personal interviews with my neighbors, friends, or others with whom I am acquainted. I also awknowledge that the company may conduct a search for information about me that is in the public domain including, but not limited to, information on social networking sites. In exchange for the consideration of my employment application by this company, I hereby release and forever discharge this company (including its directors, officers, employees, and agents) and my past and/or present employers (including their directors, officers, employees, and agents) from any liabilities which may result from an investigation of my past and/or present employment or from the disclosure of such information. I authorize the use of any information in this application to verfiy my statements, and I authorize past employers, doctors, all references, and any other persons to answer all questions asked concerning my ability, character, reputation, and previous employment record.

I understand that if my application is accepted and if I am hired, that employment with this company at all times is employment "at will." It is further understood that this "at will" relationship may not be changed by any written document, verbal statements, or by conduct unless an authorized executive of this company specifically acknowledges such change. I further understand that my "at will" employment may be terminated at any time by this company or myself and include no guarantee, contract, or promise of employment for any specific length of time. I understand that the first 90 days of employment is the new-hire introductory period. Submission of this application does not imply that I will be hired.

I have read, understand, and by my signature consent to these statements.