I certify that all information given on this application is true, correct, and complete to the best of my knowledge. I also certify that I have accounted for all of my work experience and training on this application, application unfavorably.

KASPAR COMPANIES is hereby authorized to make any investigation of my previous employment, education and criminal history through any investigative agencies or bureaus of their choice. I release all relevant parties from all liability of any damages resulting from furnishing such information.

I understand that any employment by this company may be on a temporary basis. If employed by KASPAR COMPANIES, I agree to abide by its rules and regulations. I understand that discovery of misrepresentation or omission of facts herein may be cause for refusal of employment or, if employed immediate dismissal. I agree to furnish additional information as may be required to complete my employment file. I understand that operating conditions may require me to temporarily work shifts other than the one for which I am applying and agree to such scheduling changes as directed by my supervisor.

I understand that my employment will require certain physical capabilities relating to the ability to lift and transport objects, assist other co-workers in physical tasks, and to stand during my shift, either on a regular basis or from time to time. I must be physically capable of performing these activities as needed to complete my duties. My employment also requires that I am alert at all times in order to recognize potential safety hazards or dangerous situations. I must take the appropriate steps to prevent an injury from occurring to myself or to any of my fellow co-workers by reporting all hazardous conditions to my supervisor, and if possible, I should correct the situation myself so as to render it safe. I also understand that my employment may be subject to the successful completion of an employment physical, and that my employment may be conditioned upon maintaining a favorable health evaluation. If requested, I agree to submit, at any time, to a physical examination, which may include a controlled substance and/or alcohol screen, performed by a qualified medical doctor of KASPAR COMPANIES’ choice, and which shall be paid for by KASPAR COMPANIES. I also agree that all information concerning said physical examination, including the controlled substance and/or alcohol screening(s), can be supplied to KASPAR COMPANIES or an authorized agent of this company upon request.

I understand that if employed, such employment is for an indefinite period and can be terminated at will by the company or myself. It may be with or without notice, at any time, for any or no reason. I also understand my employment is subject to changes in wages, conditions, benefits and operating policies.