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Personal Information

Step 2 of 7

Education

Step 3 of 7

References

Step 4 of 7

Employment History

Step 5 of 7

Applicant's Statement and Conditions of Employment

Step 6 of 7

“I certify that the answers given by me in this employment application are true, correct and complete. I agree that the company shall not be liable, in any respect, if my employment is terminated because of misstatements or pertinent omissions made by me in this application. Moreover, I understand that all offers of employment are contingent upon passing the company's prescribed physical examination, drug screen and background screening program in place.”

“I agree, as a condition of my employment, to submit to a medical examination, blood test, or urinalysis test if requested and paid for by the company. I further agree to the search or examination of myself or personal property while on the company's premises or while conducting its business elsewhere, I also authorize any company, school, police or security personnel, or other person to give any information regarding my employment, habits, ability, or any other characteristics whatsoever, together with any information they have regarding me whether or not it is in their records. I hereby release all physicians, examiners, companies, schools, or other persons from liability for any damages whatsoever for such testing, examining, or issuing this information. It is agreed and understood that completion of this application does not mean a job opening exists and in no way obligates the company to employ me.”

“In the event of employment, I will comply with all company rules and regulations as established from time to time including the company's substance abuse policy. I am willing to work all assigned overtime or other special work assignments as requested by the company. Furthermore, since the company does not offer contracts of employment (unless signed by the President), I understand that nothing contained herein is intended to create a contract between the company and me for either employment or the provision of any compensation or benefits. I understand that I have the right to terminate my employment at any time and likewise, the company has the same right.”

“I hereby understand and acknowledge that any employment relationship with this Company is of an “At-Will” nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time, with or without notice, with or without cause. It is further understood that this “At-Will” employment relationship may not be changed by any written document or by verbal agreement unless such change is specifically acknowledged in writing by an authorized Executive of this Company. I also understand that Oliver Carbide Products retains the right to amend, modify, add or delete any or all policies or procedures at its sole and absolute discretion.”

“During my employment with Oliver Carbide Products and after my employment ends, I agree not to disclose any confidential or proprietary information regarding operating and trade secrets. I further agree that with respect to any civil litigation involving Oliver Carbide Products in which I am a potential witness and which does not involve an actual or potential claim by me personally, I will not discuss the facts of the case with any third parties without first notifying Oliver Carbide Products or unless a representative or attorney of Oliver Carbide Products is present. A copy of this form may be used as the original. The use of results from this form and/or tests will be used for prudent employment decisions.”

This application is valid for sixty days from the application date unless renewed in person or in writing.

Applicant's Statement and Conditions of Employment

Step 6 of 7

I have read and understand the Drug and Alcohol Free Workplace policy of Oliver Carbide Products. Specifically, I understand and agree to undergo substance (drug and alcohol) screening of my urine, breath or hair if:

1. Observed alcohol or drug abuse during work hours on company premises.
2. Apparent physical state of impairment.
3. Incoherent mental state.
4. Marked changes in personal behavior that is otherwise unexplainable.
5. Deteriorating work performance that is not attributed to other factors.
6. Accidents or other actions that provide reasonable cause to believe the employee may be under the influence.
7. Or as required by any government programs such as the US Department of Transportation.

I shall be subject to further substance screening and/or face disciplinary action, up to and/or including termination of employment.

I hereby authorize any physician, laboratory, hospital or medical professional retained by Oliver Carbide Products for drug and or alcohol testing program purposes to both conduct such screening and provide the results to Oliver Carbide Products, and I release Oliver Carbide Products or any person affiliated with Oliver Carbide Products and any such person or institution from liability therefore.