I confirm that the information provided on this application and accompanying resume (or provided during any discussion or interview) is accurate and complete to the best of my knowledge. I understand and agree that any falsified information or omissions of fact in this application or other Company records may disqualify me from further consideration for employment, and may be a basis for termination of my employment if discovered at a later date.

I understand that, should I be given an offer of employment, I may also be required to consent to a background check. Further information related to the background check will be provided to me should it be necessary.

If I receive an offer of employment, I understand that it will be conditioned upon my successful completion of all aspects of the hiring process. I understand if an offer of employment is made, I may (depending upon the nature of the position I am offered) be required to submit to a post-offer physical examination, including a DRUG SCREENING for illegal or unauthorized drug use, by a Company designated health care provider at the Company’s expense. I agree to submit to any drug screening test that may be required as a condition of continued employment consistent with applicable law. I understand that I may refuse to submit to such a test, however, my refusal to submit to a drug screening test (or having a positive test result) may result in the withdrawal of a job offer in accordance with applicable law. My refusal to submit to any drug screening test (or having a positive test result) during my employment may result in disciplinary action, up to and including discharge, in accordance with applicable law. I consent to and authorize the release to the Company of the results of any screening for illegal or unauthorized drug use in determining my eligibility for employment with the Company. I understand that the Company will keep the results of any drug screening confidential, and will not disclose them to any third-party, except in an action against the Company or as required or allowed by applicable law. I release the Company and the facility that performs the drug screening test from any and all claims or actions arising out of the testing process, including, but not limited to, those related to privacy rights and confidentiality.

Montana Applicants: Your employment relationship is governed by the Wrongful Discharge From Employment Act. See Mont. Code Ann. § 39-2-901, et seq.

Rhode Island Applicants: If you provide false information about your ability to perform the essential functions of the job, with or without accommodation, you may be barred from filing a claim under Rhode Island’s Workers’ Compensation Act.

If I am hired by the Company, I understand and agree that my employment will be at-will. This means that either the Company or I may terminate the employment relationship at any time, for any reason, with or without cause or prior notice. I further understand that THIS APPLICATION IS NOT AN EMPLOYMENT CONTRACT or a promise of employment for any specified time. I understand that my at will employment status cannot be altered by any verbal statement or alleged verbal agreement; it can only be changed by a legally binding, written contract covering employment status that is signed by an appropriate officer or executive of the Company. An example of this would be a written employment agreement for a specific duration of time. I understand that no Company policy or handbook regarding procedures for evaluating, disciplining, or terminating employees will modify the at-will nature of my employment.

I acknowledge that I read and understand the above statements. By signing below, I confirm that the information I have provided in support of my application for employment is accurate and complete to the best of my knowledge.

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