Application

As a prerequisite condition for employment with CPI Services, Inc., I certify that the information as contained in this application is complete and true to the best of my knowledge. I authorize CPI Services, Inc., to investigate and validate any and all information as stated in this application for employment in order to determine applicants eligibility for employment with CPI Services, Inc.

I give CPI Services, Inc., the right to contact and obtain information from all references, employers, educational institutions and otherwise verify the accuracy of the information contained in this application. I hereby release from liability the employer and its representatives from seeking, gathering and using such information and all other persons, corporations for furnishing such information.

The employer (CPI Services, Inc.) does not unlawfully discriminate in employment and no questions on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by local, state or federal law.

This application is current for 90 days. At the conclusion of this time, if I have not been contacted by the employer and still wish to be considered for employment, it will be necessary to fill out a new application.

If I am hired, I understand that I am free to resign at any time, with or without cause and without notice, and the employer reserves the same right to terminate my employment at any time, with or without cause and without notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period of definite duration. I understand that no representative of the employer, other than an authorized officer, has the authority to make assurances to the contrary. I further understand that any such assurance must be in writing and signed by an authorized officer.

I understand that if hired, I may be required to undergo a physical examination and drug and alcohol screening test prior to employment, or if I should be become involved in an accident while on duty, on company premises, on a job site, or in a company vehicle, or if a reasonable suspicion of drug or alcohol use exists base on my performance, appearance, and/or behavior. The examination and testing will be performed at the employer’s expense and by employer’s choice of physicians.

I understand that it is this company’s policy not to refuse to hire qualified individuals with a disability because of the person’s need for reasonable accommodation as required by the Americans with Disabilities Act of 1990.

I understand that if hired, I will be required to provide proof of identity and legal work authorization in the United States.

I understand that if I am employed any misrepresentation or material omission made by me on this application or during the interview process will be sufficient cause for cancellation of this application, including but not limited to, immediate discharge from employer’s service, whenever it is discovered.

This certifies that this application was completed by me and that all entries on it and information in it are true and complete to the best of my knowledge.

I represent and warrant that I have read and fully understand the forgoing and seek employment under these conditions.

A PHOTOCOPY OF THIS RELEASE SHALL BE RECOGNIZED AS VALID.