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This company is an equal employment opportunity employer. All applicants will be considered without regard to age, race, national origin, religion, disability, sex, or other protected status in accordance with applicable federal and state equal employment opportunity laws. This company will strive to accommodate any physical or mental limitations of employees or applicants in order to accomplish the essential functions of the job.

Summarize special skills and qualifications, volunteer activities, military experience, employment or other activities related to the job you are seeking:

List three (3) non-relatives who are familiar with your qualifications, work history, and ability.

I certify that all answers and statements I have made on this application (and resume or other supplementary materials) are true and complete without omissions. By signing below, I authorize Central Lumber Sales, Inc. to investigate all state- ments contained in this employment application as they may deem necessary in arriving at an employment decision. I un- derstand that any false information provided by me will likely result in a refusal to hire or immediate discharge if I am employed. I authorize any of the persons or organizations named in this application to give you complete information and records regarding my employment, education, character and qualifications. If hired, I will be responsible for familiarizing myself with all rules and regulations of Central Lumber Sales, Inc. as they presently exist or are later modified. If hired, I understand my employment can be terminated, at the discretion of Central Lumber Sales, Inc. or at my option, without notice, at any time and for any reason. I understand this application is not an offer of employment and no promises or representations of employment have been made to me at this time. I have read, understand, and agree with the above.

In consideration for possible employment, I understand that Central Lumber Sales, Inc. (CLS) may conduct or authorize another to conduct an investigation into my credit history, my driving record and my personal background. Under the provisions of the Fair Credit Reporting Act (15 USC at 1681-1681u) as amended, before CLS can seek such reports, CLS must have my written permission to obtain the information. I have been informed that should such an investigation be undertaken, I am entitled upon written request, to receive a copy of any investigative report filed as a result. I am also entitled to a copy of Your Rights Under the Fair Credit Reporting Act. I request my former employers and their representatives to release all information in their possession which Central Lumber may deem relevant to my application for employment. In exchange for consideration of my application, I also agree to release and hold harmless any former employer, employer representative, or others from liability which he or she may incur in connection with the release of such information. I agree to submit, upon Central Lumber's request, to a pre-employment physical and medical examination by a physician or physicians designated by Central Lumber at its expense. I realize that my employment or continued employment may be conditioned upon the results of such examinations and my willingness to participate in such examinations freely. Central Lumber will attempt to keep all matters regarding such examinations confidential: however, I agree that Central Lumber may disclose to its employees, managers, agents, and others, as it deems necessary, the information gathered during any such examination or test. In the interest of safety for all concerned, I agree to take a urine test for drug and /or alcohol use. I have been fully informed of the reason for this urine test for drug and/or alcohol (I understand what I am being tested for), the procedure involved, and do hereby freely give my consent. In addition, I understand that the results of this test will be forwarded to my potential employer and become part of my record. If this test is positive, and for this reason I am not hired, I understand that I will be given the opportunity to explain the results of this test. I hereby authorize these test results to be released to Central Lumber Sales, Inc. I also understand that unless sometime in the future I enter into a specific written employment contract with Central Lumber Sales, Inc., that the employment relationship between Central Lumber and me is freely terminable at the will of either party for any lawful reason. If employed, I agree to acquaint myself with and to abide by all rules and policies established by Central Lumber. I authorize Central Lumber to release to other prospective employers or third parties who may request information regarding my employment or obtained pursuant to my employment relationship, and I hereby release, acquit, and agree to hold harmless from any resulting liability and covenant not to sue Central Lumber Sales, Inc. in connection with releasing such information. I have read and I understand the foregoing and accept its terms and conditions. Your signature here gives Central Lumber Sales, Inc. permission to gather the information.