Employment application.

CAROLINA LABOR SOURCES LLC, also known independently as "Agency"

Certification of Information· Certificación de la información

I am applying for employment with Agency and upon my agreement below, I certify that the information I have provided in the application process is accurate, truthful and complete to the best of my knowledge. I understand and agree that any FALSE, incomplete or misrepresentation of information discovered before or after a job offer will result in rejection of my application or dismissal at any time during my employment.

Application and Equal Opportunity· Solicitud e igualdad de oportunidades

This application is not an employment contract, job offer or promise of employment. It is intended to evaluate suitability for employment. It is the policy of Agency to provide equal employment opportunities for all qualified persons without discrimination on the basis of race, gender, marital status, age, religion, national origin, color, veteran status, disability or any other protected status.

A background investigation, interview, various tests and a policy review may be required before any final determination of my suitability for employment is made. I hereby acknowledge that my employment (if accepted) is "at-will", that I may resign at any time and Agency may terminate my employment at any time with or without cause.

I understand that my employment file with Agency will become inactive after 6 months of no contact and that if my assignment ends I must notify Agency within 48 hours.

Verification and Background Investigation· Verificación e investigación de antecedentes

Agency may, upon execution of this authorization, investigate information contained in my employment application, social security number verification and/or other background information, the results of which will be used as one factor in making employment decisions. I also authorize Agency to verify my previous work experience.

Release of Information· Divulgación de información

My agreement below authorizes and gives full permission to have Agency examine any and all consumer reports, investigative reports, social security number verification and/or criminal records and arrests on file at any time after the receipt of this authorization and throughout my employment (if any).

I hereby release Agency, its agents, and any persons, employers, companies, clients, agencies and authorities who verify or provide information regarding my references or background from any liability for any damage whatsoever for disclosing or issuing any such information.

Drug Use and Testing· Uso de drogas y pruebas

Agency has a long-standing commitment to its employees and customers to promote a safe and healthy work environment. Therefore, Agency has incorporated a "Zero Tolerance" drug and alcohol policy.

I understand that Agency prohibits the use of illegal drugs. As a condition of employment with Agency, you may be asked to consent to drug/alcohol screening:

1. As a requirement of the assignment;

2. On a random selection basis;

3. Based on reasonable suspicion of substance/alcohol abuse; and/or

4. For all job-related incidents.

We test for many substances such as Cocaine, Amphetamines, Methamphetamine, THC, Opiates, and many others. There could also be a Pre-Employment Drug Screen fee based on the client and what state you will be working in.

I hereby authorize and consent to all such tests and acknowledge my understanding that positive drug/alcohol test or refusal to submit to a required drug/alcohol test will result in my dismissal.

I hereby release Agency, its clients and any clinic, individual or test product manufacturer that may administer or provide a drug or alcohol test from any and all claims arising from the results of such a test, and from any action taken on the basis of those results.

Written Resignation Notice Acknowledgment· Reconocimiento de aviso de renuncia por escrito

I understand that my employment is at will and may be terminated by Agency or myself at any time and for any reason.

In the event that I decide to end my employment, I agree to provide a written resignation. The resignation should include the date, my reason for separation, my printed name, and my signature.

I acknowledge, understand, and agree that if this written resignation is not provided to Agency on my last day worked, my last payment will be calculated at the current minimum wage rate.

Assignment Acknowledgement· Reconocimiento de asignación

I acknowledge that my job assignments are provided by Agency and that all assignments are temporary in nature and may be terminated by the third-party vendor (worksite location) at any time.

Upon the conclusion of my job assignment from Agency, I agree to report back to Agency for reassignment within 48 hours.

I understand that failure to report back to Agency within 48 hours will be considered a resignation of employment with Agency and may result in the disqualification of unemployment compensation benefits for which I might have been eligible.