Application for Employment

Please Read Each Statement Carefully Before Signing

I certify that all information provided in this employment application is true and complete. I understand that any false information or omission may disqualify me from further consideration for employment and may result in my dismissal if discovered at a later date.

1. Consent to Conduct Background Investigation As a condition of and in consideration for Preferred Plastics consideration of this application, I give permission to Preferred Plastics to investigate my personal and employment history. Understand that this background investigation will include, but not be limited to verification of all information on this application, as well as interviews with past employers. I further give permission to Preferred Plastics to conduct this investigation and to discuss the results of this investigation in connection with my application for employment.

2. Consent to Contact Past Employers I give permission to Preferred Plastics to contact all employers listed in this application (except those specifically excluded) for references. I further give permission to all current or previous employers and/or managers or supervisors to discuss my relevant personal and employment history with Preferred Plastics, consent to the release of such information orally or in writing, and hereby release them from all liability and agree not to sue them for defamation or other claims based upon any statements they make to any representative of Preferred Plastics. I further waive all rights I may have under state law to receive a copy of any written statement provided by any of my former employers to Preferred Plastics. I further agree to indemnify all past employers for any liability they may incur because of their reliance upon this release.

3. Cooperation with Investigation I agree to fully cooperate in Preferred Plastics’ background investigation, and to sign any waivers or releases that may be necessary to obtain access to relevant information. In the event that any former employer or federal, state, or local governmental agency will not release reference information or criminal history information directly to the employer, I agree to personally request such information to the extent permitted by law.

4. Medical Information I consent to the release of any or all medical information as may be deemed necessary to judge my capability to do the work for which I am applying. I understand I may be required to successfully pass a drug screening examination. I hereby consent to a pre and/or post employment, if required.

5. Falsification Statement I understand that any falsification or willful omission of act made in this application or in connection with any background investigation, may be sufficient grounds for rejection of this application, or, if discovered after an offer of employment, for immediate dismissal.

6. Employment “At Will” I understand that this application or subsequent employment does not create a contract of employment nor guarantee employment for any definite period of time. If employed, I understand that I have been hired at the will of the employer and employment may be terminated at any time, with or without cause and with or without notice. Any understanding to the contrary must be in writing and signed by the Chief Executive Officer.

I have read, understand, and by my signature consent to these statements.