In connection with my application for employment and as a condition of continuing employment, I understand that Investigative backround inquiries may be made on me including previous employers, schools, consumer credit, criminal convictions,, motor vehicle, and other reports. These reports will include information as to my character, work habits, performance, education, compensation, and experience along with reasons for termination of employment from previous employers. Furthermore, I understand that the company may be requesting information from various federal, state and other agencies which maintain records concerning my past activities relating to my driving, credit, criminal, civil, and other experiences as well as claims involving me in the files of insurance companies. I authorize without reservation, any party or agency contacted to furnish the above mentioned information and release to all parties involved from liability and responsibility for doing so. I hereby consent to obtaining the above information from Larson Bros. Painting Inc. and/or any of their agents. This authorization and consent shall be valid in original, fax, or copy form. All applications will be kept on file for ninety (90) days. Please type your name below if you agree.

All Hiring and employment at Larson Bros Painting. Inc. is at will. I understand this application is not an employment contract, nor can it be used to create one. Employment by Larson Bros Painting. Inc. has no specific term and may be terminated by the employee or Larson Bros Painting. Inc. with or without notice. I acknowledge that Larson Bros Painting Inc.. has not made any promises or representations that differ from those contained in this paragraph. I understand I must provide satisfactory documents to establish my identity and right to work in the United States, if I am offered a position at Larson Bros Painting. Inc. and that failure to provide this evidence will result in the termination of my employment. I release and agree to hold harmless any Individual, company, business institution, or government agency from all liability with regard to furnishing information to Larson Bros. Painting. Inc.. I agree to release and hold harmless Larson Bros Painting Inc.. from all liability with respect to the receipt of such information. I certify that the information I have furnished on this application form is true and complete. I understand that if any misrepresentation has been made by me verbally or in writing, any offer of employment made to me may be withdrawn or my subsequent employment with Larson Bros. Painting Inc. may be terminated. Please type name below if you agree.