Kegel Employment Application:

Our company ("Company") fully subscribes to the principles of Equal Employment Opportunity. It is our policy to provide employment, compensation, and other benefits related to employment based on qualifications, without regard to race, color, religion, national origin, age, sex, veteran status, genetic information, disability, or any other basis prohibited by federal, state or local law. In accordance with requirements of the Americans with Disabilities Act and applicable federal, state and/or local lawas, it is our policy to provide reasonable accommodation upon request during the application process to applicants in order that they may be given a full an fair opportunity to be considered for employment. As an Equal Opportunity Employer, we intend to comply fully with applicable federal, state, and/or local employment lawas and the information requested on this application will only be used for purposes consistent with those laws. To the extent required by applicable law, The Company maintains a smoke-free workplace.

Company: Kegel LLC

*It is not necessary for you to identify unavailability for work because of religious observance, or practice, or any other protected classification. Subsequent to any job offer, we will consider whether a reasonable accommodation can be made.

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Please complete for all full-time or part-time employment beginning with your current employer.  All applicants should start with their most recent job, include military assignments and voluntary employment and provide ten(10) years of history. (A separate sheet may be attached.) You must explain any gaps in employment history.

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(Please list three individuals unrelated to you with whom you have worked who know your qualifications for this position.)

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(Complete only if you served in the military).

I certify that the answers given herein and during the entire application process (including but not limited to information provided in resumes, attachments to this application, interviews or otherwise (If applicable)) are true end complete to the best of my knowledge.

I understand that any misrepresentations, omissions of facts or incomplete answers during the application process, may disqualify me from further consideration for employment. I further understand that, if employed, any misrepresentations or omissions of facts during the application process may be cause for my dismissal at any time without prior notice.

I consent to and authorize the Company and ADP TotalSource to contact my former employers, references, and any and all other persons and organizations for information bearing upon my qualifications for employment I further authorize the listed employers, schools and personal references to give the Company or ADP TotalSource (without further notice to me) any and all information about my previous employment and education, along with any other pertinent information they may have and hereby waive any actions which I may have against either party(ies) for providing a good faith reference.

I EXPRESSLY AGREE AND UNDERSTAND THAT IF EMPLOYED. MY EMPLOYMENT IS NOT FOR A SPECIFIC TERM. IS BASED ON MUTUAL CONSENT AND MAY BE TERMINATED BY ME OR THE COMPANY OR ADP TOT ALSOURCE WITH OR WITHOUT NOTICE OR CAUSE AT ANY TIME. I FURTHER UNDERSTAND THAT NO ORAL PROMISE. EMPLOYER POLICY. CUSTOM. BUSINESS PRACTICE OR OTHER PROCEDURE (INCLUDING THE BASIC EMPLOYMENT POLICIES. PERSONNEL HANDBOOK OR ANY PERSONNEL MANUALS) CONSTITUTES AN EMPLOYMENT CONTRACT OR MODIFICATION OF THE AT-WILL EMPLOYMENT RELATIONSHIP BETWEEN ME AND THE COMPANY OR ADP TOTALSOURCE

I ALSO UNDERSTAND THAT MY AT-WILL EMPLOYMENT STATUS WITH THE COMPANY MAY ONLY BE ALTERED IN AN INDIVIDUAL CASE OR GENERALLY IN A WRITING SIGNED BY THE OWNER.PRESIDENT OR CEO OF THE COMPANY AND THAT MY AT-WILL STATUS WITH ADP TOTALSOURCE MAY ONLY BE ALTERED IN AN INDIVIDUAL CASE OR GENERALLY IN A WRITING SIGNED BY THE PRESIDENT OF ADP TOTALSOURCE.

I understand that I may be required to qualify for employment based on additional employment criteria For example. I may be required to take job-related tests, take a dnver's examination, or take a pre-employment drug test. If I am offered employment or start work before any required test is completed. I understand that my employment IS contingent on a satisfactory result on all required tests. I authorize the Company and ADP TotalSource to release the results of my pre-employment drug/alcohol test (if any). any Information on this application and any relevant information about me to each other and to other ADP TotalSource Clients (or whom I have applied for employment. and release the Company. ADP Total Source and its clients (from any and all claims related to the lawful release of this Information. I further authorize the release of any background check results and of any drug/alcohol test to any state or federal authority requesting such Information and in response to a valid subpoena or other legal docment.