I understand that Collaborative Behavior Group (“CBG”) will attempt to verify statements made on my application and made during my employment interview. When contacted by CBG, I give permission for my former employers to answer any and all questions based upon information available to them in my prior employment records. I understand that it is possible that my prior employment records may not be accurate. In consideration of CBG’s review of this application, I release CBG and all former employers from any liability as a result of furnishing and receiving this information.

I authorize personal references as well as other persons, companies, corporations, schools, and law enforcement agencies to furnish to CBG and/or its agents any information they have concerning me. I understand that false, incomplete or misleading statements or omissions on this application or any other employment form, whether pre- or post- employment, may be considered sufficient cause for dismissal, if and when discovered. For these purposes, all materials that I submit to CBG are considered employment forms. I understand that the use of this application does not indicate there are positions open and does not in any way obligate CBG.

In addition, I understand that:

•        I may be required to submit to drug testing or medical evaluations now or, if hired, at any time in the future and I agree to such testing. My failure or refusal to undergo such testing will result in the withdrawal of my application or my separation.

•        The Immigration Reform Act of 1986 requires that, after employment, employers verify the legal work authorization and identity of all new employees. An offer of employment will depend upon CBG’s ability to verify my employment eligibility.

•        If hired: I must conform to CBG’s rules; I am an at-will employee; my employment does not guarantee a position for any length of time; and, I may be required to work overtime, weekends or holidays. No one other than CBG’s Managing Members can make any other agreements.

•        If disabled and I need an accommodation, I should inform CBG and engage in an interactive dialogue to determine the best course of action.

•        If hired, confidential information (all non-public information about CBG and its customers, which includes trade secrets, proprietary, financial, marketing and strategic business information regarding CBG and its clients) may be available to me and this shall not be disclosed to any unauthorized personnel.

•        By signing below I am waiving certain rights regarding this application process: my right to a jury trial to resolve any lawsuit arising out of this process; and, my right to participate as a member or representative of a class of similarly situated individuals in any class or collective action lawsuit arising out of this process.

I understand that my failure to sign this form will be considered a withdrawal of my application for employment.

Collaborative Behavior Group

Collaborative Behavior Group (“CBG”) is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, genetic information, veteran or other protected status.

INSTRUCTIONS: Answer each question accurately and completely; do not refer to or attach a resume to this Application. Print “n/a” in any space that does not apply to you. Incomplete applications or applications providing additional non-requested information are considered withdrawn and will not be considered.

*Note: Conviction of a crime will not necessarily disqualify you from employment. Each conviction will be judged on its own merit with respect to time and job relatedness.

Due to the volume of applications received, we may not interview every applicant. In the event you are selected for an interview, we will contact you.

Applications will not be considered active after 90 days from the date of this application.