DeNyse Companies is an equal opportunity employer. DeNyse Companies maintains and enforces a policy of equal employment opportunity without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), age, national origin, disability or genetic information, military status, or any other classification protected by state or federal law. This policy of nondiscrimination applies to all aspects of employment including, but not limited to: recruiting, hiring, training, promotion, transfer, discipline, layoff, recall, benefits, compensation, social/recreational programs and termination.

Please indicate below how you heard about the job opportunity you are applying for.

Current Address

Former Address

Please give name, address, and telephone number of three references who are not related to you and ar enot previous employers

Present or Most Recent Employer

Previous Employer

Summarize special job-related skills and qualifications acquired from employment or other experience

List below any other information or remarks that you wish to have considered as part of your application for employment.

DeNyse Companies is a supporter of the Georgia Work Ready Initiative. Applicants are strongly encouraged to provide Georgia Work Ready Certification along with this application in order for us to better assess your suitability for positions within our Company. More information regarding how to obtain Work Ready Certification is available from the receptionist or the Human Resources Department.

The facts set forth in my application are true and complete. I authorize the investigation of all statements contained in this application and hereby authorize my former employers to furnish all information pertaining to my work record. I hereby release my former employers from all liability when furnishing such information. I understand that if employed, false statements, omissions or misleading statements on this application shall be considered sufficient cause for dismissal and I agree that my employer shall not be held liable in any respect if my employment is terminated because of such omissions or false or misleading statements. DeNyse Companies is hereby authorized to investigate my employment history, including the contacting of the employers listed on the previous page.

I certify that the information provided in this application is true, to the best of my knowledge.

I understand that providing false or misleading information at any time during the application and interview process may lead to refusal to hire or discharge from the Company. If I become employed by the Company, I agree to follow all rules and regulations of the Company as they develop and change.

I allow the Company to conduct investigations on me, my background and my performance, and am aware that such investigations will become a part of my employment record. With this, I authorize the Company to speak with my acquaintances, personal and professional, to gather information about me.

I authorize all former employers and references to provide any information about me to the Company, and release them of liabilities and damages of all kinds for providing this information. I authorize the Company to verify the accuracy of the information within this application. I also authorize the release of my educational transcripts to the Company for education verification purposes.

I release DeNyse Companies from liability for collecting information about me and using it to make employment decisions.

(If there is a particular employer you do not wish us to contact, please indicate which one and why.)

DRUG –FREE WORKPLACE POLICY NOTICE TO JOB APPLICANT

It is our policy that all employees are prohibited from the unlawful manufacture, distribution, dispensation, possession, use of or impairment from a controlled substance, including alcohol, during working hours, while on duty, or while operating Company vehicles or equipment. Testing for controlled substances is done in various circumstances, including random, reasonable suspicious, post-accident, and pre-employment (for applicants of fered a position). The DeNyse Companies' Drug and Alcohol Policy is available in its entirety in the Company Handbook, and can also be requested from the Human Resources Dept. I understand and agree that as a condition of employment at DeNyse Companies', I voluntarily submit to pre-employment drug testing, and I agree to follow, without reservation, the Drug-Free Workplace Policy.

EMPLOYMENT AND SEPARATION STATEMENT

I understand that there is a 60 day introductory period for new hires, during which time work performance is closely reviewed. I further understand and agree that, if hired, my employment is for no definite period and may be terminated at any time, with or without prior notice, at the will of the Company or myself.

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