(List below employers for the last five years starting with the most recent one first.)
Give the name, address, and telephone number of three references, other than references of previous employers.
If you have a physical, mental or other impairment which would interfere with your ability to perform in a position but which may be accommodated
by, for instance, the purchase of equipment or devices, the provision of readers or interpreters or the restructuring or altering of work schedules, the
Michigan Persons With Disabilities Civil Rights Act requires that you notify Sun Steel Treating, Inc. (the "Company") in writing of your need for
accommodation within One Hundred Eighty-Two (182) days after you become aware or should reasonably have known that the accommodation
was needed. All written requests for accommodation must be submitted to the President of the Company.
Any offer of employment may be conditioned upon your ability to pass a medical examination and appropriate tests including drug and alcohol tests
prior to the commencement of employment.
I certify that the facts contained in this application are true and complete to the best of my knowledge, information and belief and I understand
that if I am employed, that falsified statements contained in this application shall be grounds for immediate dismissal.
I recognize and authorize that investigative background inquiries be made by the Company and/or its third-party designee, to investigate all
statements contained herein and the references listed above and to conduct, order and acquire any background information regarding me which
the Company deems to be appropriate including, but not limited to criminal records, driving records, educational records, medical records, drug
tests and all employment records including any and all disciplinary reports, letters of reprimand or other disciplinary action contained in my record
with any employer or former employer (the "Background Information"). These reports and records will be used for the purposes of making
personnel decisions or investigating certain incidents and will include information as to my work habits, performance, character, experience, and
reasons for termination of past employment from previous employers. I understand and agree that the Background Information is of material
importance to the Company and that the Company may refuse to hire me based on the content of the Background Information in the sole and
absolute discretion of the Company and may re-verify such information at any time during my employment. I hereby request that all former
employers, educational institutions references listed herein or the custodians provided on this application, and any other custodian of the
Background Information give all information concerning my previous employment, education, and/or pertinent information they may have, personal
or otherwise to the Company and I hereby consent to the release of such Background Information and release all such parties from all liability for
any damage that may result from the furnishing of same to the Company or third party designee. In particular, in connection with the processing of
my application for employment, and for the duration of my employment with the Company, I and my heirs, executors, administrators, successors
and assigns, hereby release the Company, its respective officials, administrators, and employees from any causes of action, claims, liability and
demands whatsoever, in law or equity, which I may have, or claim to have, against any or all of said entities or individuals arising from, or occurring
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as a result of the investigation or any other action taken by the Company relating to the request of Background Information. I authorize, without
reservation, any party or agency contracted by Company to furnish the above-mentioned information. I consent to the disclosure and use of the
Background Information by the Company and its retained professionals. I hereby waive my rights under the "Employee Right to Know Act," Act No.
397, Michigan Public Acts of 1975, to written notice of any disciplinary information disclosed by the aforementioned employer or former employer
pursuant to this authorization.
I understand and agree that if employed, my employment with the Company is "At Will" and may be terminated, by the Company or by me, at
any time, with or without prior notice, and for any reason whatsoever or for no reason, with or without cause and that the nature of my employment
cannot be modified except in writing signed by the President of the Company.
I understand and agree that I may be required to take a physical examination or submit to a drug test as a condition of employment or
continued employment, if hired. I agree to and consent to take such test(s) at such time as designated by the Company and release the Company,
its directors, officers, members, partners, shareholders, agents, retained professionals, insurers or employees from any claim arising in connection
with the use of such tests or disclosure of the results thereof.
I understand and acknowledge that, except for the provisions of Paragraph 6 of this Agreement, the policies, rules, and practices of the
Company may be changed unilaterally by the Company at any time without any notice to me including and without limitation. If employed, I hereby
agree to comply with all rules, regulations and the policies established by the Company for its employees including such new or revised rules,
regulations and policies as may be subsequently established. I understand the Company from time to time may make unilateral changes in its
rules, regulations and personnel practices and policies that will affect me and that my employment may be subject to unilateral adjustments in
compensation, fringe benefits and other terms and conditions of employment including layoffs and terminations.
I understand and agree that in the event that a dispute arises concerning my application for employment with and/or termination from the
Company the sole and exclusive method for resolving any and all disputes arising out of my application, employment or termination from the
Company or in any way related to any alleged wrongful acts on the part of the Company, its directors, shareholders, agents, members, partners,
officers or employees relating to my employment, including but not limited to claims of breach of contract, wrongful discharge, retaliatory discharge
claims, tort claims, invasion of privacy, slander, defamation, and/or any statutory claim including but not limited to discrimination or other violation
under Title VII of the Federal Civil Rights Act, Age Discrimination in Employment Act, Americans With Disabilities Act, National Labor Relations Act,
Fair Labor Standards Act, Family Medical Leave Act, Michigan Persons With Disabilities Act, Whistle Blowers Protection Act, Bullard-Plawecki
Employee Right to Know Act and the Michigan Elliot-Larsen Civil Rights Act shall be through the procedures and policies of the American
Arbitration Association; thereby waiving my right to adjudicate these claims in a judicial forum. I agree not to bring, and expressly waive my right to
bring any action or claim under this Agreement as a member of any purported class or representative proceeding. Nothing in this Agreement,
however, shall be construed to prohibit me from filing a charge with or participating in any investigation or proceeding conducted by the EEOC or a
comparable state or local agency. Notwithstanding the foregoing, I agree to waive my right to recover monetary damages awarded or resulting from
any charge, complaint, or lawsuit filed by me or by anyone else on my behalf. This Agreement applies to all claims whether I become employed by
the Company, whether brought during my employment with the Company or at any time after termination of employment with the Company. Venue
for any such arbitration hearing shall be Oakland County, Michigan. The parties hereby agree that the determination of the arbitrator shall be
binding and final upon all parties. The award of the arbitrator may be filed with the Clerk of the Circuit Court for the County of Oakland, Michigan
and judgment may be rendered by the Court upon the arbitration award and execution may be issued upon the judgment. The cost for arbitration
shall be split equally between myself and the Company, notwithstanding anything to the contrary in the employment rules of the American
Arbitration Association or otherwise. The arbitrator shall not have the power to change, modify or otherwise alter the "At Will" nature of the
employment relationship and the arbitrator's written determination shall be based solely upon the "At Will" nature of such employment relationship.
In any proceeding under this Agreement, the parties shall have the right to representation by counsel at all steps of the procedure and reasonable
discovery, including, but not limited to, interrogatories, document requests, depositions and subpoenas in accordance with Michigan State court
rules. The parties may mutually agree that the arbitration therein be stenographically recorded, provided that each party shall equally share the cost
of creating and printing the record.
I agree that any arbitration or judicial proceeding arising out of a dispute relative to my employment with the Company shall not be brought
unless the same is commenced within One Hundred and Eighty (180) days following the incident giving rise to such dispute. My failure to
commence a proceeding within the One Hundred Eighty (180) day period shall result in the extinguishment of any rights I may have to prosecute
such claims or actions. If any term or provision contained in this Agreement is construed or held to be invalid, void or unenforceable by a court of
confident jurisdiction for any reason whatsoever, such term or provision shall be construed and enforced consistent with state or federal laws to
render such provision and the remainder of this Agreement enforceable. Such ruling shall not affect the validity of the remainder of this Agreement.
I agree that if I should bring any action or claim arising out of my employment against the Company in which the Company prevails, I will pay
the Company any and all such costs incurred by the Company in defense of such claim or action, including attorney fees, court costs, arbitration
fees and all other costs associated with such action.
I hereby authorize the Company to deduct from my wages any sums loaned, advanced or paid on my behalf by the Company. I consent to
such deduction freely and fully with the understanding that such deductions may substantially reduce a particular pay check.
I acknowledge and agree that I have reviewed and entered into this Agreement knowingly and voluntarily as a condition of application for
employment and/or continued employment with the Company. This Agreement can only be changed or revoked by written agreement signed by
both the Applicant and the President of the Company.
Company is an equal opportunity employer and will not discriminate against any applicant on the basis of any characteristic that is protected by
state or federal law.
**PLEASE READ THE ABOVE CAREFULLY BEFORE SIGNING. YOUR SIGNATURE INDICATES THAT YOU EXPRESSLY AGREE WITH ALL OF THE FOREGOING.
Federal law requires newly hired individuals to produce certain documents that may be used as evidence that they are eligible to be lawfully employed in the United States.
Thank You for your interest and cooperation.