This certifies that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge. I authorize you to make such investigations and inquiries of my personal, employment, financial, or medical history and other related matters as may be necessary in arriving at an employment decision. (Generally inquiries regarding medical history will be made only if and after a conditional offer of employment has been extended.) I hereby release employers, schools, health care providers and other persons from all liability in responding to inquiries and releasing information in connection with my application. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all safety rules and regulations of the Company.

I have applied for a position. As a condition for my application being considered, I understand and agree to undergo substance screening. I understand that if my test results are positive, I shall not be considered for any car, truck driver, or mobile equipment operator positions.

I hereby authorize any Physician, Laboratory, Hospital, or medical professional retained by this company for screening purposes to conduct such screening and to provide the results to this company. I release this company and any person affiliated with this company and any such institution or person conducting the screening, from liability therefore.

I have read, or have had read to me the information concerning the company's Drug and/or Alcohol Testing Policy. I fully understand the meaning of its content and will follow the Policy in full. If I do not, I fully understand that I can be terminated from employment immediately.

By consenting, you are authorizing Lail Construction to contact and verify the information listed above. In compliance with Federal and State equal opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status, or non-job related disability.