Employment Application

EDUCATION

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EMPLOYMENT HISTORY

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APPLICANT’S STATEMENT

By my signature below, I agree to the following:

1. I consent to take any physical examinations, including but not limited to tests for alcohol and/or drugs, that may be requested by the Company (1) following an offer of employment and prior to commencement of work; and (2) during the course of my employment, consistent with applicable law, including but not limited to the Americans with Disabilities Act. I further authorize any health care professional who performs such an examination or who has other information concerning my physical, mental, or other medical status which may relate to my fitness to perform the essential functions of my job to release such information to the Company.

2. The information I have furnished on this application form is true and complete. I understand that any false statements or misleading omissions made by me in connection with my application, or in responding to requests for information, will be sufficient grounds for my rejection as a candidate for employment or for immediate discharge from my employment with the Company.

3. I understand that any employment I might be offered by the Company is at-will and of indefinite duration, and that either I or the Company can terminate that employment at any time with or without notice for any or no reason, and that no agreement to the contrary will be recognized by the Company unless made in writing and signed by the President of the Company. I understand that satisfactory completion of any provisional period will not change my status as an at-will employee.

4. I understand that none of the Company’s practices or policies is to be construed as imposing any binding obligations on the Company, and that they are subject to change or deletion at any time.

5. I hereby authorize the Company to obtain, from schools, former employers, or other individuals or institutions it contacts, any information in their possession regarding my employment history or qualifications for the job for which I have applied. I also hereby release the Company from any and all liability that may relate to this inquiry and I release any and all current and former employers from liability for providing information to the Company in connection with a request by the Company for a reference.

6. I hereby give the Company the right and authorization to investigate my background and I release the Company, as well as all persons or entities that may obtain or provide information in connection with any such investigation, from all liability relating thereto.

7. I hereby authorize the Company to obtain, from any State which may maintain a motor vehicle driving record concerning me, a report or other documentation which provides that record, and I will sign such authorizations as may be necessary for the Company to obtain such a report from any such State.

8. A copy of the STATE AHERA TRAINING PROGRAM AGREEMENT has been provided to me. My employment is conditioned upon my signing, and accepting and complying with the terms of, that Agreement.

9. BARCO Enterprises, Inc. herewith discloses it’s affiliation with the Baltimore/Washington Construction & Public Employees, Laborer’s District Council, LIUNA, as referred to as the Union. BARCO field laborers must join this Union within seven (7) days from date of hire. Attached to this application are the classifications, pay rates for each, and fringe rates. BARCO will honor Union dues check-off pursuant to receipt of properly authorized dues deduction cards signed by its employees, along with other lawful authorizations from employees providing for deductions from wages. **NOTE: Union classifications, rates and deductions may change per BARCO’s Local #11, LIUNA executed agreement.

10. Employee’s is conditional upon results of drug screening and background reports.

11. I have read this Employment Application and I understand its contents.

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DRUG AND ALCOHOL AWARENESS AND TESTING POLICY

In an effort to provide employees with a drug-free workplace, the Company has adopted a Drug and Alcohol Awareness and Testing Policy. The policy provides for drug and alcohol testing of employees for cause, testing of employees who are involved in an on-the-job-accident resulting in personal injury or property damage, and random drug, and alcohol testing under certain circumstances. The policy further provides that all applicants with a conditional offer of employment must successfully pass a drug screening urinalysis test as part of their post-offer, preemployment examination.

An applicant whose test is positive for illegal drugs will not be hired and his/her conditional offer of employment will be withdrawn.

I understand that the Company has a policy prohibiting the use, possession or distribution of illegal drugs by its employment applicants and employees. I further understand that the Company has adopted post-offer, pre-employment drug testing as one method of implementing that policy. I hereby consent to provide a urine sample to the Company or its agents to be tested for drugs by a state approved drug-testing laboratory designated by the Company.

I hereby authorize any drug testing laboratory designated by the Company to release to the Company any information requested on any urine sample I submit. This includes, but is not limited to, the results or any tests performed on my urine samples. I hereby authorize the Company to use and disclose this information for any purpose connected with my employment application or with the Company’s Drug and Alcohol Awareness and Testing Policy, including but not limited to decisions on whether to employ me.

UNDER MARYLAND LAW, AN EMPLOYER MAY NOT REQUIRE OR DEMAND, AS A CONDITION OF EMPLOYMENT, PROSPECTIVE EMPLOYMENT, OR CONTINUED EMPLOYMENT, THAT AN INDIVIDUAL SUBMIT TO OR TAKE A LIE DETECTOR OR SIMILAR TEST. AN EMPLOYER WHO VIOLATES THIS LAW IS GUILTY OF A MISDEMEANOR AND SUBJECT TO A FINE NOT EXCEEDING $100.

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