Employment with Hamilton Machine Co.

List your work experience beginning with your most recent job. If you were self-employed, give the name of the company. Attach additional sheets if necessary.

List two references other than Relatives or Previous Employers.

Read each section carefully and sign where indicated.

It is my understanding that this employment application, or the granting of an oral interview, does not represent a contract of employment or a promise of future benefits by this organization. I understand and agree that, if hired; my employment will be at will in nature and may be terminated, with or without cause, at any time, by either myself or my employer. I also understand that this written statement supersedes any and all oral representations made by agents or representatives of this organization.

I certify that the information in this application is true, complete and correct. I understand that false answers, statements, or significant omissions made by me on this form shall be sufficient cause for denial of employment or discharge.

I hereby certify that, if hired, I will disclose any limitations I have that may impact my ability to do the job. I understand that I will be required to undergo a pre-employment drug screening analysis.

I understand that I may be subject to a background check, and hereby authorize Hamilton Machine Company as an Agent, to investigate my background to determine any and all information of concern as to my record, whether same is of record or not, and I release employers and persons named in my application from all liability for any damages on account of his/her furnishing said information.

Additionally, you are hereby authorized to make any investigation of my personal history, educational background, military record, motor vehicle records, and criminal records. This authorization, in original or copy form, shall be valid for this and for any future reports and updates that may be required.