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Florida Comfort Inc.

APPLICATION FOR EMPLOYMENT

Personal Information

Employment Desired

Previous Employment

Education

References

Authorization

I certify that the facts contained in this application (and accompanying resume, if any) are true and complete to the best of my knowledge. I understand that any false statement, omission or misrepresentation on this application is sufficient cause for refusal to hire, or dismissal if I have been employed, no matter when discovered by Florida Comfort Inc.

I understand that any employment is conditioned on a background check. I authorize Florida Comfort to thoroughly investigate all statements contained in my application or resume and I authorize my former employers and references to disclose information regarding my former employment, character and general reputation to Florida Comfort, without giving me prior notice of such disclosure. In addition, I release Florida Comfort, any former employers and all references listed above from any and all claims, demands or liabilities arising out of or related to such investigation or disclosure.

I understand and agree that nothing contained in this application, or conveyed during any interview, is intended to create an employment contact. I further understand and agree that if I am hired, my employment will be “at will” and without fixed term and may be terminated at any time, with or without cause and without prior notice, at the option of either myself or Florida Comfort. No promises regarding employment have been made to me and I understand that no such promise or guarantee is binding upon Florida Comfort unless made in writing.

If I am offered employment, I agree to a drug test before starting work and agree to a drug test at any time deemed appropriate by Florida Comfort and as permitted by law. I consent to such tests and I request that the examining doctor disclose to Florida Comfort the results of the examination, which results shall remain confidential and segregated from my personnel file. I understand that my employment or continued employment, to the extent permitted by law, is contingent upon satisfactory drug tests, and if I am hired a condition of my employment will be that I abide by Florida Comfort’s Drug and Alcohol Policy.

I understand that filing out this form does not indicate there is a positon open and does not obligate Florida Comfort to hire. If hired, I agree to abide by all company work rules, policies and procedures. Florida Comfort Inc. retains the right to revise its policies or procedures, in whole or in part, at any time.