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READ THE FOLLOWING CAREFULLY THEN SUBMIT THE APPLICATION

I hereby certify that the information contained in this application form is true and correct to the best of my knowledge and agree to have any of the statements checked by La Superior unless I have indicated to the contrary. I authorize the references listed above, as well as all other individuals whom La Superior contacts, to provide La Superior any and all information concerning my previous employment and any other pertinent information that they may have. Further, I release all parties and persons from any and all liability for any damages that may result from furnishing such information to La Superior as well as from any use or disclosure of such information by La Superior or any of its agents, employees or representatives. I understand that any misrepresentation, falsification or material omission of information on this application may result in my failure to receive an offer or, if I am hired, my immediate dismissal from employment.

In consideration of my employment, I agree to conform to the rules and standards of La Superior. I further agree that my employment and compensation can be terminated at will, with or without cause, and with or without notice, at any time, either at my option or at the option of La Superior. I understand that no employee or representative of La Superior, other than the President of La Superior, has the authority to enter into any agreement for employment for any specified period of time, or to make any express or implied agreement contrary to the foregoing. Further, the President of La Superior may not alter the at-will nature of the employment relationship or enter into any employment agreement for a specified time unless the President of La Superior and I both sign a written agreement that clearly and expressly specifies the intent to do so. I agree that this shall constitute a final and fully binding integrated agreement with respect to the at-will nature of my employment relationship and that there are no oral, written or collateral agreements regarding this issue.

I understand that all offers of employment are conditioned on satisfactory proof of my identity that I am of legal age and that I have legal authorization to work in the United States, as well as the company's receipt of satisfactory responses to reference requests, my passing any required drug screening test, and completion of post offer medical examination, if applicable.