Employment Application

EMPLOYMENT APPLICATION INSTRUCTIONS: Please read carefully and answer all questions completely. Only candidates that fully complete all required sections will be considered for employment. Not all applicants will be interviewed: only those interviewed will receive a response from the company. APPLICATIONS ARE ACCEPTED FOR CURRENT OPENINGS ONLY.

EMPLOYMENT HISDTORY List below all present and past employment starting with your most recent employer (last 10 years is sufficient). Account for all periods of unemployment. You must complete this section even if attaching a resume. If currently employed, state why you are seeking other employment under “Reason for Leaving”.

REFERENCES List below three persons not related to you who have knowledge of your work performance within the last three years.

Please read carefully, initial each paragraph and sign below. I understand that persons employed at Rolls Scaffolding, Inc. (the “Company”) have access to confidential information regarding various phases of the Company business and our clients. Therefore, the Company requires new employees, as a condition of employment, to sign a Confidentiality Agreement.

I understand that information concerning competitors’ operations, products, designs or other proprietary information will not be solicited from an applicant for employment, or from the Company’s employees. The Company will honor any valid post-employment restrictions contained in an applicant’s employment contract and fully respects the applicant’s duty of loyalty and non-disclosure to a former employer.

I certify that the information provided herein is correct to the best of my knowledge and belief. I certify that I have personally completed this application. I am aware that failure to complete this application, intentional omissions or misstatements may result in refusal of employment or discharge. I authorize the references and contacts listed to provide you with any and all relevant information, personal or otherwise, and to the fullest extent allowed by law, I release all parties from all liability for any damages that may result from furnishing the same to the Company.

In consideration of my employment, if hired, I agree to conform to the rules and regulations set forth by the Company in its policies and practices or as directed by management.

I understand that if offered employment I may be required to submit to a drug, marijuana and/or alcohol screen. I further understand that I must successfully pass such a screen as a condition of beginning my employment. If test results are not received until after I start employment, a positive test will result in my termination.

I understand that if offered employment, I may be required to submit to a background and reference check as a condition of beginning my employment.

I understand that each employee of Company is an at-will employee unless specifically notified otherwise in writing. That is, I may terminate our employment relationship at any time, for any reason, and the Company has the same right to terminate our employment relationship at any time and for any reason. I understand that this at-will relationship cannot be modified or changed during my employment except by specific written agreement between me and the Company, signed by the President.

I understand that, if offered employment, I will be required to sign an agreement requiring me to arbitrate almost all claims I might have against the Company in the future. I hereby agree to submit to binding arbitration all disputes and claims arising out of the submission of this application in accordance with the terms of that Agreement.