By signing below, I hereby authorize Delta Foremost Chemical Corp., their employees, their representatives, and their agents, to contact any and all
people, businesses, and other entities listed within this application for the purpose of investigating and verifying the accuracy of the information
provided in this application. I authorize the release of personal and business information from previous or current employers, or any other companies
and/or representatives listed within this application, in pursuit of this investigation. I understand that this investigation is for screening purposes for
potential employment with Delta Foremost Chemical Corp., and that allowing the release of this information does NOT guarantee employment.
Should I be employed by Delta Foremost Chemical Corp., I authorize its representatives to furnish information regarding my employment at Delta Foremost Chemical Corp. if such information is requested in the future. I release Delta Foremost Chemical Corp. and its authorized representatives from any liability for any damage whatsoever resulting from furnishing this information.
I certify that information I have provided in this application is true, complete, and to the best of my knowledge at the time this application was
completed. I understand that if am offered and accept employment with Delta Foremost Chemical Corp. and it is discovered at a later time that any of
information provided in this application is incorrect, it may be considered grounds for immediate termination of employment. I understand that any
potential employment opportunities acquired with Delta Foremost Chemical Corp. will be for no definite term and that I, or Delta Foremost Chemical
Corp., have the right to terminate any such employment relationship at any time, with or without cause, and with or without advance notification.
I authorize Delta Foremost Chemical Corp. to obtain one or more investigative consumer credit report(s), which may include, but not limited to, public
information, credit history, residence history, landlord/tenant court record search, criminal record search, and registered sex offender search, for the
purpose of evaluating my employment application. These reports contain information compiled from sources believed to be reliable, but the accuracy
of these reports is not guaranteed to be 100% correct. Consumer reports may be obtained from any of the following consumer reporting agencies:
Equifax, E.C.I.F., P.O. Box 740241, Atlanta, GA. 30374-0241, 800-685-1111 | Trans Union, Regional Disclosure Center, 1561 Orangethorpe Ave., Fullerton, CA. 92631, 714-738-3800 | Experian (TRW), Consumer Assistance, P.O. Box 949, Allen, TX. 75002, 888-397-3742
I understand that I am entitled by law to receive at least one free copy per year of my consumer report(s) from any of the previously noted companies,
and can do so visiting http://www.annualcreditreport.com or by contacting any of these companies directly. If any of these reports are obtained and
used as part of this investigation, I also have the right to receive a copy of any such records, and they will be provided to me upon request.
I understand that I can find a summary of my rights under the Fair Credit Reporting Act by visiting: http://www.ftc.gov/credit or by writing: Consumer Response Center, Room 130-A | Federal Trade Commission | 600 Pennsylvania Avenue N.W. | Washington D.C. 20580
I hereby release Delta Foremost Chemical Corp. harmless of any liability for any damages resulting from any improper collection, storage, usage,
theft, and/or distribution of these consumer reports, and any other information obtained as part of, or as a result of, this employment application.
By typing your name above and submitting this form, the same legal status is held as a handwritten signature.
Misleading information on this application is considered FRAUDULENCE and is grounds for immediate termination of employment.