Superior Management Group, Inc.

Application For Employment

The Company is an equal opportunity employer. Applicants are considered for employment without regard to race, color, national origin, religion, sex, age, disablility, sexual orientation or gender identity, unless such basis constitutes a bona fide occupational qualification under applicable law.

Applicant's Statement

I certify that this application was completed by me and that all information provided by me is TRUE and COMPLETE. In the event of employment, I understand that any false, misleading, inaccurate or omitted information in this application may result in discharge regardless of the date of discovery.

I authorize the Company, or its agents, to confirm the information in this application including interviewing my Personal Reference and past employers regarding my character, general reputation, personal characteristics, work performance, workplace conduct and other matters.

I hereby release all persons, including but not limited to, the Company, its agents and employees, my personal reference, doctor, hospital, pharmacist, clinic, laboratory, pharmacy or other medical providers and employers, from any and all liabilities or any personal injury or damage resulting from information I furnished to the Company or any action based on any such information.

I agree to submit to a medical examination, including drug and alcohol testing, if requested, paid for by the Company, and understand that any offer of employment is contingent upon the satisfactory result of any such examination.

I understand that, according to applicable laws, all individuals who are hired must, as a condition of employment, produce certain documentation to verify their identity and United States citizen status or if not a United States citizen, their legal authorization to work in the United States, and that any offer of employment by the Company is contingent upon my ability to produce the required documentation within the time period required by law.

I understand that this application is not and is not intended to be or to become a contract of employment and that any resulting employment relationship is terminable by me or the Company at any time and with or without cause.

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