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1 EMPLOYMENT APPLICATION Federal, state and local laws prohibit discrimination based on race, color, sex, religion, national origin, age, ancestry, disability or marital status. MLG NAI MLG Commercial / MLG Services Corp. 757 N Broadway, Suite #700 Services Corp. is an equal opportunity employer and your response to any question will be judged on its relevance to the position applied. Milwaukee, WI Fax BIOGRAPHICAL INFORMATION (PRINT CLEARLY AND FILL OUT APPLICATION ENTIRELY) Last First Middle Suffix (Sr., Jr., III, etc.) Other s (Maiden, etc.) Current Home City State Zip How long at this address? Previous (If less than 4 years above.) City State Zip How long at this address? Personal Telephone Work Telephone + Extension May we contact you at work? When is the best time to call? ( ) ( ) Yes : a.m. / p.m. Times Available To Work Position Applying For: Sun Mon Tue Wed Thu Fri Sat a.m. Date Available: What are you interested in? p.m. Full-Time Part-Time Temporary Summer How were you referred to our company? (Newspaper, friend, internet, etc.) Are you willing to travel? Are you willing to relocate? Yes Yes No EDUCATION, LICENSES & CERTIFICATIONS Type and Location of School Degree of Study Attendance Did you Major/Minor Dates (month/year) graduate? High School Yes Prep School City State Zip College Yes University City State Zip Graduate Yes School City State Zip Vocational Yes Trade School City State Zip (Microsoft, RE, CPA, etc.) and Number State Date Issued Expiration Date Standing Licenses Certifications U.S. MILITARY SERVICE Branch of Service Technical Specialization Rank Attained Date of Entrance Date of Discharge SPECIAL SKILLS What programming languages, software, and operating systems are you experienced with? (Microsoft Certifications, etc.) LEGAL Are you a U.S. citizen? Yes. If no, do you have a legal right and necessary documents to work in the U.S.? Yes. Do you have a green card? Yes. Are you H1B? Yes. (Identity and employment eligibility of all new hires will be verified as required by the Immigration Reform and Control Act of 1986). Were you ever discharged by any company? Yes. If yes, name of company(ies). Reason(s) for discharge:. Have you ever been convicted of a felony or misdemeanor or have an arrest pending a conviction, not including minor traffic violations?. If yes, explain: Nature of crime, Date of conviction, County and State. (Convictions do not automatically bar employment.) Yes

2 EMPLOYMENT HISTORY (List most recent position first) This section must be completed. Please do not reference resume. May we contact your present employer? Yes. May we contact your present supervisor? Yes. Dates and of Employer Position Held List Major Salary ($) Reason For (month/year) and Supervisor Duties Leaving City State City State City State City State Have you previously worked for MLG Services Corp. or any of its affiliates? Yes. If yes, please complete the following: : Location:, City, State & Zip: Position Held: Supervisor(s): Dates (month/year): to Reason for leaving: REFERENCES (Do not list relatives and please indicate if you were employed under a different name.) This section must be completed. Please do not reference resume., City, State and Zip Work Telephone Title Years Known IMPORTANT - PLEASE READ CAREFULLY In submitting this application for employment, I understand an investigation may be made whereby information is obtained regarding my character, employment history, education, licenses, credentials, credit history, driving record and criminal history. I agree to indemnify and hold harmless MLG Services Corp. and MRA - The Management Association, Inc., from all liability and damages whatsoever in obtaining, furnishing or using said information. In the event of employment, I understand that false or misleading information given in this employment application, on my resume, in interview(s) or on related company documents may result in immediate termination. I also understand that I am required to abide by all rules, regulations and policies of MLG Services Corp.. I understand and agree if employed, the employment will be "at will". That is, either I or MLG Services Corp. may end the employment relationship at any time, for any reason, or for no reason. I understand receipt of this application bydoes not imply employment and this application and/or other MLG Services Corp. documents are not contracts of employment. All information contained herein will remain personal and confidential, and will only be used for employment with MLG Services Corp. or its affiliates. Applicant's Signature: Date Signed: PLEASE INCLUDE ANY ADDITIONAL DOCUMENTS, SUCH AS YOUR RESUME, LETTER OF REFERENCE(S), ETC. THESE DOCUMENTS WILL REMAIN ACTIVE FOR THIRTY (30) DAYS FROM DATE COMPLETED.

3 Return to: Reference Checking Services Fax: Background Check Disclosure and Authorization MLG Services Corp. (the Company ) may order a consumer report and/or investigative consumer report ( background check report ) on you in connection with your application for employment and, if hired, during your employment, for employment purposes. By your signature below, you hereby authorize the Company to order consumer reports and/or investigative consumer reports on you including, but not limited to, the following information: employment history, military service, social security number validation; criminal conviction records, education history, driving record, credit reports, and licensing and certification checks. Please be advised that the Company may also obtain an investigative consumer report including information as to your character, general reputation, personal characteristics, and mode of living. Information may be obtained from private and public persons, entities and repositories of information, and you authorize disclosure by such parties to the consumer reporting agency and/or the Company. The consumer reporting agency that will prepare the report is MRA The Management Association N19 W24400 Riverwood Dr. Waukesha, WI 53188, telephone (262) The Fair Credit Reporting Act and certain state laws give you specific rights in dealing with consumer reporting agencies. You will find these rights in the attached documents. In the event that information from the report is utilized in whole or in part in making an adverse decision with regard to your potential employment or employment, before making the adverse decision, the Company will provide you with a copy of the background check report and a description in writing of your rights under the law. You have the right to request, in writing, within a reasonable time, that the Company make a complete and accurate disclosure of the nature and scope of the information requested. Such disclosure will be made to you within 5 days of the date on which we receive the request from you or within 5 days of the time the report was first requested, whichever is the later. To receive this information or to inspect any files concerning such a report or to determine if a report has been requested, you may contact the Company. For residents of, or for jobs located in, California, Minnesota, Massachusetts, New York and Oklahoma only: You may request a free copy of any background check report by checking the box. I request a free copy of my report. I agree that a facsimile or photocopy of this form is valid just like the original form. Applicant/Employee s Signature: Date: Attachments: Additional State notices; FCRA Summary of Your Rights ; Information form 1

4 ADDITIONAL STATE LAW NOTICES: If you live in, or are seeking work for the Company in California, Maine, Massachusetts, New York or Washington State, note: CALIFORNIA: You may view the file that the Consumer Reporting Agency has for you, and order a copy of the file, upon submitting proper identification and paying copying costs, by going to the Consumer Reporting Agency s offices, during normal business hours and on reasonable notice, or by mail. You may also ask for a file summary by telephone. The Consumer Reporting Agency can answer questions about information in your file, including any coded information. If you go in person, another person can come with you, so long as that person can show proper identification. MAINE: If you ask us, you have the right to know whether the Company ordered a background check report on you. You may request the name, address and telephone number of the nearest office for the Consumer Reporting Agency. We will send this information to you within five business days of our receipt of your request. You have the right to ask the Consumer Reporting Agency for the report. MASSACHUSETTS: If you ask, you have the right to a copy of any background check report concerning you that the Company has ordered. You may contact the Consumer Reporting Agency for a copy. NEW YORK: If you submit a written request, you have the right to know whether the Company ordered a background check on you from the Consumer Reporting Agency. You may inspect and order a copy of the report by contacting the Consumer Reporting Agency. WASHINGTON STATE: You have the right, upon written request made within a reasonable period of time after your receipt of this disclosure, to receive from the Company a complete and accurate disclosure of the nature and scope of any investigative consumer report we may have requested. You also have the right to request from the Consumer Reporting Agency a written summary of your rights and remedies under the Washington Fair Credit Reporting Act. If the Company obtains information bearing on your credit worthiness, credit standing or credit capacity, it will be used to evaluate whether you would present an unacceptable risk of theft or other dishonest behavior in the job for which you are being considered. 2

5 FOR BACKGROUND CHECK PURPOSES ONLY PLEASE PROVIDE THE FOLLOWING THE INFORMATION WE ARE REQUESTING BELOW IS BEING USED SOLELY FOR THE PURPOSE OF CONDUCTING A BACKGROUND INVESTIGATION. THE INFORMATION PROVIDED BELOW WILL REMAIN CONFIDENTIAL AND KEPT SEPARATE FROM YOUR APPLICATION. PRINT - Last First Middle Required Previous (s)/maiden Date of Change List addresses (CURRENT ADDRESS FIRST) for the past 7 years. Attach additional sheet of paper if necessary. Street City and County State Zip Code Years At This - - Social Security Number - - Date of Birth Please provide your driver s license information. This information is required to conduct a driver s license check. Driver s License Number State of License By signing below, I certify that the above is true and correct to the best of my knowledge. I acknowledge and agree that any misrepresentations or omissions may result in the Company no longer considering me for employment, withdrawal of a job offer from the Company or, if I am already employed by the Company, termination of my employment. Applicant/Employee Signature Date May your current supervisor, and/or any references or individuals associated with your current employer (including Human Resource Dept.) be contacted? YES NO NOT CURRENTLY EMPLOYED Specific Comments School Location (city/state) Circle Degree Completed Graduation Date Diploma GED/HSED None Associate s Bachelor s Other 3

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