SALLY BEAUTY HOLDINGS, INC. P.O. Box 490 Denton, TX 76202
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- Horace Jackson
- 9 years ago
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1 SALLY BAUTY HOLDIGS, IC. P.O. Box 490 Denton, TX (Please Print) TODAY S DAT SALARY DSIRD By completing this application you are applying for employment with one (but not all) of the following subsidiaries of Sally Beauty Holdings, Inc.: Sally Beauty Supply LLC, Beauty Systems Group LLC, Arcadia Beauty Labs LLC, Sally Beauty de Puerto Rico, Inc. or Armstrong McCall, L.P. POSITIO DSIRD DAT AVAILABL P R S O A L I F O R M A T I O AM ADDRSS CITY, STAT, ZIP ALL OFFRS OF MPLOYMT AD COTIUD MPLOYMT AR CODITIOD UPO YOUR ABILITY TO PROVID VIDC OF YOUR RIGHT TO B LGALLY MPLOYD I TH UITD STATS AR YOU LGALLY LLIGIBL FOR MPLOYMT I TH UITD STATS? WILL YOU OW OR I TH FUTUR RQUIR SPOSORSHIP BY THIS COMPAY TO ATTAI OR MAITAI YOUR MPLOYMT LIGIBILITY I TH UITD STATS? YS O HAV YOU VR WORKD FOR SALLY BAUTY SUPPLY LLC, BAUTY SYSTMS GROUP LLC, ARMSTROG McCALL L.P., COSMOPROF, SALLY BAUTY DISTRIBUTIO LLC, ARCADIA BAUTY LABS LLC, SALLY BAUTY D PURTO RICO, IOVATIOS-SUCCSSFUL SALO SRVICS, OR WST COAST BAUTY SUPPLY CO.? WHR? WH? FOR US TO VRIFY YOUR WORK RCORDS, AR THR AY ICKAMS, USS OF A ASSUMD AM OR CHAGS OF AM THAT W D TO B AWAR OF? IF SO, WHAT AM CURRT LICSS/CRTIFICATIOS/RGISTRATIOS (IDICAT TYPS AD DATS RCIVD): HAV YOU VR IITIATD OR THRATD A ACT OF VIOLC I TH WORKPLAC? PLAS XPLAI SPCIAL SKILLS [This section is voluntary]. PLAS LIST AY SPCIAL SKILLS YOU BLIV WOULD B RLVAT TO YOUR POTTIAL MPLOYMT WITH US, SUCH AS LAGUAGS YOU SPAK, RAD OR WRIT, OR RLVAT ABILITIS OR XPRIC OT IDTIFID BLOW I YOUR DUCATIO OR WORK HISTORY. AM OF RLATIVS MPLOYD BY SALLY BAUTY SUPPLY LLC, BAUTY SYSTMS GROUP LLC, ARMSTROG McCALL L.P., COSMOPROF, ARCADIA BAUTY LABS LLC, SALLY BAUTY D PURTO RICO, IOVATIOS-SUCCSSFUL SALO SRVICS, OR WST COAST BAUTY SUPPLY CO. AM DPT RLATIOSHIP PHO # CLL PHO # AG (IF UDR 18) AR YOU O LAYOFF FROM AY COMPAY OR SUBJCT TO RCALL BY AY OTHR COMPAY? IF YS, WHAT COMPAY DO YOU HAV A O-COMPT AGRMT THAT WOULD KP YOU FROM WORKIG HR? IF YS, PLAS XPLAI IF YOU AR APPLYIG FOR A POSITIO WHICH RQUIRS YOU TO DRIV A PRSOAL AUTOMOBIL, ASWR THS QUSTIOS: DO YOU HAV A VALID DRIVR S LICS? DO YOU HAV A CAR WHICH YOU CA US TO PRFORM TH JOB? DO YOU HAV CURRT STAT RQUIRD LIABILITY ISURAC? ALL APPLICATS AD MPLOYS MUST AGR TO TH COMPAY S WORKPLAC RSOLUTIO PROGRAM AD MUTUAL AGRMT TO ARBITRAT CLAIMS I ORDR TO B COSIDRD FOR MPLOYMT, YOU AR RQUIRD TO SIG TH DOCUMT TITLD WORKPLAC RSOLUTIO PROGRAM AD MUTUAL AGRMT TO ARBITRAT CLAIMS ICLUDD WITH THIS APPLICATIO. THIS AGRMT RQUIRS YOU TO ARBITRAT CRTAI LGAL DISPUTS ARISIG FROM YOUR APPLICATIO FOR MPLOYMT AD/OR YOUR MPLOYMT WITH TH COMPAY. TH COMPAY WILL COSIDR YOUR APPLICATIO OLY IF THIS AGRMT IS SIGD. QUAL MPLOYMT OPPORTUITY TH COMPAY WILL PROVID QUAL MPLOYMT OPPORTUITIS TO ALL APPLICATS WITHOUT RGARD TO A APPLICAT S RAC, COLOR, RLIGIO, SX, GDR, GTIC IFORMATIO, ATIOAL ORIGI, AG, VTRA STATUS, DISABILITY, OR AY OTHR STATUS PROTCTD BY FDRAL, STAT OR LOCAL LAW. TH COMPAY WILL PROVID RASOABL ACCOMMODATIOS TO ALLOW A APPLICAT TO PARTICIPAT I TH HIRIG PROCSS (.G., ACCOMMODATIOS FOR A TST OR JOB ITRVIW) IF SO RQUSTD. WH COMPLTIG THIS APPLICATIO, YOU MAY XCLUD IFORMATIO THAT WOULD DISCLOS OR OTHRWIS RFRC YOUR RAC, RLIGIO, AG, SX, GTICS, VTRA STATUS, DISABILITY OR AY OTHR STATUS PROTCTD BY FDRAL OR STAT LAW. QUAL OPPORTUITY MPLOYR
2 D U C A T I O CHCK TH HIGHST LVL OR QUIVALT COMPLTD: LMTARY SCHOOL HIGH SCHOOL COLLG/TCH GRADUAT TYP OF DGR 8 OR LSS AM OF COLLG, UIVRSITY OR VO-TCH ATTDD: FILL I TH HOURS YOU AR AVAILABL TO WORK: From To SU MO TUS WD THURS FRI SAT HAV YOU VR WAITD O CUSTOMRS? TYPIG: WORDS OPRATD A CASH RGISTR? PR MIUT STOCKD MRCHADIS? OPRATD A FORKLIFT? USD A COMPUTR? ATTDD COSMTOLOGY SCHOOL? LIST AY SOFTWAR YOU HAV USD: WORK HISTORY PLAS LIST BLOW YOUR LAST THR MPLOYRS, STARTIG WITH YOUR PRST OR LAST PLAC OF MPLOYMT. YOU MAY ICLUD AY VRIFIABL WORK PRFORMD I TH U.S. MILITARY, VOLUTR WORK, OR ITRSHIPS. FROM MPLOYR JOB TITL: BGIIG SALARY ADDRSS JOB DUTIS: FIAL SALARY TO CITY, STAT, ZIP SUPRVISOR AD TITL PHO UMBR RASO FOR LAVIG MAY W COTACT? YS O FROM MPLOYR JOB TITL: BGIIG SALARY ADDRSS JOB DUTIS: FIAL SALARY TO CITY, STAT, ZIP SUPRVISOR AD TITL PHO UMBR RASO FOR LAVIG MAY W COTACT? FROM MPLOYR JOB TITL: BGIGIG SALARY ADDRSS JOB DUTIS: FIAL SALARY TO CITY, STAT, ZIP SUPRVISOR AD TITL PHO UMBR RASO FOR LAVIG MAY W COTACT R F R C S RFRCS LIST 3 SCHOOL, WORK OR PRSOAL RFRCS WHOM W MAY COTACT. DO OT LIST POPL WHO AR RLATD TO YOU. AM PHO # HOW LOG HAV YOU KOW THIS PRSO? RLATIOSHIP TO YOU TYP OF RFRC SCHOOL WORK PRSOAL SCHOOL WORK PRSOAL SCHOOL WORK PRSOAL I CAS OF MRGCY, PLAS COTACT AM ADDRSS CITY STAT ZIP PHO #
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4 PLAS RAD CARFULLY BFOR SIGIG THIS APPLICATIO I understand in filling out this application that the company with which I am applying for employment Sally Beauty Supply LLC, Beauty Systems Group LLC, Arcadia Beauty Labs LLC, Sally Beauty de Puerto Rico, Inc., Armstrong McCall, L.P. or any affiliated entity (hereafter, Company ) is in no way obligated to offer me employment. I also understand that this application does not create any contract of employment. I certify that the facts set forth in my application for employment are true, correct, and complete. I agree that any misrepresentation or false statement on this application shall be considered grounds for rejecting this application, rescinding a tentative job offer or immediate discharge if discovered after hire. I authorize the Company to investigate any of the information contained on this application, including the examination of past employment, records, licenses, certificates, references, and other facts stated on the application. I waive any rights which I may have to receive written notice from any former employer listed on this application regarding the release to the Company of any disciplinary action taken against me by said former employers. I hereby release and discharge the Company and any person or entity from whom any such information is obtained from any liability whatsoever related to the use or disclosure of such information. I understand that I may be required to sign an agreement that contains clauses requiring non-disclosure and non-use of confidential information both during employment and thereafter and restriction on employment by others involving similar products or processes worked on for the Company, should I become an employee of the Company. I understand that I may be required to successfully complete a post offer medical examination as a condition of employment, including drug and alcohol testing, and I agree to take such examination. I understand and agree that I may be required as a condition of my employment and/or continued employment, and to the extent permitted by federal, state, and local law, to submit to a urinalysis, blood alcohol, or breath alcohol drug test to determine the presence of controlled substances. I understand and agree that if the test results indicate that I have violated the Company s rules on controlled substances, I will be ineligible for employment with the Company at that time and/ or subject to disciplinary action up to and including immediate discharge. I also understand that the Company has a substance abuse policy available for my review and I will abide by its terms. If hired, and unless applicable law requires otherwise, I agree and understand that my employment with the Company is at will and that either Company or I may terminate my employment and compensation at any time, with or without cause, and with or without notice. I further understand that no one employed by the Company (other than the President through a specific individual written contract naming the individual and signed by the President), has any authority to enter into any agreement for continued employment or employment for any specific period of time or to make any agreement contrary to the foregoing. Any written or oral statement or promises to the contrary are hereby expressly disavowed and should not be relied upon by prospective employees or during employment. I also understand and agree that any policies, procedures or benefits (except the Company s Workplace Resolution Program and Mutual Agreement to Arbitrate Claims) may be unilaterally changed, modified or discontinued at any time at the sole discretion of the Company. I acknowledge that there are positions within the Company, such as many store manager positions, where the hours of work fluctuate from week to week, though the employee is compensated on a fixed salary basis. In the event I am ever employed in one of these positions, I understand and agree that my fixed salary constitutes compensation for all hours worked in each work week, whatever their number. In the event I am entitled by law to an overtime premium, I understand and agree that this premium will be based upon one and one-half of my equivalent hourly rate, unless applicable law requires otherwise. FOR MARYLAD APPLICATS: UDR MARYLAD LAW, A MPLOYR MAY OT RQUIR OR DMAD, AS A CODITIO OF MPLOYMT, PROSPCTIV MPLOYMT OR COTIUD MPLOYMT, THAT A IDIVIDUAL SUBMIT TO OR TAK A LI DTCTOR OR SIMILAR TST. MPLOYR WHO VIOLATS THIS LAW IS GUILTY OF A MISDMAOR AD SUBJCT TO A FI OT XCDIG $100. FOR MASSACHUSTTS APPLICATS: IT IS ULAWFUL I MASSACHUSTTS TO RQUIR OR ADMIISTR A LI DTCTOR TST AS A CODITIO OF MPLOYMT OR COTIUD MPLOYMT. A MPLOYR WHO VIOLATS THIS LAW SHALL B SUBJCT TO CRIMIAL PALTIS AD CIVIL LIABILITY. TH COMPAY DOS OT US LI DTCTOR TSTS AS PART OF TH APPLICATIO PROCSS. FOR MOTAA APPLICATS: TH MPLOYMT RLATIOSHIP IS GOVRD BY TH WROGFUL DISCHARG FROM MPLOYMT ACT. Mont. Code Ann FOR RHOD ISLAD APPLICATS: THIS MPLOYR IS SUBJCT TO CHAPTRS OF TITL 28 (LABOR AD LABOR RLATIOS) OF GRAL LAWS OF RHOD ISLADAD IS THRFOR COVRD BY TH STAT S WORKR S COMPSATIO LAWS. IF YOU PROVID FALS IFORMATIO ABOUT YOUR ABILITY TO PRFORM TH SSTIAL FUCTIOS OF TH JOB, WITH OR WITHOUT ACCOMMODATIOS, YOU MAY B BARRD FROM FILIG A CLAIM UDR TH PROVISIOS OF TH WORKRS COMPSATIO ACT OF TH STAT OF RHOD ISLAD. BY SIGIG BLOW, I HRBY CRTIFY: This application is considered current for sixty (60) days only. At the end of this period, if I am still interested in employment, it will be necessary for me to reapply by completing and submitting a new application. While this application is only considered current for 60 days, I agree that any representations or agreements made by me in this application continue to be valid and applicable to me. This application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge. I have reviewed the Workplace Resolution Program and Mutual Agreement to Arbitrate Claims document included with this Application and agree that the terms of that agreement apply to me as an applicant and, if hired, as an employee of the Company. I have read and understand those above state law provisions applicable to me. Signature of Applicant: Date:
5 You must sign the final page of this Agreement and turn the entire Agreement in with your application in order to be considered or hired for employment with the Company. SALLY BAUTY HOLDIGS, IC. WORKPLAC RSOLUTIO PROGRAM AD MUTUAL AGRMT TO ARBITRAT CLAIMS You must sign the final page of this Agreement and turn the entire Agreement in with your application in order to be considered or hired for employment with the Company. 1. ITRODUCTIO This Workplace Resolution Program and Mutual Agreement to Arbitrate Claims ( Agreement or Program ) is between me and the Sally Beauty Holdings, Inc. affiliate I am employed by 1 (the Company ). Any reference to the Company in this Agreement will be a reference also to Company s parents, subsidiaries, partners, divisions, and affiliated entities (including without limitation Beauty Systems Group LLC), and all successors, assigns, officers, directors, employees, and agents of any of them. The Federal Arbitration Act (9 U.S.C. 1 et seq.) shall govern this Agreement, which evidences a transaction involving commerce. All disputes covered by this Agreement between me and the Company shall be decided by an arbitrator through arbitration and not by way of court or jury trial. 2. DISPUTS COVRD BY TH AGRMT The Company and I mutually consent and agree to the resolution by arbitration of all claims or controversies, past, present, or future ( Disputes ), including without limitation, claims arising out of or related to my application for assignment/employment, assignment/employment, and/or the termination of my assignment/employment that the Company may have against me or that I may have against any of the following: (1) the Company, (2) its officers, directors, employees, or agents in their capacity as such or otherwise, (3) the Company's parent, subsidiary, and affiliated entities, (4) the benefit plans or the plans' sponsors, fiduciaries, administrators, affiliates, and agents, and/or (5) all successors and assigns of any of them. Further, covered Disputes include any claim or controversy regarding the Agreement or any portion of the Agreement or its interpretation, enforceability, applicability, unconscionability, arbitrability, or formation, or whether the Agreement or any portion of the Agreement is void or voidable, with the exception noted in Section 7, below, the Class and Representative Action Waivers. The claims that are subject to arbitration under this Agreement are those that, in the absence of this Agreement, would have been justiciable under applicable state, federal, or other law. xcept as otherwise provided, this Agreement covers all claims that either the Company or I could bring arising out of or relating to my employment relationship with the Company, including, but not limited to: (i) discrimination based on race, creed, color, religion, sex, age, disability, leave status, national origin, ancestry, sexual orientation, marital status, veteran or military reserve status, privacy, or any other characteristic protected by federal, state, or local law, (ii) retaliation, including, but not limited to, whistleblower status or retaliation for filing a workers' compensation claim, (iii) torts, including, but not limited to, defamation, invasion of privacy, infliction of emotional distress, or workplace injury not otherwise covered by applicable workers' compensation laws, 1 Which may be Sally Beauty Supply LLC, Beauty Systems Group LLC, Arcadia Beauty Labs LLC, Sally Beauty de Puerto Rico, Inc., Armstrong McCall, L.P. or another affiliate of Sally Beauty Holdings, Inc. (iv) all employment related laws, including, but not limited to, Title VII of the Civil Rights Act, the Civil Rights Acts and amendments of 1866, 1871 and 1991, the Age Discrimination in mployment Act, the Older Workers Benefit Protection Act, the Americans with Disabilities Act, the qual Pay Act, the Genetic Information ondiscrimination Act, the Family and Medical Leave Act, the Worker Adjustment Retraining and otification Act, the Fair Labor Standards Act, and any amendments to these laws, and any such related or similar state or local laws, (v) any federal, state, or local law or common law doctrine for breach of contract, promissory estoppel, wrongful discharge, or conversion, (vi) claims for interference with rights under the mployee Retirement Income Security Act of 1974, as amended ( RISA ), or other claims concerning administration of RISA plans not excluded below, and (vii) claims under federal or state law regarding wages (including without limitation claims for pay, minimum wage, and overtime), wage penalties, meal and rest breaks, classification, reimbursement of expenses, compensation, stock or incentive bonus plans, or intellectual property rights and associated laws. 3. CLAIMS OT COVRD BY TH AGRMT I agree that the following claims are not considered as a covered Dispute and are excluded under the Agreement: (i) Workers Compensation benefit claims; (ii) state unemployment or disability insurance compensation claims; (iii) claims for benefits under employee benefit plans covered by RISA that contain an appeal procedure or other exclusive and/or binding dispute resolution procedure in the respective plan; (iv) claims under the ational Labor Relations Act within the jurisdiction of the ational Labor Relations Board; and (v) claims that the Dodd-Frank Wall Street Reform and Consumer Protection Act or other controlling federal statutes bar from the coverage of mandatory pre-dispute arbitration agreements. The Company and I may apply to a court of competent jurisdiction for temporary or preliminary injunctive relief in connection with an arbitrable controversy, but only upon the ground that the award to which that party may be entitled would be ineffectual without such provisional relief; provided, however, that all issues of final relief shall be decided in arbitration, and the pursuit of the temporary or preliminary injunctive relief described herein shall not constitute a waiver of rights under this Agreement. 4. VOLUTARY PR-ARBITRATIO OPTIOS a. Informal Resolution and Open Door Policy This Agreement does not in any way prevent me or the Company from using informal avenues to raise or resolve concerns including Disputes that are covered under this Agreement. I understand that I may raise concerns with my managers. Many times addressing concerns with my immediate manager will lead to a resolution. If I feel uncomfortable raising concerns with my immediate manager, or my manager does not respond to my concerns, I may raise the concerns with my manager s supervisor including my SBH WORKPLAC RSOLUTIO PROGRAM AD MUTUAL AGRMT TO ARBITRAT CLAIMS Page 1 of 4
6 District Manager or Regional Manager. I also am encouraged to bring concerns to the attention of the Company s Human Resources Department pursuant to the Company s Open Door Policy. b. Pre-Arbitration Human Resources Review Prior to initiating arbitration of a covered dispute, the Company encourages me to submit a complaint letter to the Vice President of Human Resources at: Pre-Arbitration Complaint Intake, Sally Beauty Holdings, Inc., 3001 Colorado Blvd., Denton, Texas The complaint letter shall clearly state Pre-Arbitration Complaint Letter and should briefly identify the nature of the complaint and potential legal claim. The Vice President of Human Resources will appoint a senior Human Resources professional to investigate my complaint and attempt to provide me with a written response within thirty (30) days of the date that I submit the complaint. I understand that I am not required to submit such a complaint before pursuing arbitration, but that this is an option that may permit the Company to resolve my issue prior to engaging in the arbitration process. c. Mediation Mediation is a voluntary, non-binding process where a neutral third-party (a mediator) works with the parties to reach a mutually agreeable settlement of the Dispute. If a settlement is not reached, the mediator has no authority to impose one. I may request Mediation by making a written request for mediation of a Dispute to the Company s Legal Department, currently at: Mediation Intake, Sally Beauty Holdings, Inc., 3001 Colorado Blvd., Denton, Texas If the Company requests mediation, it will make a written request at the last home address I provided in writing to the Company. Both parties must mutually agree to mediation before any mediation occurs, and neither party has any obligation under this Agreement to mediate a Dispute. Mediation is completely voluntary and is not a prerequisite to arbitration of a Dispute. The Company will pay all of the fees and costs of prearbitration Mediation. Statute of Limitations: To the extent I initiate Pre-Arbitration Human Resources Review or the Company and I agree to Mediation, as outlined in the above paragraphs, the applicable statute of limitations for my legal claims is tolled during the course of those processes. In other words, if those processes are initiated, the deadline for the filing of my claims is extended by the length of time it takes for those processes to be conducted. 5. HOW TO IITIAT ARBITRATIO OF COVRD DISPUTS The Company and I agree that the aggrieved party must make a written Request for Arbitration of any claim to the other party no later than the expiration of the statute of limitations (deadline for filing) that applicable state or federal law prescribes for the claim. The parties are encouraged to make the written Request for Arbitration of any claim as soon as possible after the event or events in dispute so that arbitration of any differences may take place promptly. A written Request for Arbitration to the Company or its officers, directors, employees, or agents shall be sent to its Legal Department, currently at: Arbitration Intake, Sally Beauty Holdings, Inc., 3001 Colorado Blvd., Denton, Texas I will be sent a written Request for Arbitration at the last home address I provided in writing to the Company. The Request For Arbitration shall, unless otherwise required by law, clearly state Request For Arbitration at the beginning of the first page and shall identify and describe the nature of all claims asserted, the facts upon which such claims are based, and the relief or remedy sought in accordance with pleading standards applicable to claims for relief under the Federal Rules of Civil Procedure. The Request for Arbitration shall be sent to the other party by certified or registered mail, return receipt requested, and first class mail. 6. TH ROL OF ADMIISTRATIV AGCIS Disputes may be brought before an administrative agency to the extent applicable law permits access to an agency notwithstanding an agreement to arbitrate covered Disputes, including, but not limited to, claims or charges brought before the qual mployment Opportunity Commission, the U.S. Department of Labor, the ational Labor Relations Board, and the Office of Federal Contract Compliance Programs. othing in this Agreement shall be construed to: (i) relieve any party of the duty to exhaust administrative remedies by filing a charge or complaint with an administrative agency and obtaining a right to sue notice, where otherwise required by law, or (ii) prevent either party from cooperating with a federal or state body as required by law. The Company will not retaliate against me for filing a claim with an administrative agency. 7. CLASS AD RPRSTATIV ACTIO WAIVRS TH COMPAY AD I HRBY WAIV AY RIGHT FOR AY DISPUT TO B BROUGHT, HARD, DCIDD, OR ARBITRATD AS A CLASS AD/OR COLLCTIV ACTIO ( Class Action Waiver ). otwithstanding any other clause contained in this Agreement, the preceding sentence shall not be severable from this Agreement in any instance in which the Dispute is brought as a class and/or collective action. TH COMPAY AD I ALSO HRBY WAIV AY RIGHT FOR AY DISPUT TO B BROUGHT, HARD, DCIDD, OR ARBITRATD AS A RPRSTATIV ACTIO ( Representative Action Waiver ). However, this Representative Action Waiver may be severed if it would otherwise render this Agreement unenforceable in any action brought under a private attorneys general law, and following severance the representative action may be brought in a court of law. otwithstanding any other clause or language contained in this Agreement and/or any rules or procedures that might otherwise be applicable by virtue of this Agreement or by virtue of any arbitration organization rules or procedures that now apply or any amendments and/or modifications to those rules, any claim that this Class Action Waiver or Representative Action Waiver, or any portion of this Class Action Waiver or Representative Action Waiver, is unenforceable, inapplicable, unconscionable, or void or voidable, shall be determined only by a court of competent jurisdiction and not by an arbitrator. SBH WORKPLAC RSOLUTIO PROGRAM AD MUTUAL AGRMT TO ARBITRAT CLAIMS Page 2 of 4
7 8. RPRSTATIO Any party may be represented by an attorney selected by the party. I understand and agree that I have been given the opportunity to discuss this Agreement with my private legal counsel and have availed myself of that opportunity to the extent I wish to do so. 9. GOVRIG LAW The Company and I expressly agree that this Agreement shall be construed and interpreted, and its validity and enforceability determined, in accordance with the Federal Arbitration Act (9 U.S.C. 1, et seq.). The Company and I agree that this Agreement evidences a transaction involving interstate commerce and that the Company is engaged in transactions involving interstate commerce. 10. PROCDURS AD RULS The parties shall select the neutral arbitrator and/or arbitration sponsoring organization by mutual agreement. If the parties are not able to mutually agree to an arbitrator and/or arbitration sponsoring organization, the arbitration will be held under the auspices of the American Arbitration Association ( AAA ), and except as provided in this Agreement, shall be in accordance with the then current mployment Arbitration Rules of the AAA ( AAA Rules ) (the AAA Rules are available through the Company s Human Resources Department or via the internet at In addition, unless required otherwise by law (including the common law), a party to an arbitration proceeding under this Agreement may make an offer of judgment in a manner consistent with, and within the time limitations, consequences, and effects provided in Rule 68 of the Federal Rules of Civil Procedure. The offer shall be served on the offeree in the same manner in which other papers are served in the arbitral proceeding. The offer shall not be served on the Arbitrator, except that if the offer is accepted, either party may then file with the Arbitrator the offer and notice of acceptance together with proof of service thereof. The Arbitrator shall then immediately render an award as provided by the offer, and the arbitration proceedings shall then be terminated. If the offer is not accepted, the offer shall not be used as evidence in the arbitration proceedings and, following the issuance of the Arbitrator s award, the offeror may file a motion for costs with the Arbitrator, who shall retain jurisdiction to decide the motion and award costs to the offeror as warranted. Unless the parties jointly agree otherwise, the Arbitrator shall be either an attorney who is experienced in employment law and licensed to practice law in the state in which the arbitration is convened, or a retired judge from any jurisdiction (the "Arbitrator"). Unless the parties jointly agree otherwise, the arbitration shall take place in or near the city in which I am or was last employed by the Company. In the event the parties mutually choose a sponsoring organization, or AAA is designated, the Arbitrator shall be selected as follows: The organization selected shall give each party a list of eleven (11) arbitrators drawn from its panel of arbitrators. ach party shall have ten (10) calendar days from the postmark date on the list to strike all names on the list it deems unacceptable. If only one common name remains on the lists of all parties, that individual shall be designated as the Arbitrator. If more than one common name remains on the lists of all parties, the parties shall strike names alternately from the list of common names until only one remains, with the party asserting the initial claim to strike first. If no common name remains on the lists of all parties, the selected organization shall furnish an additional list of eleven (11) arbitrators from which the parties shall strike alternately, with the party asserting the initial claim striking first to be determined by a coin toss, until only one name remains. That person shall be designated as the Arbitrator. 11. DISCOVRY AD SUBPOAS ach party shall have the right to take the deposition of one individual and any expert witness designated by another party. ach party also shall have the right to propound requests for production of documents to any party. Additional discovery may be had by mutual agreement of the parties or where the Arbitrator selected so orders pursuant to a request by either party. ach party shall have the right to subpoena witnesses and documents for the arbitration, as well as documents relevant to the case from third parties. 12. ARBITRATIO FS AD COSTS The party that initiates the arbitration shall pay a filing fee as required by the organization through which the arbitration is conducted (not to exceed the lesser of $ or the court filing fee applicable in the jurisdiction where the arbitration will be conducted). The Company shall pay all other fees and costs of the Arbitrator and/or that are assessed by the organization through which the arbitration is conducted. If I am financially unable to pay a filing fee, I will be relieved of the obligation to pay the filing fee. ach party shall pay for its own costs and attorneys' fees, if any. However, if any party prevails on a claim which affords the prevailing party attorneys' fees, or if there is a written agreement providing for fees, the Arbitrator may award reasonable fees to the prevailing party as provided by law. In the event the law (including the common law) of the jurisdiction in which the arbitration is held requires a different allocation of arbitral fees and costs in order for this Agreement to be enforceable, then such law shall be followed. 13. JURISDICTIO OF ARBITRATOR a) The Arbitrator may award to me or the Company any remedy to which that party is entitled under applicable law (including, but not limited to, legal, equitable, and injunctive relief), but such remedies are limited to those that would be available to a party in his or her individual capacity in a court of law for the Disputes presented to and decided by the Arbitrator. The Arbitrator is without jurisdiction to apply any different substantive law. b) The Arbitrator shall have jurisdiction to hear and rule on pre-hearing disputes and is authorized to hold prehearing conferences by telephone or in person, as the Arbitrator deems necessary. The Arbitrator shall have the authority to hear and decide dispositive motions and/or a motion to dismiss and/or a motion for summary judgment by any party and shall apply SBH WORKPLAC RSOLUTIO PROGRAM AD MUTUAL AGRMT TO ARBITRAT CLAIMS Page 3 of 4
8 the standards governing such motions under the Federal Rules of Civil Procedure. The Arbitrator shall have the authority to issue appropriate protective orders to ensure the confidentiality of the proceedings or safeguard personal or privacy rights, in accordance with applicable law. Should any party refuse or neglect to appear for, or participate in, the arbitration hearing, the Arbitrator shall have the authority to decide the dispute based upon whatever evidence is then before him or her. c) The Arbitrator shall render an award by written opinion no later than 30 days from the date the arbitration hearing concludes or the post-hearing briefs (if requested) are received, whichever is later, unless the parties agree otherwise. The opinion shall be in writing and include the factual and legal basis for the decision. 14. JUDICIAL RVIW Judicial review shall be governed by the Federal Arbitration Act. 9 U.S.C The decision of the Arbitrator may be entered and enforced as a final judgment in any court of competent jurisdiction. 15. COFIDTIALITY xcept to the extent prohibited or otherwise required by law as determined by the Arbitrator, the Company and I agree to maintain the confidentiality of the arbitration, except: (i) to the extent agreed upon otherwise, (ii) as may be otherwise appropriate in response to a governmental agency or legal process, (iii) as is necessary to enforce, correct, modify, or vacate the Arbitrator's award, or (iv) if the law provides to the contrary. 16. COSTRUCTIO xcept as provided in Section 7, Class and Representative Action Waivers above, if any provision of this Agreement is adjudged to be void, voidable, or otherwise unenforceable, in whole or in part, such provision shall, without affecting the validity of the remainder of the Agreement: (i) be modified to the extent necessary to render such term or provision enforceable preserving to the fullest extent possible the intent and agreements herein, or (ii) to the extent such modification is not permissible, be severed from this Agreement. All remaining provisions shall remain in full force and effect. A waiver of one or more provisions of this Agreement by any party shall not be a waiver of the entire Agreement or any other provision of the Agreement. 17. COSIDRATIO I and the Company agree that the mutual obligations by the Company and me to arbitrate Disputes and my employment and/or continued employment (which, as noted in Paragraph 18, remains at will) provide adequate consideration for this Agreement. 18. AT WILL MPLOYMT I understand and agree that this Agreement does not in any way alter the at-will status of my employment. 19. SOL AD TIR AGRMT I agree that this is the complete agreement of the parties on the subject of arbitration of Disputes. This Agreement shall survive the termination of my employment and the expiration of any benefit. o party is relying on any representations, oral or written, on the subject of the effect, enforceability, or meaning of this Agreement, except as specifically set forth in this Agreement. This Agreement does not supersede any restrictive covenant(s) or confidentiality obligations entered into by me and the Company. otwithstanding any contrary language, if any, in any Company policy or handbook, this Agreement may not be modified, revised, or terminated absent a writing signed by both parties. BY SIGIG BLOW, I ACKOWLDG THAT I HAV CARFULLY RAD AD UDRSTAD THIS AGRMT AD AGR TO ITS TRMS. I AGR THAT BY SIGIG THIS AGRMT, TH COMPAY AD I AR GIVIG UP OUR RIGHTS TO A JURY TRIAL AD THAT PURSUAT TO TH TRMS OF THIS AGRMT, W AR AGRIG TO ARBITRAT DISPUTS COVRD BY THIS AGRMT. Signature Address Printed ame Date President and Chief xecutive Officer SBH WORKPLAC RSOLUTIO PROGRAM AD MUTUAL AGRMT TO ARBITRAT CLAIMS Page 4 of 4
APPLICATION FOR EMPLOYMENT
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