PERSONAL INFORMATION

CURRENT ADDRESS

Position Applied For & Desired Wage

GENERAL INFORMATION

Note: Individuals with work authorization based on non-immigrant visa status should advise type of visa when submitting application.

Have you ever been discharged from any employment or asked to resign? NoYes

If Yes, please explain.

Upload Resume

DISCLOSURE

We, 1^st Choice, will obtain one or more consumer reports or investigative consumer reports (or both) about you for employment purposes. These purposes may include hiring, contract, assignment, promotion, re-assignment, and termination. The reports will include information about your character, general reputation, personal characteristics, and mode of living.

We will obtain these reports through a consumer reporting agency. Our consumer reporting agency is General Information Services, Inc. GIS's address is P.O.Box 353, Chapin, SC 29036. GIS's telephone number is (866) 265-4917. GIS's website is at www.geninfo.com, where you can find information about whether GIS's international privacy practices.

To prepare the reports, GIS may investigate your education, work history, professional licenses and credentials, references, address history, social security number validity, right to work, criminal record, lawsuits, driving record, credit history, and any other information with public or private information sources.

You may obtain a copy of any report that GIS provides and GIS's file about you (in person, by mail, or by phone) by providing identification to GIS. If you do, GIS will provide you help to understand the files, including trained personnel and an explanation of any codes. Another person may accompany you by providing identification.

If GIS obtains any information by interview, you have the right to obtain a complete and accurate disclosure of the scope and nature of the investigation performed.

Please sign below to acknowledge your receipt of this disclosure.

SMSBy subscribing, you consent to receive SMS messages. Message and data rates may apply. To opt out of our text messaging, send the word "STOP" at any time. You understand and agree that text messages sent to your mobile phone/device may be generated using automated technology.