Applicant’s statement and agreement

In the event of my employment to a position at KITAGAWA INDUSTRIES America, Inc., I will comply with all rules and regulations of this Company. I understand that KITAGAWA INDUSTRIES America, Inc. reserves the right to require me to submit to a test for the presence of drugs in my system prior to my employment and at any time during my employment, to the extent permitted by law. I also understand that should I decline to sign a consent or decline to take the above drug test, my employment may be terminated.

I understand that the Company will conduct a background check of my credentials and that, if an offer of employment is made to me, I will be provided with a release to perform this inquiry. I also understand that the Company may contact my previous employers and I authorize those employers to disclose to the Company all records and information pertinent to my employment with them. In addition to authorizing the release of any information regarding my employment, I hereby fully waive any rights or claims I have or may have against my former employers, their agents, employees and representatives, as well as other individuals who release information to the Company, and release them from any and all liability, claims, or damages that may directly or indirectly result from the use, disclosure, or release of any such information by any person or party, whether such information is favorable or unfavorable to me. I authorize the persons named herein as personal references to provide the Company with any pertinent information they may have regarding myself.

I hereby state that all the information that I provided on this application or any other documents filled out in connection with my employment, and in any interview is true and correct. I have withheld nothing that would, if disclosed, affect this application unfavorably. I understand that if I am employed and any such information is later found to be false or incomplete in any respect, I may be dismissed.

If hired, I agree as follows: My employment and compensation is terminable at-will, is for no definite period, and my employment and compensation may be terminated by KITAGAWA INDUSTRIES America, Inc. at any time and for any reason whatsoever, with or without good cause at the option of either the Company or myself. No implied, oral, or written agreements contrary to the express language of this agreement are valid unless they are in writing and signed by the President of the Company. No Manager or representative of KITAGAWA INDUSTRIES America, Inc. has any authority to make any agreements contrary to the foregoing. This agreement is the entire agreement between the Company and the employee regarding the rights of the Company or employee to terminate employment with or without cause and this agreement takes the place of all prior and contemporaneous agreements, representations, and understandings of the employee and KITAGAWA INDUSTRIES America, Inc.

If you have any questions regarding this statement, please ask a Human Resources Representative before signing. I hereby acknowledge that I have read the above statements and understand the same.