PPLICATION FOR EMPLOYMENT

(Pre-Employment Questionnaire) (An Equal Opportunity Employer)

Failure to complete any of the required sections may result in you not being considered for employment. Applications are

only effective for six (6) months. Thereafter, you must personally renew the application to be considered for employment.

PLEASE READ THE FOLLOWING CAREFULLY

I declare that the answers to the questions in this application are correct and acknowledge that any misstatement of fact or omission will be cause for dismissal or rejection. I authorize DENET TOWING to contact any of my previous employers as well as any reference source in order to verify the facts and information, I have furnished regarding my qualifications and character. I hereby authorize any person(s) having knowledge thereof to provide such information to DENET TOWING, and I hereby release from liability and agree to hold harmless any person that furnishes such information in good faith. I agree that I will submit to a urinalysis, breathalyzer and/or blood test requested by DENET TOWING as a condition of my employment. I authorize DENET TOWING to supply my employment record in whole or part and in confidence to any employer, insurance agency, or other part with a legal and proper interest, and I hereby release DENET TOWING from any liability and agree to hold harmless any employee of DENET TOWING who furnishes such information. I further understand that no employee or officer or agent of DENET TOWING may bind it by oral or printed statements, including handbooks, benefit books, or bulletins, contrary to the above. Finally, I understand that no unauthorized alcohol, drugs, or firearms are permitted on company premises, and that either being under the influence of illicit drugs or having identifiable traces of them in my system during working hours is strictly prohibited. If medication is prescribed by a doctor, I am required to notify management in writing, of the specific medical problem and exact drug has been prescribed, immediately upon reporting to work.

NOTICE:

DENET TOWING has a policy prohibiting the possession, distribution, use, consumption or being under the influence of illegal or unauthorized alcohol or drugs (synthetics, designers, etc.) and other harmful substances in order to provide a safe and healthful environment for the firm's employees, visitors, and other personnel. You will be dropped from consideration of employment with DENET TOWING if the results of your urine drug screen indicate that you are applying for a job while you are using any of the above mentioned illegal or unauthorized substances. Captain Applicants Only: The United States Coast Guard will be notified of all licensed personnel testing positive in the drug screen! (The applicant may choose to have a second set of test performed on the same positive urine sample; however, the second test must be paid for by the applicant and requested in writing within 24 hours after being disqualified.

An investigation into your workers' compensation of industrial accident background may be conducted. You are further advised that under the Fair Credit Reporting Act, 15 U.S.C. Sec. 1681, any person who procures or cases preparation of investigative consumer report on any consumer, shall upon written request made by the consumer within a reasonable time after receipt of disclosure required by section 1681 (d), make a complete and accurate disclosure of the nature and scope of the investigation requested. This disclosure shall be made in writing, mailed or other wise delivered to the consumer no later than 5 days after the date on which such request was received from the consumer of such report was first requested, which is latter.

If you have any questions what so ever about the information of this application, you should ask a DENET TOWING representative NOW, before applying.