Starting with the current or most recent. List in consecutive order.

I certify all the information submitted by me on this application is true and correct. I further understand any omissions or false information may lead to discipline up to and including discharge at the time such false information or omissions are discovered. I authorize investigation of all statements contained in this application which will include information about my background and experience with former employers, education institutions and any relevant agencies, and authorize those parties to provide information to RMG and all parties providing information to RMG about my background and experience, from any liability whatsoever arising there from. My signature below certifies that I understand that my employment is contingent upon satisfactory completion of a hair drug test, appropriate background confirmation, satisfactorily meeting any conditions required by various locations, and submission of proof that I have the credentials and/or licenses (if relevant} necessary for the position that I have been offered and accepted. I understand that if I or RMG my terminate my employment for any reason, with or without cause or notice at any time.

Our organization is committed to the employment and advancement of minorities, females, individuals with disabilities and veterans. If you fall within one of these protected classifications, we invite you to identify yourself and receive coverage under our company's Affirmative Action Plan. You may inform us of your desire to benefit under the program at this time and/or any time in the future. Completion of this form is voluntary and in no way affects the decision regarding your employment opportunity. The information will be held in the strictest confidence, will be maintained in a separate file, and will not be used in a manner inconsistent with the Acts.

White (Not Hispanic or Latino): A person having origins in any of the original peoples of Europe, the Middle East, or North Africa. Asian (Not Hispanic or Latino): A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian Subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam. Black or African American (Not Hispanic or Latino): A person having origins in any of the black racial groups of Africa. American Indian or Alaska Native (Not Hispanic or Latino): A person having origins in any of the original peoples of North and South America (including Central America) and who maintain tribal affiliation or community attachment. Hispanic or Latino: A person of Cuban, Mexican, Puerto Rican, South of Central American or other Spanish culture or origin regardless of race. Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino): A person having origins in any of the peoples of Hawaii, Guam, Samoa, or other Pacific Islands.