I understand Murphy's Autocare Inc., d.b.a. Murphy's Autocare, Columbus Tire, d.b.a. as Murphy's Autocare, and any subsequent company doing business as Murphy's Autocare, subsequently referred to as Murphy's Autocare, requires certain information about me to evaluate my qualifications for employment and conduct its business if I become an employee. I understand that the company may investigate my driving record, credit history and criminal record and I give Murphy's Autocare permission to do so. I also understand that an investigative consumer report may be made, whereby, information is obtained through personal interviews with those with whom I am acquainted. This inquiry includes information as to my character, general reputation, personal characteristics, financial responsibility, and mode of living. I understand that I have a right to make a written request, within a reasonable matter of time, to receive additional detailed information about the nature and scope of this investigative consumer report. I hereby release Murphy's Autocare Tire Company Inc., and any persons, company, or institution that provides the Company with information from any and all liability for any damages that may result from the investigation, use, or disclosure of such information. I understand false, incomplete or misleading statements on this application may be considered sufficient cause for dismissal, if, and when discovered. I also understand that information provided on this application may be used to make an employment decision.

If employed, I agree to engage in no outside activity which would involve a material conflict of interest with, or which could reflect adversely on the company. I understand this decision is to rest with the company.

n addition, if accepted for employment I hereby agree to abide by the rules and policies of my employer and accept the established pay period as provided in accordance with the Fair Labor Standards Act (as amended). I agree to conform to the Company's rules and regulations, and I agree that my employment and compensation may be terminated, with or without cause, and with or without notice, at either my, or the company's option. I also understand and agree that the terms and conditions of my employment may be changed with or without notice, at any time by the company. I understand that no company representative, other than the President/Owner, and then only in writing and signed by the President/Owner, has the authority to enter into any agreement for employment for any specific period of time, or to make any agreement contrary to the foregoing "This is a true application seeking work only."

I authorize and request my former employers, references, (including the U.S. Government and the U.S. Military, educational institutions, registration and licensing boards, credit agencies or reporting services which have information about me, to give Murphy's Autocare Tire Co., Inc. and subsidiaries any and all information and opinions about me in their possession and which may lawfully be disclosed. I hereby waive written notice of such release of information and opinions, and I release such former employers, references, (including the U.S. Government and the U.S. Military, educational institutions, registration and licensing boards, credit agencies or reporting services, from any liability or claim relating to such release of information and opinions. I also authorize and request, federal, state, and local governmental agencies to release to Murphy's Autocare Tire Co., Inc. including all subsidiaries any information requested concerning any criminal convictions on my record. A photocopy of this signed authorization and waiver shall be valid as an original.