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APPLICATION FOR EMPLOYMENT

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PERSONAL INFORMATION

First Name:   Last Name:           Address1: Address2: City: Alaska Alabama Arkansas Arizona California Colorado Connecticut Dist of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming ZIP: Phone (Home):     (Work):      (Cell): eMail: Have you ever been convicted of any misdemeanor or felony crime? If yes, please indicate crime, date of conviction or disposition (a conviction will not necessarily disqualify an applicant for employment).

EMPLOYMENT DESIRED

Position: Date you are available:    Salary Expected: Are you employed now: YesNo   If so, may we inquire of your present employer: YesNo Are you at least 18 years old: YesNo Have you applied to Westrec Properties, Inc. before: YesNo   If yes, location:   Month and Year: Can you furnish proof that you are either a U.S. Citizen or otherwise legally permitted to work in the U.S.?   YesNo   If applicable, type of visa: Acquaintances and/or relatives employed at Westrec Properties, Inc.: Name:    Relationship:    Department/Location:

EDUCATION

School Name and Address of School Course of Study Last Yr Completed Did you Graduate? List... High School 1234 YesNo             College 1234 YesNo             Describe specialized training and apprenticeship:

SPECIAL SKILLS AND QUALIFICATIONS

FORMER EMPLOYERS

List employers, starting with most recent. I Name and Address of Company: Start Date:    End Date: Start Salary:    End Salary: Duties: Supervisor:    Phone: Reason for Leaving: II Name and Address of Company: Start Date:    End Date: Start Salary:    End Salary: Duties: Supervisor:    Phone: Reason for Leaving: III Name and Address of Company: Start Date:    End Date: Start Salary:    End Salary: Duties: Supervisor:    Phone: Reason for Leaving: Professional References: Name: Address: City/State/Zip: Phone: Business: Years Acquainted: Professional References: Name: Address: City/State/Zip: Phone: Business: Years Acquainted:

OTHER

In case of emergency, notify: Name: Address: Phone: The facts set fourth in my application for employement are true and complete. I understand that misrepresentation or omission of the facts called for hereon or receipt of unsatisfactory references may result in dismissal from the Company's service if I shall be employed. You are hearby authorized to make any investigation of my personal history and financial credit record through any investigative or credit agencies or bureaus of your choice. I understand that if I am employed, my employement and compensation can be terminated at will, with or without cause and with or without notice at any tim at the option of the Company or myself. I further understand that no representative of the Company, other the the President of the Company, has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing. I further understand that the President of the Company can only enter into an agreement for a specified term and only if it is done expressly in a written agreement signed by the President and Employee. I understand that employement in certain Westrec Marinas, Inc. locations is contingent upon successful completion of a criminal background check by either an investigative consumer report or fingerprinting and that if I do not participate in the criminal background check, (a) I will not be eligible for employement and (b) any offer of employment is subject to the results of the criminal background check. I release Westrec Marinas, Inc. from any and all liability for damages that my result from conducting these investigations or obtaining any investigative reports. I further release any individual from any and all liability for damages that may result to me on account of compliance with this authorization. I understand and agree that if employed I will faithfully comply with and abide by all company polices, including but not limited to those set forth in the Human Resources Policy manual, including such policies and regulations which may be posted, published or changed from time to time. By checking the box to the left, I attest that I have read and agree to the above. This form and its contents are encrypted and communicated in a secure format backed by VeriSign.