PLEASE READ CAREFULLY BEFORE SUBMISSION

I hereby certify that all questions are correctly answered and authorize the Company to contact my former employers, references and all other sources they deem necessary in order to verify facts and information furnished with regard to my character and qualifications. I also release the Company and its agents from all liability which might result from conducting this investigation. I further understand that the completion of this form and any addendum thereto does not assure me of a position with this Company or obligate the Company in any way, and that if hired, I may be terminated at any time at the Company's sole discretion (unless an applicable written collective bargaining agreement provides otherwise). I further understand that any misleading or incorrect statements may render this application or any addendum thereto void, and if employed, may result in my immediate termination.

FRG is an Equal Opportunity Employer. Qualified applicants are considered for employment without regard to age, race, color, religion, sex, national origin, sexual orientation, disability or veteran status.