Give the name of three persons not related to you, whom you have known at least one year.

I hereby certify that the information provided by me in this application (or information on any other accompanying or required documents) is true, correct and complete to the best of my knowledge. I understand that any false statement or omission may be considered sufficient cause for rejection of this application or for dismissal from employment regardless of the timing or circumstances of discovery. I hereby authorize Vutex, Inc. to conduct physical exams as allowed by the Americans with Disabilities Act of 1990. I authorize Vutex, Inc. to request any persons, firms or corporations identified as a former employer or reference to answer any and all questions, and to give any information concerning me, including but, not limited to, my work habits, disciplinary records, attendance records, character, or skill that may be sought in connection with this application. I expressly release these persons from any and all liability in fumishing responses to these inquiries. I also authorize Vutex, Inc. to conduct drug testing and a background investigation as required. I understand and agree that, if employed, my employment is for no definite period and that I may be terminated at any time without any prior notice, regardless of the date of payment of my wages or salary. If this application is considered favorably, I agree to abide by and comply with all rules and regulations of the Vutex, Inc. as they currently exist and/or as they may be modified during my employment relationshp.

This application will be active for 90 days from this date. To be considered for any job after that time, you will need to complete another application.