Production/Plant Supervision Application for Employment This application must be completed in full - incomplete applications will not be considered.

American Panel is an equal opportunity employer and considers all candidates

for employment regardless of race, color, religion, sex, national origin, age,

disability, marital status, veteran's status, pregnancy, genetic information, or

any other status protected by federal or state law.

PERSONAL:

Position Desired Date

Shi ft Preference

------------- ---------

0 First Shift □ Second Shift 0 T hird Shift

Date Available to Begin Work __________________ _

How did you hear about the opening? _______________ _

Phone# --------------

Name (Last) ___________ (First) ___________ (Middle) __________ S. S.# _______________ _

Address (Street/Box#) City State _______ Zip _______ _

Are you 18 years of age or older? D YES

Are you a citizen of the United States? D YES

□ NO

D NO If not, do you have a legal right to work in the U.S.?

Please give type of Employment Authorization and Number ______________ _

Do you have the ability to perform the job for which you are applying with or without accommodation? 0 YES

□ YES □ NO

0 NO

If no, give details ____________________________________________________ _

I certify that I can meet the attendance requirements of the job D YES 0 NO

If necessary, can you work overtime? _________ Saturday? ______ Sunday? ____ _

If employed, will you be able to buy and wear steel toe shoes or boots? ______________ _

Have you previously applied for work with American Panel Corporation? __________ When? ___________________ _

Have you previously worked for this company? _________ lf yes, when and give reason for leaving ___________________ _

Have you ever been convicted of a crime, either a felony or misdemeanor? D YES D NO

If YES, give date and details of each conviction __________________________________________ _

EDUCATION: Name and Location No. of Years

Grade School

High School

College

Other

MILITARY SERVICE:

Dates

Branch _____________ From _____ To ___ _

11 /13

merican Pane Versatile. Dependable Walk-Ins and Blast Chillers

Dates (From-To) Diploma or Degree Course Taken

Final Rank

xxxxxxxxx xxxxxxxxx

Describe any specialized training or experience

AMERICAN PANEL CORPORATION

5800 S.E. 78th St., Ocala, Florida 34472

(352) 245-7055

WORK HISTORY: (Include Military Service) account fbr all time. START WITH LAST JOB HELD OR PRESENT EMPLOYER

DATES (Mo. & Year) Company Name and Adi:Jress of Employer Describe Duties Amount of � .. laN Explain Starting Amount Ending Amount Reason for Leaving

FROM Company

Address

TO City-State

Supervisor's Name Tel.

,

FROM Company

Address

TO City-State

Supervisor's Name Tel.

FROM Company

Address

TO City-State

Supervisor's Name Tel.

FROM Company

Address

TO City-State

Supervisor's Name Tel.

FROM Company

Address

TO City-State

Supervisor's Name Tel.

FROM Company

Address

TO City-State

Supervisor's Name Tel.

WORK EXPERIENCE: (Check all skills, jobs and equipment with which you have actual experience)

"J Air/Electric Hand Tools

□ Assembly Work

0 Automated Deburring Machine

0 BandsciW

D Blue Print Reading

D Carpentry

CJ CNC Folding Machine

,J CNC Programming

0 CNC Punch Press

O Computer Experience

D Custodial

f7 Department Supervisor or

Leadperson Experience

□ Drafting

□ Drill/Drill Press

O Electrical

rJ Facility Maintenance

GENERAL INFORMATION:

0

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

PRODUCTION

Forklift Operator

Hand Punch

Hydraulic Press Brake

Hydraulic Shear

Injection Foaming

Inspection/Quality Control/Expediter

Installations

Ironworker

Layout

Miter Saw

Packing

Pop Riveter

Radial Arm Saw

Refrigeration

D License Type

Rollformer/Endbender

Router

D Saber/Circular Saw

D Safety Committee

D Sheet Metal

D Shipping/Receiving

D Truck Driver

DC.D.L.

D License Class----

□ Table Saw

D Tap & Die

0 Tape Measure

D Welding

D Heli-Arc

DMIG/TIG

D Spot Welder

Do you possess a valid drivers license?

D Yes D No

Please list below any additional information or qualifications you have which will aid you in the job for which you are applying

Driver's License# ______________________ State ________ _

What salary would you require now to meet your living and personal obligations? S ____ Per ___ _

Names of relatives working for this company. If any, give their name and relationship _______________________ _

REFERENCES:

Please list two references (non-relatives) who are familiar with your work experience and whom we may contact

Name Position Company Telephone Relationship to you

APPLICANT'S STATEMENT (Please Read Carefully)

ln making this application for employment, I understand that an investigating consumer repod may be made whereby information is obtainedthrough personal interviews with neighbors, friends, and others with whom I am acquainted. This investigation includ-es information as to mycharacterand general reputation. I understand that I havethe rightto make a written request within a reasonable period of timeto receive additionaldetailed informalion about the nature and scope of this investigative consumer report.

I understand that the Company reserves the right to require a polygraph examination (Lie Detector Test) as permitted by law, any medicalexamination ancl/ora urineorblood test, of an applicant or employee atanytime, AND IGIVE MYCONSENTTO SUCH E)(AMINATION/SANDTESTS. I turther understand that any ofier of employment is made contingent upon a post offer negative drug screen.

I hereby certify that to the best of my knowledge and belief all statemenls on this application are true. I UNDERSTAND THAT ANyMISREPRESENTATION, OMISSION, OR FALSE STATEMENT IS CAUSE FOR RETRACTION OF OFFEB OR DISMISSAL.

lunderstand and agree that my employment with the Company will not be for any definite period of lime and that my employment can beterminated by me or the Company without cause, at any time at the will of either party. I turther understand that no supervisor or manager of theCompany has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary tothe foregoing.

I herebyauthorize and request alleducational institutions, employers, references, and branches of theArmed Serviceswith which I have beenassociated, upon request, to furnish the Company a complete history of my record as compiled or known by them, including but not limited to,my character, habits, ability, and cause of separation and release each of them and the Company from liability of any nature to me by reasonof any compliance with my request whether such be due to negligence, error or any other cause.

lf employed, I hereby agreeto submitto inspections of lockers, desks, cabinets, files, vehicles, boxes, purses, thermos botles, bundles, bags,extra clothing or any olher packages or containers under my control while on Company premises.

lf employed, I understand thal such employment WILL BE'ON A PROBATIONARY BASIS FOR A pERtOD OF NtNETY (90) DAYS FROMMY FIRST DAY OF EMPLOYT\4ENT.

I certify that I have read and understand the above information. lalso certify that lcan fulfillthe attendance standards of the position forwhichI am applying.

Applicant (Print) Date Signature

lnterviewer (Print) Date Signature

THIS APPLiCAT!ONIS CURRENT FOR ONLYl■ ノヽO MONTHS IF YOU HAVE NOT HEARD FROM∪ S BY THENAND STILL1/VISH TO BE CONSiDERED FOR EMPLttYMENtt YOU MUST COMPLETE A NEVVAPPLiCATION FORM

Form A

Pre-Employment Alcohol and Drug Testing Consent & Release Form

All applicants at APC will undergo screening for the presence of illegal drugs or alcohol as a condition for employment.

Applicants will be required to voluntarily submit to a urinalysis test at a laboratory chosen by the Company and by signing the Pre,EmploymentConsent and Release Form will release American Panel Corporation (APC) from liability.

Any applicant with positive test results will be denied employment at that time but may initiate another inquiry with the Company after six (6)m onths

The Company will not discriminate against applicants for employment because of past abuse of drugs or alcohol. However, the Company willnot tolerate any current drug or alcohol abuse that prevents employees from properly performing their jobs.

PRE.EMPTOYMENT AGREEMENT

PLEASE READ CAREFULLY.

I freely and voluntarily atree to submit to a urinalysis (drug screen) as part of my application for employment. I understand that either refusalto submit to the urinalysis screen or failure to qualify according to the minimum standards established by the Company for this screen mightdisqualify me for further consideration for employment.

I further understand that a qualified facility may collect these specimens for these tests and may test them or forward them to a testinglaboratory designated by American Panel Corporation (APC) for analysis.

I further agree to and hereby authorize the release of the results of said test to ApC.

I further atree to hold APC and its agents (including the above named physician and clinic) from any liability arising in a whole part, out of thecollection of specimens, testing, and use of information from said testings in the connection with the Company's consideration of myapplication of employment.

I further agree that a reproduced copy of this Pre Employment Consent and Release Form shall have the same affect as the original.

I further understand that upon commencement of employment with the Company I may atain be required to submit io a urinalysis screen. I

understand that refusal to take a requested urinalysis screen or failure to meet the minimum standards set for the screen may result inimmediate suspension or discharge.

I have read in full and understand the above statements and conditions of employment. I acknowledge that my signing ofthis Pre-EmploymentConsent and Release Form is a voluntary act on my part and that I have not been coerced into signing this document by anyone.

I further agree that this Pre-Employment Consent and Release Form shall be valid during the time of my application for or employment withAPC.

APPTICANT:

DATE

S GNATURE

PttNT NAME ss I

S:GNATURE DATE

DRIVER'S tlCENSE#

WITNESS:

PRINT NAME

Page 11

Rev 2/13/2018

EMA:L ADDRESS REQUEST FORM

Please provide your most recent email address and cell phone numberto receive current company information.

Please print clearly!

Date:

Name:

Email Address:

Cell Number:

Cell Phone Carrier:

01/31/2019

APPLICANTS FOR AⅣIERICAN PANEL CORPORATION5800 SI〕 78th St.

Ocala,FL 34472352-245-7055

WHATヽ VE DO: American Pancl Corporation manuね cturcs walk in coolers and ll・ eczers lor restaurants,

hotcls,groccry stores,schools,florist shops and many othcrs

WORKING HOURS:First Shi食 : Monday through Friday 7:00a m-3:00p mSccond Shi食 : Monday througll Friday 3:00 pJll -11:00 pJll

Third Shifl: Sunday through Thursday ll:00p.m -7:00a.m.

Offlcc Hoursi Monday through Friday 8:00 a lll -5:00p.lll.

PROBAT10NARY PERIOD FOR NEW EⅣ IPLOYEES:90 days.

INSURANCE:

HOLIDAYS:

VACAT10N:

After 90 days, full tirne ernployees are eligible to enroll in the rnedical and life insuranceplan paid for by the company. Dependent coverage is also available at the employee'sexpense via payroll deduction. Dental insurance is also available after 90 days at theemployee's expense.

Full time employees are entitled to six holidays per year. New employees rnust work 160hours prior to the holiday to be eligible fbr holiday pay.

Full time hourly en-rployees are eligible for five paid vacation days after one year ofservice, five paid vacation days after two years of service, ten paid vacatiou days afterthree years of service, and ten paid vacation days after each year of service thereafter.

Full time salary ernployees are eligible for ten paid vacation days after one year ofservice and ten paid vacation days after each year of service thereafter.

All full time ernplovees are eligible for an additional paid vacation day after each year ofservice beginning with the employee's five year anniversary date Lrntil the employee's tenyear anniversary date when the ernployee is eligible for fifteen paid vacation days.

All employees who work at least 1,000 hours per year are eligible to participate in theAmerican Panel 401(k) Plan after obtaining age 2l and completing one year of service.

401(k):

STARTING PAY: Starting rate depends upon the position.

SAFETY RESTRICTIONS IN THE FACTORY:(l) Srnoking and other uses of tobacco are prohibited anywhere in the buildings.(2) Beards and hair must be kept trimmed shoft or restrained in the factory due to safety considerations.(3) All factory personnel must wear steel toe work shoes or boots.(a) Eye protection rnust be worn while on the production floor at all tirres during production.

FACTORY POSITTON BASIC REQUIREMENTS:(l) All factory personnel must be able to accurately read a tape rneasLlre and read production paperwork.(2) Allfactory personnel must be capable of Iifting and carrying heavy objects (up to 75 Ibs.), standing

for 8-10 lrours per day, and must be willing arrd able to work overtime when needed.Rev l2-20-2019