Employment Application

I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.

I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.

I also understand and agree that no representative 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, unless it is in writing and signed by an authorized company representative.

This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws.

Driver abstracts are due by the end of the first training week. Drivers agree to the training process before employment begins. This does not guarantee an employment opportunity with Menzel Enterprises, Inc. Random drug testing is administered with employment. Employee acknowledges that Menzel Enterprises, Inc. will perform background checks. If this process reveals any information that was not made clear on this application, Menzel reserves the right to refuse employment opportunity.

Disclosure Regarding Background Investigation

AAA Auto Club Group North - Menzel Enterprises, Inc. (the "Company") may request, for lawful employment purposes, background information about you from a consumer reporting agency in connection with your employment or application for employment, as applicable. This background information may be obtained in the form of consumer reports and/or investigative consumer reports (commonly known as "background reports"). These background reports may be obtained at any time after receipt of your authorization and, if you are employed by the Company, throughout your employment. If you are a California applicant or employee, your authorization will be requested prior to obtaining any subsequent background report.

The types of information that may be obtained include, but are not limited to: social security number verifications; address history; credit reports and history; criminal records and history; public court records; driving records; accident history; worker's compensation claims; bankruptcy filings; educational history verifications; employment history verifications; personal and professional references checks; professional licensing and certification checks; drug/alcohol testing results, and drug/alcohol history in violation of law and/or company policy; and other information bearing on your character, general reputation, personal characteristics, mode of living and credit standing.

I have carefully read and understand this Disclosure and Authorization form and the attached summary of rights under the Fair Credit Reporting Act. By my signature below, I consent to preparation of background reports by a consumer reporting agency such as HireRight, Inc., and to the release of such background reports to the Company and its designated representatives and agents, for the purpose of assisting the Company in making a determination as to my eligibility for employment, promotion, retention or for other lawful employment purposes. I understand that communication about any of the reports obtained about me or information in them may be shared with affiliated companies. I further understand that if the Company employs me, my consent will apply, and the Company may obtain background reports, throughout my employment.

The undersigned does hereby authorize the release and delivery of all motor vehicle driving records relating to the undersigned, including but not limited to personal information, to my employer, prospective employer and its insurance agent.

Name of Agent: Robertson Ryan & Associates, Two Plaza East, Suite 650, 330 E. Kilbourn Ave., Milwaukee, WI 53202

This authorization shall continue in effect until revoked by the undersigned in a subsequent writing delivered to you.

I acknowledge that I am aware background checks are performed by the City of Milwaukee Tow Lot management and a copy of this signed receipt may be sent to the Crime Information Bureau (CIB).

This will be provided to the City of Milwaukee so it may submit a background and then provide the Company with a pass or fail. This is solely in the hands of the City of Milwaukee and the Company is not granted any information except a pass or fail status by City personnel.