Application for Employment

• All information obtained within this application will be held in strict confidence, subject to applicable law.

• Please complete all applicable sections and sign the last page.

• Please print clearly.

• International travel may be required for certain positions and valid passport may be required upon hire.

The Company prides itself on being an Equal Opportunity Employer. We will not discriminate in employment because of sex, age, race, physical disability, religion, ethnicity, mental disability, marital status, ancestry, or place of origin.

Full Name (required)

Telephone (required)

Address (required)

Postal Code (required)

Are you legally entitled to work in the USA? (Proof will be required upon hire)

Position(s) applied for

Date you are available for employment:

Wage or salary desired:

Have you ever worked for us before?

If yes, when and where?

Educational Background

Noble Air LLC has a company policy stating a minimum educational level of Grade 12 or equivalent for all positions.

EDUCATIONAL BACKGROUND – relevant to the position applied for

Highest level of education completed:

Name of educational institute:

What machines or equipment have you operated which relate to the position you have applied for?

Are there any skills, experience, of other qualifications which you feel would assist you in performing the duties of the position you have applied for?

List below your last three employers, starting with the most recent.

Employer #1

1. Employer’s Name:

Start Date:

End Date:

Reason for Departure:

Supervisor’s Name:

Telephone:

Position(s) Held:

Duties:

May we contact this employer? (If not, state brief reason):

Employer #2

2. Employer’s Name:

Start Date:

End Date:

Reason for Departure:

Supervisor’s Name:

Telephone:

Position(s) Held:

Duties:

May we contact this employer? (If not, state brief reason):

Employer #3

3. Employer’s Name:

Start Date:

End Date:

Reason for Departure:

Supervisor’s Name:

Telephone:

Position(s) Held:

Duties:

May we contact this employer? (If not, state brief reason):

If you are applying for a position that requires driving, please complete this section:

Do you have a valid driver’s license?
yesno

License #:

State:

False information given or implied on an application form is grounds for immediate dismissal without further notice.

I hereby state that all information provided is accurate and may be verified by you. I agree that I may be discharged if Noble Air LLC at any time learns of falsification or material omission in the information provided on this application form and related documents. Noble Air LLC may contact my former employers in connection with the consideration of my employment. All references are hereby authorized to release all information which they may have relevant to my employment with them. I hereby release Noble Air LLC, its affiliates, successors, and assigns, and all references from any liability that might be claimed because of information provided by such references.

I agree that I will follow all Company policies, rules, procedures, and all other directions pertaining to my employment. I understand that Noble Air LLC reserves the right to add, change, and/or delete any policies, procedures, work rules, and/or benefits at any time.

Applicant Signature:

Date:

NO CONSIDERATION OF EMPLOYMENT WILL BE GIVEN TO ANY APPLICANT WHO DOES NOT SIGN THE ABOVE STATEMENT.

Note: Additional personal information will be required to complete benefit forms after being hired.

Thank you for showing an interest in pursuing a career with Noble Air LLC!

Background Check Disclosure and Authorization

Disclosure

In the interest of maintaining the safety and security of our customers and employees, NOBLE AIR LLC (“the Company”) will procure a consumer report and/or investigative consumer report (“background check report”) on you in connection with your employment application, and if you are hired, may procure additional background check reports on you for employment purposes. A consumer reporting agency will prepare the report.

The background check report will contain information bearing on your character, general reputation, personal characteristics, mode of living and credit standing. The types of information that may be obtained include but are not limited to: social security number verification; criminal, public, educational and, as appropriate, driving records checks; verification of prior employment; references checks; credit reports; licensing and certification checks; and drug testing results. The information will be obtained from private and public record sources, including, as appropriate, personal interviews with your associates, friends and neighbors.

You may request more information about the nature and scope of any background check reports by contacting: May Jewell at (480)659-6497. A summary of your rights under the Fair Credit Reporting Act is also being provided to you with this form.

Authorization

After carefully reading this Background Check Disclosure and Authorization form, I authorize the Company to procure a background check report on me that is prepared by a consumer reporting agency. I understand that, if I am hired, the Company may rely on this authorization to procure additional background check reports during and throughout my employment without asking for my authorization again.

I also authorize the following entities to disclose to the consumer reporting agency and its agents all information about or concerning me, including, but not limited to: my past or present employers; learning institutions, including colleges and universities; law enforcement and all other federal, state and local agencies; federal, state and local courts; the military; credit bureaus; testing facilities; motor vehicle records agencies; all other private and public sector repositories of information; and, any other person, organization or agency with any information about or concerning me. The information that can be disclosed to the consumer reporting agency and its agents includes, but is not limited to, information concerning my employment history, earnings history, education, credit history, motor vehicle history, criminal history, drug test results, military service, professional credentials, and all other information requested by the consumer reporting agency or its agents.

I promise the information I provided on this form is true and correct. I understand that dishonesty will disqualify me from consideration for employment with the Company, or if I am hired, that I may be fired.

I agree that a facsimile or photocopy of this form may be used in lieu of the original.

Last Name:

First Name:

Middle Name:

Present Address:

City/State/Zip:

Social Security Number:

Driver’s License Number:

Date of Birth:

Signature:

Date:

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