READ THE FOLLOWING PARAGRAPHS CAREFULLY AND, ONCE YOU UNDERSTAND THEM, SIGN AND DATE THE FORM.

EQUAL OPPORTUNITY EMPLOYER: Akron Polymer Products and S&A Industries is an equal opportunity employer and does not discriminate against otherwise qualified applicants on the basis of race, color, creed, religion, ancestry, age, sex, marital status, national origin, disability or handicap, or veteran status.
AUTHORIZATION TO WORK: If hired, proof of eligibility to work in the U.S. will be required.
DRUG SCREENING & BACKGROUND CHECK: I understand that if I am offered employment, such employment will be conditional upon passing a drug screening and background check.
ACKNOWLEDGMENT THAT EMPLOYMENT IS TERMINABLE AT WILL: I understand that if I am hired by Akron Polymer Products, Inc./S & A Industries, Corp., I have the right to terminate the employment relationship at any time for any reason. This right to terminate at will may be changed only by a written agreement signed by the President of the company.
DEDUCTION AUTHORIZATION: I authorize Akron Polymer Products, Inc./S & A Industries, Corp to deduct from my paychecks any money that I may owe to the company at any time.
CERTIFICATION OF TRUTH AND IMPLICATION OF FALSE APPLICATIONS STATEMENTS: I certify that all answers and information I have given in this application are true and complete to the best of my knowledge. I realize that any false or misleading information or omission of relevant material in this application, interview(s), or medical information may result in a refusal to offer employment, or if employed, may result in discharge. I also understand that I am required to abide by all rules and regulations of the company.