It is the policy of Bremen-Bowdon Investment Company to ensure equal employment opportunity to all applicants without regard to race, color, age, religion, sex, national origin, citizenship, handicap or any other status protected under federal or state law. Name Address Contact Questions Do you have any friends or relatives employed by Bremen-Bowdon?—Please choose an option—YesNo Have you previously applied at or have been employed by Bremen-Bowdon?—Please choose an option—YesNo Date of Previous Employment Position(s) applying for? How did you learn of position(s) applying for? (If you learned of a position from a current Bremen-Bowdon Investment employee, please list the employee's name above.) Are you legally eligible for employment in the United States? —Please choose an option—YesNo Have you ever been convicted of a felony or a crime involving theft, fraud, or dishonesty? —Please choose an option—YesNo Employment (List your last five employers starting with the most recent) Former Employer 1 Start Date End Date Date Address Immediate Supervisor Pay Rate Position Held Reason for Leaving Former Employer 2 Start Date End Date Date Address Immediate Supervisor Pay Rate Position Held Reason for Leaving Former Employer 3 Start Date End Date Date Address Immediate Supervisor Pay Rate Position Held Reason for Leaving Former Employer 4 Start Date End Date Date Address Immediate Supervisor Pay Rate Position Held Reason for Leaving Former Employer 5 Start Date End Date Date Address Immediate Supervisor Pay Rate Position Held Reason for Leaving May we contact any of these employers for a reference? —Please choose an option—YesNo References (List three persons who are not former employees or related to you, who we may contact for a reference) Reference 1 Address Phone Nature of Relationship Years Acquainted Reference 2 Address Phone Nature of Relationship Years Acquainted Reference 3 Address Phone Nature of Relationship Years Acquainted Education High School Attended Years Attended College(s) Attended Major Trade/Business School Additional Questions Have you ever worked for a clothing manufacturing company? —Please choose an option—YesNo Where? (Name and Location) When? What kind of clothing did the company make? What was your job there? PLEASE READ THE FOLLOWING BEFORE SUBMITING THIS APPLICATION In consideration of my application for employment, I authorize Bremen-Bowdon Investment Company and/or its agents to conduct a through investigation of my past employment, education, character, and release Bremen-Bowdon, including its officers, employees, agents and representatives, from all liability or responsibility related to this investigation, including but not limited to the performance of drug tests, of medical examinations, reference checks, credit or consumer investigations, criminal investigations and driving histories. I hereby state that the information given by me in this application is true and complete in all respects, and I agree that if any information herein is found to be false or incomplete at any time and any respect, I will be subject to dismissal without notice. I authorize past employers, personal references and any other persons to answer all questions asked concerning my education, medical history, military service, ability, character, credit history and previous employment record. I release all persons, including past employers, from any liability or damages on account of having furnished such information. Should I be employed, I understand that such employment will be on a probationary basis for a period of 90 days from date of hire. I further understand that completion of the probationary period will not result in any employment contract or employment for any specific term, but I shall remain employed solely on an at-will basis and that the company or I may terminate my employment relationship without notice for any reason.