I understand that employees of Express Employment Professionals will only be assigned to positions that match my skills and availability. I understand that employees are required to be capable of lifting up to 35lbs regularly and up to 50lbs. As well as the lifting, I am aware that the position requires that I am able to be either standing or walking for the majority of my shift and that it will be indoors. I understand that requests for a specific shift, commuting distance, position, or other requests, is not guaranteed. I understand that I must treat all client information confidentially. I understand that I may be required to sign and abide by a client’s confidentiality agreement. I understand that I am expected to follow client policies, including, attendance, safety, and cell phone usage. I also understand that I may be subject to a pre-employment drug screen and background check. Should I be unable to perform the job and complete my assignment, I understand that Express Employment Professionals is no longer obligated to provide me with lodging/camping arrangements.

If you understand and agree to the terms above, please continue to the next step and complete all pages of the application.

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Essential Job Functions

Please read the Essential Job Functions below. At the bottom of this page you will be asked to acknowledge you have read and are able to perform the functions of the position you are being considered for.

Pick

Physical/Cognitive Requirements – responsible for putting product into storage locations and retrieving product for customer’s orders to ensure customer satisfaction and the highest quality standards. o Pick parts in an assigned zone, quickly and accurately to fulfil customer’s order requests o Identify the part’s date code or lot code and mark on the picking label if the customer requests the date/lot code information o Perform inventory counts and update computer system to show correct quantity on hand o Remove product from totes and put into correct storage location o Pre-package product for bin stock

Pack

Physical/Cognitive Requirements -responsible for assembling and packaging orders in a manner that meets quality and customer standards. o Check the customer’s order by verifying that the picking label is attached to the correct parts and quantities, and then use the barcode label scanner to scan each picking label to ensure the quantity and part number matches the on-line sales order o Review any special packaging instructions before packing the order o Assemble the box and package the order for shipment using appropriate packing material o Attach appropriate tracking labels o Identify and route orders to the Barcode/Exceptions Representative if special barcode or date/lot code requirements exist. o Print duplicate pack lists to be attached to the outside of the package, if the customer requests this service o Pre-package product for bin stock. (For instance, a case of 5,000 capacitors would be counted and packaged into smaller quantities like 10 piece, 50 piece, or 100 piece bags)

Physical Requirements

• Ability to perform repetitive hand, wrist and arm motion • Able to twist or bend and occasionally climb stairs • Ability to reach with hands and arms above shoulder level • Capable of spending 8-10 hours walking/standing on concrete • Regularly lift up to 35 lbs. and occasionally lift up to 50 lbs. from floor to shoulder height and spend the workday performing repetitive motions that involve or affect the hands, head, and other parts of your body. Exposure to moving equipment requires lockout procedures. Typical shifts are 8-10 hours per day, 5 days per week.

I understand that the information provided on this application will be used only for consideration of my employment through Express. I affirm that the statements made on this application, including all statements concerning my former employment and education, are true and complete. I authorize Express to investigate any statement contained in any part of this application. I understand that any false statement, omission of fact, or misrepresentation of facts on this application or other forms provided to Express will be grounds for termination.

I hereby authorize Express and each former employer, except as indicated, and any person, firm, corporation, or educational institution given as a reference, to answer all questions that may be asked and to give all information that may be sought concerning me, my work, habits, character, skills, level of education, or actions in any transaction. I understand that meeting Express fidelity bonding criteria is a requirement to be considered for employment with Express Services, Inc.

I also understand that upon my arrival I will be asked to sign and date one or more forms stating that I am capable of performing the functions of the position I am being considered for.

I understand that completing this form does not constitute an offer of employment or an employment agreement between me and Express.

I understand that by signing my name below, and clicking on the submit button below, that I am electronically signing this Consent.