DISCLAIMER AND SIGNATURE

Congoleum Flooring is an equal opportunity employer. Congoleum Flooring does not discriminate in employment on account of race, color, creed, religion, national origin, citizenship status, ancestry, age, sex, sexual orientation, marital status, physical or mental disability or handicap, military or veteran status, or other protected characteristic as provided by law. Applicants requiring reasonable accommodation in the application and/or interview process should notify a representative of Congoleum Flooring.

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for Congoleum Flooring to hire me. If I am hired, I will fully adhere to the policies, rules and regulations of employment set by Congoleum Flooring, and acknowledge that Congoleum Flooring may amend such policies, rules, and regulations at any time. I further understand that either Congoleum Flooring or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of Congoleum Flooring has the authority to make any assurances to the contrary.

I attest with my signature below that I have given to Congoleum Flooring true and complete information on this application to the best of my knowledge. No requested information has been concealed. I authorize Congoleum Flooring to contact references provided for employment reference checks. I also authorize and direct individuals, schools, employers, and law enforcement or government officials to freely provide any information concerning my background, and hereby release any and all of them from any liability for doing so whether such inquiry is performed before or after a conditional offer of employment as permitted by law. If any information I have provided is untrue, or if I have concealed material information, I understand that this may constitute cause for the denial of employment or immediate dismissal at any time.