On entering the employ of Marine Chemist Service, Inc. I agree to observe all the rules of my employer and governmental regulations which may apply to my duties. I understand that any continuation of my employment shall depend upon satisfactory replies on any background check and from my references, acceptance by the bonding company and performance satisfactory at all times to my employer. I understand and agree that my employment is for mo definite period of time and may, regardless of the date of payment of my wages and salary, be terminated, with or without cause or notice, and without liability for doing so at any time. I understand that no representative of Marine Chemist Service, Inc., other than the President of the Company, has authority to enter into any agreement for employment for any specified period of time or make any agreement contrary to the foregoing, and that any such agreement, to be enforcable, must be in writing and signed by the President of the Company.

I hereby acknowledge that Marine Chemist Service, Inc. or its agents may wish to conduct a complete investigation of my background and suitability to provide services to Marine Chemist Service, Inc. as an Employee. I hereby consent to and authorize the release to Marine Chemist Service, Inc. or its agents of any and all information is the possession of any police department or other law enforcement agency, department of motor vehicles, any other state or federal agency, any personnel representing any school which I have attended, any past or present employer, or any bank or other financial institution. My signature appearing hereon should be accepted by any of the above described persons or entities as my request to disclose information in their possession to Marine Chemist Service, Inc. or its agents. I hereby release from any and all liability Marine Chemist Service, Inc. and its agents including any persons or entities described above which either gathers or releases information pursuant to this consent and authorization.

I further consent to any testing as may be required by Marine Chemist Service, Inc., including but not limited to drug and/or alcohol testing.

I certify that the information provided herein is true and complete to the best of my knowledge and belief. I understand and agree that providing false, incomplete, or misleading information will be grounds for a decision not to employ with me or to terminate my employment immediately without liability for doing so.

By submitting this form you agree to the agreement stated above.