Arrow Employment Application

Arrow Acquisition LLC is an Equal Opportunity Employer. Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status, the presence of a medical condition or disability, genetic information, sexual orientation or any other factor protected by law.

ANSWER ALL QUESTIONS – PLEASE PRINT – USE “N/A” WHERE APPROPRIATE - DO NOT ANSWER WITH “PLEASE SEE RESUME”

Last Name First Name

Middle Name Suffix Other Legal Names Used (if N/A, Enter None)

Address Address 2 Address3

City County/Province State Zip Country

Primary Phone Secondary Phone Email Address

Drivers License Number State/Issuing Authority Expiration Date

Position(s) Applied For

If Part-Time, Hours Available Salary Expected (USD / Yr.) Date Available Full-Time Part- Time Arrow strives to provide extraordinary service to its customers, are you available to work whatever schedule is necessary to help us meet our company objectives and obligations to our customers? Yes No If no, what shifts or days are you available?

Do you have access to transportation? Yes No Can you travel if the job requires it? Yes No Are you willing to relocate/accept assignments Are you presently employed? If yes, may we contact your present employer? out of town or overseas? Yes No Yes No Yes No Have you ever been employed by Arrow or any of its If yes, where? Position subsidiaries? Yes No From (MM/YYYY) To (MM/YYYY) Reason for Leaving

Names and relationships of relatives or acquaintances employed at Arrow.

Please name the employee referral or please specify if Referral Source Newspaper Ad Employee Referral Job Board other referral: LinkedIn Internet Posting Craig’s List Other

Do you have any agreements with previous employers concerning patents, inventions, non-compete or other restrictions? Yes No If yes, please describe. (you may be required to provide a copy of this agreement)

Have you ever been dismissed or been asked to resign from employment? Employer Reason

Yes No Have you ever been convicted for the violation of any law in a criminal or military court which has not been sealed, annulled or deleted from the record? This includes felonies, misdemeanors, DUI or DWI convictions as well as instances of deferred adjudication, suspended sentences and pleas of “no contest.” Exclude minor traffic offenses and convictions to which the jurisdictional disclaimers and directives above apply. Yes No (If No, enter None If yes, where? When?

Please provide the nature of the offense(s) and the disposition.

Are you currently out on bail or are you on your own recognizance pending trial?

Yes No

Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status? Yes No

Will you now, or in the future, require sponsorship to work in the United States? Yes No

Are you 18 years or older? Yes No

THE FOLLOWING INFORMATION WILL ONLY BE CONSIDERED IF IT IS RELEVANT TO THE POSITION FOR WHICH YOU ARE APPLYING OR COULD BEAR UPON STATE LICENSING REQUIREMENTS

What foreign languages do you speak, read and/or write fluently? Excellent Good Fair Poor Speak Read Write Are you able to perform each of the essential functions of the job you Are you on lay-off and subject to recall? are applying for with or without reasonable accommodations? Yes No Yes No Are you currently engaged in using illegal drugs, or have you used any If yes, to what extent? in the last 30 days? Yes No Have you ever been granted a military or government security If yes, level of clearance clearance? Yes No Please describe any business related skills, qualifications, specialized training, certifications, apprenticeships or completed courses that may be relevant to the position for which you are applying?

EDUCATION HISTORY (List all High School, College and Trade School attendance)

School Type School Name City State/Province Zip Country Phone 1. High School/GED

Enrollment Name (if other than Major Field of Study Did you Graduate? Yes No GED Enrolled Current) Now Date diploma received? School Type School Name City State/Province Zip Country Phone 2. College/University

Degree/Diploma received Enrollment Name (if other Major Field of Study Did you Graduate? Yes No Enrolled than Current) Now Date graduated? School Type School Name City State/Province Zip Country Phone 3. Post Graduate

Degree/Diploma received Enrollment Name (if other Major Field of Study Did you Graduate? Yes No Enrolled than Current) Now Date graduated? School Type School Name City State/Province Zip Country Phone 4. Other Degree/Diploma received Enrollment Name (if Major Field of Study Did you Graduate? Yes No Enrolled other than Current) Now Date graduated?

EMPLOYMENT EXPERIENCE

List all employment, including military, for the past seven (7) years chronologically beginning with your present job held. There must not be any gaps between entries. Include all instances of unemployment and military service.

1. Employment Period Employer Name (if Unemployment Period, enter None)

Address Address 2 City State/Province Country Zip Code/Postal Code Date Employed From (MM/YYYY) Date Employed To (MM/YYYY) Beginning Salary / Hourly Rate Ending Salary / Hourly Rate

Position Title/Job Title Bonus or Other Compensation

Supervisor Name –or- Name of Person (who is not related to you) that can verify this Telephone activity

Describe Your Position Duties/Job Duties Reason For Leaving / Reason for Unemployment Period Ending

Voluntary Involuntary Reduction in force

Address Address 2 City State/Province Country Zip Code/Postal Code

Date Employed From (MM/YYYY) Date Employed To (MM/YYYY) Beginning Salary / Hourly Rate Ending Salary / Hourly Rate

Describe Your Position/Job Duties Reason For Leaving / Reason for Unemployment Period Ending

Describe Your Position/Job Duties Reason For Leaving / Reason for Unemployment Period Ending Voluntary Involuntary Reduction in force

Date Employed From (MM/YYYY) Date Employed To (MM/YYYY) Beginning Salary / Hourly Rate Ending Salary / Hourly Rate Position Title/Job Title Bonus or Other Compensation

Position/Job Duties Reason For Leaving / Reason for Unemployment Period Ending

RESIDENCE HISTORY (List all residences for the past five (5) years, listing most recent first.)

Address City State/Province Zip/Postal Country County/Parish Date From Date To Code REFERENCES Name three persons not related or former employees who can confirm your activities for the last five (5) years.

Name Occupation Address Primary/Alternate Years Known Phone Number

EMERGENCY CONTACT In case of accident or emergency contact / notify:

Name Relationship Address Primary/Alternate Phone Number

APPLICANT’S ACKNOWLEDGEMENT

I hereby certify that I have read and fully understand this application. Prior to signing below, I have had the opportunity to ask Arrow Acquisition LLC, its subsidiaries, and/or its contracted partners (the Company) about this application and to clarify any questions I might have had concerning this application form.

I hereby certify that the answers given herein are true and complete to the best of my knowledge. I understand that any misrepresentations, falsifications, omissions of facts or incomplete answers in any application document may disqualify me from further consideration for employment. I further understand that, if employed, any misrepresentations or omissions of facts in any application document may be cause for my dismissal at any time without prior notice. I consent to and authorize the Company to contact my former employers, references, and any and all other persons and organizations for information bearing upon my qualifications for employment. I further authorize the listed employers, schools, personal references and others to give the Company (without further notice to me) any and all information about my previous employment and education, along with any other pertinent information they may have and hereby waive any actions which I may have against either party or parties for providing a good faith reference.

I EXPRESSLY AGREE AND UNDERSTAND THAT, IF EMPLOYED, MY EMPLOYMENT IS NOT FOR A SPECIFIC TERM, IS BASED ON MUTUAL CONSENT AND MAY BE TERMINATED BY ME OR MY EMPLOYER(S) WITH OR WITHOUT NOTICE OR CAUSE AT ANY TIME. I FURTHER UNDERSTAND THAT NO ORAL PROMISE, EMPLOYER(S) POLICY, CUSTOM, BUSINESS PRACTICE OR OTHER PROCEDURE (INCLUDING THE BASIC EMPLOYMENT POLICIES, EMPLOYEE HANDBOOKS OR ANY HR MANUALS) CONSTITUTES AN EMPLOYMENT CONTRACT OR MODIFICATION OF THE AT-WILL EMPLOYMENT RELATIONSHIP BETWEEN ME AND ARROW ACQUISITION LLC OR ANY OF ITS SUBSIDIARIES. I ALSO UNDERSTAND THAT THIS ASPECT OF MY EMPLOYMENT MAY NOT CHANGE ABSENT AN INDIVIDUAL WRITTEN AGREEMENT SIGNED BY BOTH ME AND THE CEO OF THE COMPANY.

I understand that applicants for certain positions may be required to qualify for employment based on additional employment criteria. For example, I may be required to take job-related tests; submit to a background investigation; take a pre-employment drug test. If I am offered employment or start work before any required test is completed, my employment is contingent on a satisfactory result on all required tests. I further authorize the release of any background check results of any drug/alcohol test to any state or federal authority requesting such information and in response to a valid subpoena or other legal document.

I acknowledge that this application will remain active for 30 days from this date. If I have not heard from the Company at the conclusion of this 30 day period, it is my responsibility to complete a new application if I still wish to be considered for employment.

By signing below, I certify that this application was completed solely by me and that all entries, references and information in it are true and complete to the best of my knowledge.

Name of Applicant

Signature of Applicant Date