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Consent

Please read and acknowledge by signing electronically

This application is not complete until it is fully completed, signed and all the statements below have been read and verified.

I certify that all the information furnished on this application and during the application process is true, complete and correct to the best of my knowledge. I understand that any misrepresentation or omission of facts called for may result in refusal to hire or, if hired, may result in my dismissal at any time regardless of when the false answer or omissions are discovered. I further understand and agree that, except for employment-at-will status, if hired, my wages, hours, working conditions, job assignment(s), and compensation rate(s) will be subject to change by White Lodging. I understand that if I am offered employment, I may be required to sign a non-solicitation and non-disclosure agreement, as a condition of the employment.

Maryland Applicants: I UNDERSTAND THAT UNDER MARYLAND LAW, AN EMPLOYER MAY NOT REQUIRE OR DEMAND, AS A CONDITION OF EMPLOYMENT, PROSPECTIVE EMPLOYMENT OR CONTINUED EMPLOYMENT, THAT ANY INDIVIDUAL SUBMIT TO OR TAKE A LIE DETECTOR OR SIMILAR TEST. AN EMPLOYER WHO VIOLATES THIS LAW IS GUILTY OF A MISDEMEANOR AND SUBJECT TO A FINE NOT EXCEEDING $100.

North Carolina Applicants:

NOTICE OF RIGHTS AND RESPONSIBILITIES UNDER THE

CONTROLLED SUBSTANCE EXAMINATION REGULATION ACT

I hereby acknowledge that I have received notice of my rights and responsibilities under the North Carolina Controlled Substance Examination Regulation Act ("CSERA"), N.C. Gen. Stat. § 95-231, et seq., as part of the collection and testing of a sample or specimen pursuant to the Drug and AlcoholPolicy of White Lodging Services Corporation ("White Lodging"). I understand that my rights and responsibilities under CSERA are:

1. To have the sample or specimen collected under reasonable and sanitary conditions in a manner reasonably calculated to prevent substitution of samples or specimens and interference with the collection, examination, or screening of samples or specimens. 2. To have the sample or specimen collected in manner designed to preserve dignity and privacy to the extent practicable.

3. If I am an applicant of White Lodging, to have an approved laboratory perform any controlled substance examination confirmation test. If I am an employee of White Lodging, to have an approved laboratory perform any controlled substance examination screening and confirmation test.

4. To have any positive results confirmed by an approved laboratory using gas chromatography with mass spectrometry or an equivalent scientifically accepted method. 5. To have any confirmed positive sample or specimen retested. 6. To receive written notice within thirty (30) days from the time that the test results are delivered to White Lodgingof:

a. Any positive result of the controlled substance examination; and b. My rights and responsibilities regarding retesting under CSERA. 7. To have any information relating to the controlled substance examination kept confidential, including the results of the examination, my medical history, and any lawful prescription drug use, to the extent required by CSERA.

I understand that if I request a retest of a confirmed positive sample or specimen, I am responsible for all reasonable expenses for retesting. "Reasonable expenses for retesting" means the actual cost of the retest charged by the approved laboratory; fees assessed by the approved laboratory for expenses relating to the retest; a maximum of $15.00 for White Lodging’sexpenses relating to the retest (unless White Lodging demonstrates that its costs were greater than

$15.00); and the actual cost of shipping expenses related to the retest. I further understand that if I choose to have a retest, I must request release of the original sample or specimen in writing to the original laboratory within ninety (90) days of notification by the laboratory to White Lodging of a confirmed positive test result, specifying the approved laboratory to which the sample or specimen is to be sent for retesting. My electronic signature below certifies that I agree to be bound by the terms and conditions stated in this application, which contains all the understandings between White Lodging and me concerning the topics addressed herein, and supersedes any prior inconsistent understandings between White Lodging and me on such issues.

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