APPLICATION

R+L CARRIERS

R+L (Non Driver)

Applicant Info

First Name

Mike

Middle Name

Williams

Last Name

Reickenbacker

Gender

M

Social Security Number

XXX-XX-0261

Date of Birth

Jul 5, XXXX

Driver's License State

UT

Driver's License Number

Email

adt0on@r.postjobfree.com

Phone

385-***-****

Current Address

Address

1790south west Temple, B104, SLC, UT 84115

Move In

Current Employer

Company

Mark lower Wasatch

painting/Wasatch/movers

Address

500 south/400 east, American fork, UT

Supervisor Name

Mark lower

Supervisor Phone

801-***-****

Supervisor Email

Position

Project formen/painter/mover

Start

Dec 2008

May we contact your employer?

YES

Reason For Leaving

Mother got sick had to take care of her

CONSENT TO RECEIVE, REVIEW, ACCESS, SIGN, &

AUTHENTICATE CERTAIN DOCUMENTS, FORMS,

LETTERS, & OTHER INFORMATION ELECTRONICALLY

("E-Signature Disclosures & Consent")

PLEASE READ THE FOLLOWING CAREFULLY

By checking the box and clicking the "I Agree" button (all below), you are agreeing to electronically access, receive, review, sign, and authenticate certain documents, forms, and/or letters ("Materials") covered by the federal Electronic Signatures in Global and National Commerce Act ("E-SIGN"), various state electronic transactions acts ("ETAs"), and/or the separate state laws of Illinois, New York, and Washington, including but not limited to the following Materials:

(a) Application for employment;

(b) Disclosure & Authorization form(s);

(c) New York Article 23-A;

(d) Pre-Adverse Action letter;

(e) Summary of Rights under the federal Fair Credit Reporting Act;

(f) Summary of Rights under applicable state law;

(g) A copy of your background check/report;

(h) Adverse Action letter;

(i) Any other background check communication or disclosure;

(j) Offer letter;

(k) I-9 form; and/or

(l) Any other employment-related documents (e.g., wage statements, commission plans, etc.). These E-Signature Disclosures & Consent apply to all Materials, both current and future, related to your application for or possible employment with R+L Carriers Shared Services, LLC ("Company").

By checking the box and clicking the "I Agree" button (all below), you are agreeing that your electronic signature is the equivalent of your handwritten (or wet) signature, with all the same legal and binding effect. In certain cases throughout your employment, you may be asked to click buttons labeled "I Agree," "I Acknowledge," or using similar words, or otherwise electronically to acknowledge, accept, review, etc. Materials. These E-Signature Disclosures & Consent apply to those instances as well. You also understand that, in its sole discretion, Company may mail, hand-deliver, communicate, or otherwise send you hard-copy Materials. You may obtain a paper copy of any electronic Materials, including ones already or to be accessed, received, reviewed, and/or signed electronically, by sending a written request to Company at 600 Gillam Road, Wilmington, OH 45177. You will be charged a reasonable fee to cover $.50 per page. You may withdraw your consent to receive, review, access, sign, and authenticate any additional electronic Materials at any time by canceling these E-Signature Disclosures

& Consent. You may cancel these E-Signature Disclosures & Consent and withdraw your consent now by not completing this E-Signature Disclosures & Consent form and exiting the system. You may cancel these E-Signature Disclosures & Consent and withdraw your consent in the future by sending a written cancellation request to Company at 600 Gillam Road, Wilmington, OH 45177 or adt0on@r.postjobfree.com. Any withdrawal of your consent will be effective after a reasonable period of time in order for Company to process your withdrawal. Withdrawal of your consent will have no legal effect on the validity, effectiveness, or enforceability of (a) any authorization, consent, or e-signature provided by you prior to the effective date of your withdrawal or (b) any document, form, letter, etc. that was provided or made available to you in electronic format prior to the effective date of your withdrawal. Withdrawal of your consent (i.e., canceling these E-Signature Disclosures & Consent) also will not relieve you from the obligation to complete all required Materials. Withdrawal/canceling will require you to receive, review, access, sign, and authenticate these Materials in hard copy instead of electronically. Receiving, reviewing, accessing, signing, and authenticating certain Materials in either electronic or hard copy is a condition of initial and/or continued employment.

You must update Company regarding the information necessary to contact you electronically (including your personal email address) by calling Company at 1-800-***-****, Human Resources Department, or emailing adt0on@r.postjobfree.com. If you are employed, Company may electronically send Materials to your Company email address or your personal email address, in its discretion. To access these electronic Materials, you must have (a) a personal computer or mobile device and an operating system capable of receiving, accessing, displaying, and either printing or storing information, (b) an Internet connection, and (c) Internet Browser Software such as Internet Explorer®, Google Chrome®, Safari®, or Firefox®. Your Internet Browser Software must support 128-bit encryption and Secure Sockets Layer (SSL) protocol. If you are able to see these E-Signature Disclosures & Consent, your hardware and software should allow you to access these electronic Materials. To retain any of these electronic Materials, you may either print or download them. To print these Materials on your computer, you will need a printer connected to your computer with adequate paper. To download these Materials on your computer, you will need an available storage medium, like a hard drive on your computer or a removable thumb drive. To print these Materials on your mobile device, you will need a printer linked with your device (e.g., via Wi-Fi, Bluetooth®, etc.) and/or an application (app) that allows for printing. To store these Materials on your mobile device you will need (1) sufficient storage space on your mobile device and (2) an app or function that allows for the capture of electronic data (e.g., a screenshot). Please follow the instructions for your particular computer operating system and/or software to print and/or to download these Materials. Each individual screen may need to be printed and/or downloaded separately. If you have trouble printing and/or downloading, please contact the manufacturer of your personal computer or mobile device, computer operating system, web browser, app, or other relevant software or another information source of your choosing.

I have read and understand this document

Signed Sun, 11 Dec 2022 20:15:27 -0700 via 76.140.27.164 I have read and understand this document

Signed Sun, 11 Dec 2022 20:15:33 -0700 via 76.140.27.164 Confirming that I can access these E-Signature Disclosures & Consent. Confirming that I have an email address and that the computer I intend to use to access documents electronically has the hardware and software requirements described in these E-Signature Disclosures & Consent, to access and to retain these electronic Materials. Agreeing to electronically access, receive, review, sign, and authenticate Materials related in any way to my employment with Company, in place of hard copy/paper documents and handwritten signatures.

Confirming that I understand how to cancel these E-Signature Disclosures & Consent, should I ever want to do so. Consenting to update Company regarding the information necessary to contact me electronically (including my personal email address) by calling Company at 1-800- 543-5589, Human Resources Department or emailing at adt0on@r.postjobfree.com. Agreeing that I have read, understand, and agree to all statements, agreements, and acknowledgements in these E-Signature Disclosures & Consent. R+L Carriers Shared Services, LLC

BACKGROUND CHECK

DISCLOSURE

A consumer report is a background check in which information (which may include, but is not limited to, criminal background, driving background, character, general reputation, personal characteristics, and mode of living) about you is gathered and communicated by a consumer reporting agency ("CRA") to R+L Carriers Shared Services, LLC and/or its subsidiaries, affiliates, other related entities, successors, and/or assigns (the "Company"). Company may obtain a consumer report on you to be used for employment purposes, including your application for employment. I have read and understand this document

Signed Sun, 11 Dec 2022 20:15:37 -0700 via 76.140.27.164 I acknowledge receipt of the Summary of Your Rights Under the Fair Credit Reporting Act (FCRA) and certify that I have read and understand this document Signed Sun, 11 Dec 2022 20:15:45 -0700 via 76.140.27.164 R+L Carriers Shared Services, LLC

ADDITIONAL DISCLOSURES

All applicants/employees: R+L Carriers Shared Services, LLC and/or its subsidiaries, affiliates, other related entities, successors, and/or assigns (the "Company"), may obtain an investigative consumer report on you to be used for employment purposes, including your application for employment. Under federal law, an investigative consumer report is a consumer report or portion thereof in which information on your character, general reputation, personal characteristics, or mode of living) is obtained through personal (including telephonic) interviews with neighbors, friends, associates, acquaintances, or others with whom you are acquainted or may have knowledge concerning such items of information. (In California, the term "investigative consumer report" has a different meaning, as explained in the separate California State Law Disclosures (Non- Credit) (if applicable).) You have a right to request from Company disclosures of the nature and scope of an investigative consumer report and a summary of your rights under the federal Fair Credit Reporting Act. Your request must be made in writing to Company at 600 Gillam Road, Attn: Human Resources Manager, Wilmington, OH 45177 within a reasonable period of time after your receipt of this disclosure. A copy of "A Summary of Your Rights under the Fair Credit Reporting Act" is included below. I have read and understand this document

Signed Sun, 11 Dec 2022 20:15:53 -0700 via 76.140.27.164 Colorado applicants/employees only: If the Company obtains information bearing on your credit worthiness, credit standing or credit capacity, it will be because the information is substantially related to the job for which you are being considered/are currently occupying and to evaluate whether you would present an unacceptable risk of theft or other dishonest behavior in the job for which you are being considered/are currently occupying. Connecticut applicants/employees only: If the Company obtains information bearing on your credit worthiness, credit standing or credit capacity, it will be because the information is substantially related to the job for which you are being considered/are currently occupying and to evaluate whether you would present an unacceptable risk of theft or other dishonest behavior in the job for which you are being considered/are currently occupying. Maryland applicants/employees only: If the Company obtains information bearing on your credit worthiness, credit standing or credit capacity, it will be because the information is substantially related to the job for which you are being considered/are currently occupying and to evaluate whether you would present an unacceptable risk of theft or other dishonest behavior in the job for which you are being considered/are currently occupying. Massachusetts applicants/employees only: An investigative consumer report commonly includes information as to your character, general reputation, personal characteristics, and mode of living. The precise nature and scope of any investigative consumer report obtained by Company will be information as to your character, general reputation, personal characteristics, and mode of living obtained through personal (including telephonic) interviews with neighbors, friends, associates, acquaintances, or others with whom you are acquainted or may have knowledge concerning such items of information. You have a right to have a copy of any investigative consumer report, upon request, from Consumer Reporting Compliance Associates (CRCA), Phone: 800-***-****, Fax: 714-***-****, 1748 W. Katella Avenue, Suite 114, Orange, CA 92867, www.crcascreening.com.

Minnesota applicants/employees only: You have the right to request a complete and accurate disclosure of the nature and scope of any consumer report from Consumer Reporting Compliance Associates (CRCA), Phone: 800-***-****, Fax: 714-***-****, 1748 W. Katella Avenue, Suite 114, Orange, CA 92867, www.crcascreening.com. Montana applicants/employees only: You have a right to request from Company disclosures of the nature, scope, and substance of any investigative consumer report New Jersey applicants/employees only: An investigative consumer report commonly includes information as to your character, general reputation, personal characteristics, and mode of living. The precise nature and scope of any investigative consumer report obtained by Company will be information as to your character, general reputation, personal characteristics, and mode of living obtained through personal (including telephonic) interviews with neighbors, friends, associates, acquaintances, or others with whom you are acquainted or may have knowledge concerning such items of information. You have a right to have a copy of any investigative consumer report, upon request, from Consumer Reporting Compliance Associates (CRCA), Phone: 800-***-****, Fax: 714-***-****, 1748 W. Katella Avenue, Suite 114, Orange, CA 92867, www.crcascreening.com.

Oregon applicants/employees only: If the Company obtains information bearing on your credit worthiness, credit standing or credit capacity, it will be because the information is substantially related to the job for which you are being considered/are currently occupying and to evaluate whether you would present an unacceptable risk of theft or other dishonest behavior in the job for which you are being considered/are currently occupying. Vermont applicants/employees only: If the Company obtains information bearing on your credit worthiness, credit standing or credit capacity, it will be because the information is substantially related to the job for which you are being considered/are currently occupying and to evaluate whether you would present an unacceptable risk of theft or other dishonest behavior in the job for which you are being considered/are currently occupying. Washington State applicants/employees only: You have the right, upon written request made within a reasonable period of time after your receipt of this disclosure, to receive from the Company a complete and accurate disclosure of the nature and scope of any "investigative" consumer report we may have requested. You also have the right to request from the consumer reporting agency a written summary of your rights and remedies under the Washington Fair Credit Reporting Act. Any requests under this paragraph to the CRA should be made to Consumer Reporting Compliance Associates (CRCA), Phone: 800-***-****, Fax: 714-***-****, 1748 W. Katella Avenue, Suite 114, Orange, CA 92867, www.crcascreening.com. If the Company obtains information bearing on your credit worthiness, credit standing or credit capacity, it will be because the information is substantially related to the job for which you are being considered/are currently occupying and to evaluate whether you would present an unacceptable risk of theft or other dishonest behavior in the job for which you are being considered/are currently occupying. New York applicants/employees only: Company may request or utilize subsequent consumer reports (other than investigative consumer reports) on you throughout your employment. Upon request, you will be informed whether or not a consumer report was requested, and if such report was requested, informed of the name and address of the CRA that furnished the report. Upon written request, you will be informed whether or not an investigative consumer report was requested, and if such report was requested, the name and address of the CRA to whom the request was made. Your written request should be made to Company at 600 Gillam Road, Attn: Human Resources Manager, Wilmington, OH 45177. You may also contact the Company at 600 Gillam Road, Attn: Human Resources Manager, Wilmington, OH 45177. Upon furnishing you with the name and address of the CRA, you will also be informed that you may inspect and receive a copy of such report by contacting the CRA. A copy of New York Correction Law Article 23-A is included below.

I have read and understand this document

Signed Sun, 11 Dec 2022 20:15:59 -0700 via 76.140.27.164 R+L Carriers Shared Services, LLC

CALIFORNIA

STATE LAW DISCLOSURES

(Non-Credit)

For California applicants/employees only: Under California law, an "investigative consumer report" is a consumer report in which information on a consumer's character, general reputation, personal characteristics, or mode of living is obtained through any lawful means. In connection with your application for employment and/or continued employment (i.e., for employment purposes) with R+L Carriers Shared Services, LLC and/or its subsidiaries, affiliates, other related entities, successors, and/or assigns (the "Company"), Company may obtain an investigative consumer report (as defined under California law). With respect to any investigative consumer report from an investigative consumer reporting agency

("ICRA"), Company may investigate the information contained in your employment application and other background information about you, including but not limited to obtaining a criminal record report, obtaining information about your character, general reputation, personal characteristics and mode of living, verifying references, work history, your social security number, your educational achievements, licensure, certifications, driving records, and other information about you, including interviewing people who are knowledgeable about you. The results of this report may be used as a factor in making employment decisions. The source of any investigative consumer report (as this term is defined under California law and as explained more fully above) will be Consumer Reporting Compliance Associates (CRCA), Phone: 800-***-****, Fax: 714-***-****, 1748 W. Katella Avenue, Suite 114, Orange, CA 92867, www.crcascreening.com. Under California Civil Code section 1786.22, you are entitled to a visual inspection of files maintained on you by an ICRA, as follows:

(1) In person, if you appear in person and furnish proper identification, during normal business hours and on reasonable notice. A copy of your file shall also be available to you for a fee not to exceed the actual costs of duplication services provided;

(2) By certified mail, if you make a written request, with proper identification, for copies to be sent to a specified addressee. An ICRA complying with requests for certified mailings under the California Code shall not be liable for disclosures to third parties caused by mishandling of mail after such mailings leave the ICRA;

(3) A summary of all information contained in your files and required to be provided by the California Code shall be provided to you by telephone, if you have made a written request, with proper identification for telephone disclosure, and the toll charges, if any, for the telephone call are prepaid by you or charged directly to you.

"Proper Identification" means information generally deemed sufficient to identify you, which includes documents such as a valid driver's license, social security account number, military identification card, and credit cards. Only if you cannot identify yourself with such information may the ICRA require additional information concerning your employment and personal or family history in order to verify your identity. The ICRA will provide trained personnel to explain any information furnished to you and will provide a written explanation of any coded information contained in files maintained on you. This written explanation will be provided whenever a file is provided to you for visual inspection. You may be accompanied by one other person of your choosing, who must furnish reasonable identification. An ICRA may require you to furnish a written statement granting permission to the ICRA to discuss your file in such person's presence. I have read and understand this document

Signed Sun, 11 Dec 2022 20:16:03 -0700 via 76.140.27.164 NEW YORK CORRECTION LAW ARTICLE 23-A

LICENSURE AND EMPLOYMENT OF PERSONS PREVIOUSLY

CONVICTED OF ONE OR MORE CRIMINAL OFFENSES

Section 750. Definitions.

751. Applicability.

752. Unfair discrimination against persons previously convicted of one or more criminal offenses prohibited. 753. Factors to be considered concerning a previous criminal conviction; presumption. 754. Written statement upon denial of license or employment. 755. Enforcement.

§750. Definitions. For the purposes of this article, the following terms shall have the following meanings:

(1) "Public agency" means the state or any local subdivision thereof, or any state or local department, agency, board or commission.

(2) "Private employer" means any person, company, corporation, labor organization or association which employs ten or more persons.

(3) "Direct relationship" means that the nature of criminal conduct for which the person was convicted has a direct bearing on his fitness or ability to perform one or more of the duties or responsibilities necessarily related to the license, opportunity, or job in question.

(4) "License" means any certificate, license, permit or grant of permission required by the laws of this state, its political subdivisions or instrumentalities as a condition for the lawful practice of any occupation, employment, trade, vocation, business, or profession. Provided, however, that "license" shall not, for the purposes of this article, include any license or permit to own, possess, carry, or fire any explosive, pistol, handgun, rifle, shotgun, or other firearm.

(5) "Employment" means any occupation, vocation or employment, or any form of vocational or educational training. Provided, however, that

"employment" shall not, for the purposes of this article, include membership in any law enforcement agency.

§751. Applicability. The provisions of this article shall apply to any application by any person for a license or employment at any public or private employer, who has previously been convicted of one or more criminal offenses in this state or in any other jurisdiction, and to any license or employment held by any person whose conviction of one or more criminal offenses in this state or in any other jurisdiction preceded such employment or granting of a license, except where a mandatory forfeiture, disability or bar to employment is imposed by law, and has not been removed by an executive pardon, certificate of relief from disabilities or certificate of good conduct. Nothing in this article shall be construed to affect any right an employer may have with respect to an intentional misrepresentation in connection with an application for employment made by a prospective employee or previously made by a current employee.

§752. Unfair discrimination against persons previously convicted of one or more criminal offenses prohibited. No application for any license or employment, and no employment or license held by an individual, to which the provisions of this article are applicable, shall be denied or acted upon adversely by reason of the individual's having been previously convicted of one or more criminal offenses, or by reason of a finding of lack of "good moral character" when such finding is based upon the fact that the individual has previously been convicted of one or more criminal offenses, unless:

(1) There is a direct relationship between one or more of the previous criminal offenses and the specific license or employment sought or held by the individual; or

(2) the issuance or continuation of the license or the granting or continuation of the employment would involve an unreasonable risk to property or to the safety or welfare of specific individuals or the general public.

§753. Factors to be considered concerning a previous criminal conviction; presumption. 1. In making a determination pursuant to section seven hundred fifty-two of this chapter, the public agency or private employer shall consider the following factors:

(a) The public policy of this state, as expressed in this act, to encourage the licensure and employment of persons previously convicted of one or more criminal offenses.

(b) The specific duties and responsibilities necessarily related to the license or employment sought or held by the person.

(c) The bearing, if any, the criminal offense or offenses for which the person was previously convicted will have on his fitness or ability to perform one or more such duties or responsibilities.

(d) The time which has elapsed since the occurrence of the criminal offense or offenses.

(e) The age of the person at the time of occurrence of the criminal offense or offenses.

(f) The seriousness of the offense or offenses.

(g) Any information produced by the person, or produced on his behalf, in regard to his rehabilitation and good conduct.

(h) The legitimate interest of the public agency or private employer in protecting property, and the safety and welfare of specific individuals or the general public.

2. In making a determination pursuant to section seven hundred fifty-two of this chapter, the public agency or private employer shall also give consideration to a certificate of relief from disabilities or a certificate of good conduct issued to the applicant, which certificate shall create a presumption of rehabilitation in regard to the offense or offenses specified therein.

§754. Written statement upon denial of license or employment. At the request of any person previously convicted of one or more criminal offenses who has been denied a license or employment, a public agency or private employer shall provide, within thirty days of a request, a written statement setting forth the reasons for such denial.

§755. Enforcement. 1. In relation to actions by public agencies, the provisions of this article shall be enforceable by a proceeding brought pursuant to article seventy-eight of the civil practice law and rules.

2. In relation to actions by private employers, the provisions of this article shall be enforceable by the division of human rights pursuant to the powers and procedures set forth in article fifteen of the executive law, and, concurrently, by the New York city commission on human rights. I have read and understand this document

Signed Sun, 11 Dec 2022 20:16:08 -0700 via 76.140.27.164 I acknowledge receipt of the San Francisco Fair Chance Ordinance and certify that I have read and understand this document. Signed Sun, 11 Dec 2022 20:16:22 -0700 via 76.140.27.164 R+L Carriers Shared Services, LLC

BACKGROUND CHECK

AUTHORIZATION

To the extent permitted by applicable law, I hereby consent to and authorize R+L Carriers Shared Services, LLC and/or its subsidiaries, affiliates, other related entities, successors, and/or assigns (the "Company"), to procure consumer report(s), which may include criminal background check(s), investigative consumer report(s) (as defined by the federal Fair Credit Reporting Act), and/or investigative consumer report(s) (as defined by applicable California state law), on my background from a consumer reporting agency ("CRA") or from an investigative consumer reporting agency ("ICRA"), as described in the Background Check Disclosure, the Additional Disclosures, and the California State Law Disclosures (Non- Credit) (all of which I have received separately from the Company). I understand that consumer report(s) may include personally identifiable information (PII), such as my name and birthdate, and authorize the CRA or ICRA to access such information. I have reviewed and understand the information, statements, and notices in the Background Check Disclosure, the Additional Disclosures, and the California State Law Disclosures (Non-Credit), as well as this Background Check Authorization. My authorization remains valid throughout my employment with the Company, such that, to the extent permitted by applicable law, I agree Company can procure additional consumer report(s), which may include criminal background check(s), and/or investigative consumer report(s) (as defined by federal law) during my employment without providing additional disclosures or obtaining additional authorizations. Except as otherwise prohibited by state applicable law, I consent to and authorize the Company to share this information with Company's current or prospective clients, customers, others with a need to know, and/or their agents for business reasons (e.g., to place me in certain employment positions, jobs, work sites, etc.). I understand that, if I am hired and begin work for Company, a consumer report will have been conducted on me. For California, Minnesota, or Oklahoma applicants/employees only: If you would like to receive from the CRA, the ICRA, or the Company (as applicable) a copy of the report that Company may procure, please check this box.

[ Mike Reickenbacker ]

Signed Sun, 11 Dec 2022 20:17:00 -0700 via 76.140.27.164

Contact this candidate