Doosan Industrial Vehicle America Corp. is an equal opportunity employer. We consider qualified applicants for all positions without regard to race, color, religion, gender, national origin, age, military status, disability, sexual orientation, citizenship status, marital status or any other non-job related or legally protected characteristic in accordance with applicable local, state and federal laws.

Answer each question fully and accurately. Please PRINT all answers except for your signature. DATE: POSITION APPLIED FOR:

Name

Address

City State Zip

Social Security Number:

General Information

Have you ever been employed by Doosan Industrial Vehicle America Corp. or any of its Divisions? No Yes If yes, what were the dates, position and Division? Do you have any relatives employed by Doosan Industrial Vehicle America Corp. or any of its Divisions? No Yes

Can you presently provide proof of identification and authorization to work in the United States as required by the Immigration Reform and Control Act of 1986? No Yes

Are you 18 years of age or older? No Yes

When will you be available to begin work?

Are you interested in Full-Time Part-Time Temporary / If Temporary, dates from to Have you ever been convicted of a felony (do not disclose expunged or sealed convictions)*? No Yes If yes, please provide the description, dates and final outcome. Have you ever been convicted of a misdemeanor (do not disclose expunged or sealed convictions)*? No Yes If yes, please provide the description, dates and final outcome. Are you currently under a non-compete, trade secret or non-disclosure agreement with any current or past employer or any other agreement that would prohibit you from providing services to Doosan Industrial Vehicle America Corp.? No Yes

If yes, please explain

How were you

(cell) Referred to us?

Telephone ) (home)

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Employment Application

Employment Experience

Start with your present or most recent job. Include military service assignments, internships, temporary jobs, etc. You may exclude organization names which indicate race, color, religion, gender, national origin, age, military status, disability, sexual orientation, citizenship status, marital status or any legally protected status. 1 Dates Employed

From To

Employer

Address

Job Title

Responsibilities

Telephone

Supervisor Salary/Hourly Rate

Starting Final

Reason for Leaving

May we contact your current employer? Yes No

2 Dates Employed

Employer

Address

Job Title

Responsibilities

Telephone

Supervisor From To

Salary/Hourly Rate

Starting Final

Reason for Leaving

3 Dates Employed

Employer

Address

Job Title

Responsibilities

Telephone

Supervisor From To

Salary/Hourly Rate

Starting Final

Reason for Leaving

4 Dates Employed

Employer

Address

Job Title

Responsibilities

Telephone

Supervisor From To

Salary/Hourly Rate

Starting Final

Reason for Leaving

5 Dates Employed

Employer

Address

Job Title

Responsibilities

Telephone

Supervisor From To

Salary/Hourly Rate

Starting Final

Reason for Leaving

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* You may exclude those that may indicate race, color, religion, gender, national origin, age, military status, disability, sexual orientation, citizenship status, marital status or any legally protected status. Educational History

List any education, past and present.

Name/Location

(City, State)

Major Course

of Study

Diploma/Degree/GED

# of years

College or University

Undergraduate

College or University

Graduate

College or University

Graduate

Other:

U.S. Armed Forces,

Specialized Training,

Certifications, Skills

Honors, Awards,

Professional and Civic

Organizations, Special

Accomplishments*

References

Please list your managers, professional acquaintances or co-workers as references. (Please do not include relatives or personal friends)

Name Company/Occupation Telephone

Years

Known

Use this space to add additional information you think may be helpful in considering your application, such as any experience, skills or qualifications that you think would make you a fit for the position and our Company. Page 3 of 5

Please carefully read the information below before signing. It is important that you read this section carefully, and that you fully understand it before you sign this application. This section affects your legal rights. If you have any questions, please ask a Doosan Industrial Vehicle America Corp. Human Resources representative before you sign. Doosan Industrial Vehicle America Corp. is an equal employment opportunity employer and does not discriminate against qualified applicants on the basis of race, color, religion, gender, national origin, age, military status, disability, sexual orientation, citizenship status, marital status or any other non-job related or legally protected characteristic in accordance with applicable local, state and federal laws. I understand that Doosan Industrial Vehicle America Corp. may request an investigative consumer report. I understand I have a right to make a written request within a reasonable time for the disclosure of the name and address of the consumer reporting agency. It is further understood that credit checks, Motor Vehicle Reports, criminal and other background checks with state or federal agencies may be conducted. I hereby authorize the Company to investigate any or all information contained in this application, including references and inquiries about my employment, character, general reputation and personal characteristics. I hereby authorize any person, educational institution, organizations, business associates, current/previous employers (except as previously noted) or other individuals or agencies to verify and release any information requested by the Company in order to process my application for employment, including relevant information and opinions that may be useful in making a hiring decision. If I am employed by Doosan Industrial Vehicle America Corp. and drive a company vehicle or a vehicle on behalf of the company, the company may periodically inquire about my driving record. Also, if employed, I consent to periodic background checks involving inquiries relating to my character, general reputation, credit worthiness and arrest and/or conviction record. I release the Company and its representatives from liability for seeking such information and all other persons, corporations or organizations for furnishing such information.

I understand that Doosan Industrial Vehicle America Corp. is committed to maintaining a work environment free from the influence of alcohol and illegal drugs to protect the health, safety and well-being of its employees. In light of this commitment, I will be required to successfully pass an alcohol and/or drug test as a condition of employment. I agree to submit to drug and alcohol testing within the limits prescribed under federal, state and local law. Employment offers are contingent on timeliness and passing the test.

I understand that if I am extended an offer of employment, it may be conditional upon my successfully passing a complete pre-employment physical examination. I consent to the release of any or all medical information as may be deemed necessary to evaluate my capability to do the work for which I am applying. I understand that an offer of employment is contingent upon satisfactory references, verification of information on this application and my ability to comply with applicable regulations issued by the Department of Homeland Security. I understand that this application for subsequent employment does not create a contract of employment nor guarantee employment for any definite duration. I understand that if hired, my employment with the Company will be for an indefinite duration and terminable at will; just as I am free to resign at any time, the employer reserves the right to terminate my employment at any time, with or without cause, and with or without notice. I certify that the facts and information set forth in this application and on my resume are true and complete. I understand that false statements or omissions may result in my disqualification as an applicant or dismissal if I am employed. Nothing contained in this application, or in the granting of any interview, is intended to create an employment contract between the Company and the applicant for either employment or for providing any benefit. All offers of employment are made conditional upon the applicant’s proving employment authorization and identity in accordance with the Immigration Reform and Control Act of 1986.

I have read, understand and by my signature consent to these statements. Applicant’s Signature Date

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*

A conviction will not necessarily disqualify you from employment. The job-related nature of the violation will be considered. Please use additional paper as needed to complete this application. For California only: Please do not disclose convictions of marijuana-related offenses that are more than 2 years old; convictions that have been expunged, sealed, or statutorily eradicated; misdemeanor convictions for which probation has been successfully completed or discharged and the case has been judicially dismissed; or any referrals to a diversion program. Misdemeanor convictions for which probation has been successfully completed or discharged and the case has been judicially dismissed; or any referrals to a diversion program. Page 5 of 5

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