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By signing this document, I, hereby acknowledge that I have applied for a position with Staffing Authority, LLC online and electronically signed and understand the policies of the following documents:

Employment Application

Authorization to Release Information

Receipt of Employee Handbook

Attendance policy

Paid leave policy

Background Check and Disclosure and Release Authorization

W-4 Form

Emergency Contact Name:

Emergency Contact Phone #:

Date: July 27, 2024

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Your legal name

Your email address

Please Confirm full name and signature.

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I agree that I am and I agree this is a legal representation of my signature for all purposes just the same as a pen-and-paper signature

I agree that I am and I understand this is a legal representation of my signature

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Timestamp

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March 15, 2022 11:01 pm PDT

Acknowledgement Authorization Uploaded by Larry Flight - admin@staffingauthority.com IP 24.234.71.9