AUTHORIZATION AND RELEASE

By checking the box below, I am acknowledging that having filed an application for employment with Prestige Protection, or any of its affiliated subsidiaries, hereby authorize and request any qualified medical person, firm, officer, corporation, organization or institution having control of any documents, or other information to release to said company, or its representatives, and to permit said company, or its representatives to inspect and make copies of any such documents, records, or other information. Such information shall include, but not be limited to, any and all medical records, x-rays, clinical abstracts, employment records or transcripts of my scholastic records which may have been made or prepared pursuant to, or in connection with, any examination, consultation, test, personal opinion or evaluation of the undersigned. I hereby release and exonerate every medical doctor, school official and every other person, firm. officer, corporation, association, organization or institution which shall comply with the authorization and request made herein from any and every liability of every nature and kind.

I understand that in the event my application for employment is accepted, the effective date of acceptance and of my employment shall be the date I actually commence work. If I am employed, I agree to comply with and be bound by the safety and work rules and other regulations of the company. By checking below I acknowledge that Prestige Protection has a drug/alcohol screening substance testing, which includes urinalysis test. If I refuse to submit to, or fail the, drug/alcohol screening test, my consideration for, and/or continuance of employment will be nullified.

If I am required to drive a company or client vehicle during my employment, I will be required to notify the company of any driving violations, accidents, or license suspensions or revocations and a copy of the citation and a copy of my department of motor vehicle printout must be provided.

I fully release Prestige Protection, its employees, agents and affiliated subsidiaries from all liability in connection with such testing and from any decision by Prestige Protection concerning my application. As a condition of consideration for employment by Prestige Protection I hereby give authorization to investigate my past employment record and character to the fullest extent of the law, with my complete cooperation and based upon my full disclosure.