To be read and signed by applicant:

It is agreed and understood that any misrepresentation given on this application shall be considered dishonesty. It is agreed and understood that Source Energy Solutions, or its agent may investigate the applicant’s background to ascertain any and all information of concern to the applicant’s record, whether same is of record or not, and applicant releases employers and persons named herein from all liability for any damages on account of his furnishing such information. It is agreed and understood that under the Fair Credit Reporting Act, Public Law 91-508; I have been told that this investigation may include an investigating Consumer Report, including information regarding my character, general reputation, personal characteristics, and mode of living. I agree to furnish such additional information and complete such examinations as may be required to complete my application file. It is agreed and understood that this application for Qualification in no way obligates Source Energy Solutions to employ or hire the applicant. It is agreed and understood that if qualified and hired, I may be on a probationary period during which time I may be disqualified without recourse including termination.