Hello,

It was a pleasure speaking with you over the phone. In this letter, you will find important information

regarding what to bring with you to your interview and what to expect during the time you are at our

office.

When you arrive at our office, please be prepared for a professional interview. You can expect to meet

with one of our recruiters to discuss your job history, work related skills, and discuss how TERRA might

be able to assist you in your job search. In addition to an interview, depending on your job search, you

may take basic skill assessment tests which will help the TERRA team better understand your level of

proficiency with certain computer programs, typing, data entry, as well as your aptitude for basic office

skills. Please expect the entire interview process to take approximately 60 minutes. You will find

directions to our office attached to this letter.

Please come to your interview prepared with the following items:

Hard copy of your resume

List of 3 Professional References including names, titles, addresses, and phone numbers

List of your last 3 Employers including names, addresses, and phone numbers

Both proof of eligibility to work in the United States and proof of your identity (see List of

Acceptable Documents attached to this packet)

We are looking forward to meeting with you and hope that we can be a valuable resource to you during

your job search. If for any reason you need to reschedule or cancel your interview, or if you have any

questions, please do not hesitate to contact us at (253) 568-8545.

Sincerely,

TERRA Staffing Group

Employment Application

List your name exactly as it appears on your Social Security Card to ensure proper tax credit.

Full Name Last First MI Today’s Date:

List all names used in past Nickname SSN # __ __ __ - __ __ - __ __ __ __

Mailing Address Apt. # Over 18 years of age? Yes No

City State Zip How did you hear about us?

Phone ( ) Cell ( ) Message ( ) Internet _________________________

Email: Text ok Friend _________________________

Emergency contact? Phone ( ) Other _________________________

Type of work desired Temporary Permanent Full-time Part-time

Pay Desired $__________ Salary Desired $__________

OT ok?

Worked for or applied with TERRA in the past? Yes No Year: _____ Worked with a staffing service before?

Yes No

Highest Degree: Certification: Name of institution

High School / GED Some College AA BA/BS M/PhD Trade School Other

Employment History

From: To: Company Name: Supervisor's Name

Reason for leaving Job Title: Ph:

Company Address: Contact your supervisor? Yes No

City State Zip Salary – Starting: Ending:

From: To: Company Name: Supervisor's Name

Reason for leaving Job Title: Ph:

Company Address: Contact your supervisor? Yes No

City State Zip Salary – Starting: Ending:

From: To: Company Name: Supervisor's Name

Reason for leaving Job Title: Ph:

Company Address: Contact your supervisor? Yes No

City State Zip Salary – Starting: Ending:

I certify that the statements I have provided on the application (and in my resume, if provided) are true, complete and correct and contain no errors, omissions, falsifications, misrepresentations, or misleading statements. If I am offered employment, I understand and agree that any error, omission, falsification, misrepresentation or misleading statement on the application or resume will be grounds for immediate termination regardless of when the error, omission, falsification, misrepresentation, misleading statement is discovered. I also understand my employment may be contingent upon successful completion of a drug test and background check. I understand that while on a temporary or temp-to-hire assignment I am an employee of TERRA Companies (TERRA Staffing Group) and as such must direct questions regarding attendance, compensation and benefits, or grievances to any TERRA Staffing Supervisor. Upon completion of each assignment and on a regular basis thereafter, I agree that if I do not continue to contact TERRA for work I may be considered unavailable and that I have terminated my employment with them. I authorize TERRA to contact my past employers for the purpose of verifying statements contained on my employment application. I release former employers and TERRA from any liability arising from disclosure of any information pertaining to me obtained during said investigation. I authorize TERRA to contact any person to verify any of the information I have provided. I hereby release from liability any person who provides any information about me to TERRA. I understand and agree that employment, if offered, will continue at the will of TERRA and myself and may be terminated at any time, for any reason, with or without notice or cause, by either me or TERRA. My employment with the company will remain terminable at will, not withstanding any other oral or written statements by the company, at or following my date of employment, except as provided in a separate writing, signed by the president of the company, which expressly provides for different termination provisions. I CERTIFY THAT I HAVE CAREFULLY READ THE IMPORTANT NOTICE SET FORTH ABOVE IN ITS ENTIRETY.

Signature Date

TERRA will not use any information provided to discriminate on the basis of race, color, religion, national origin, marital status, sex, sexual orientation, disability, age or any other classification protected by law.

Please add a check mark next to anything you have experience in.

Light Industrial

Administrative

Assembly / Production Machine Shop Light Industrial Manufacturing Assembler CNC Lathe Drill Press Inspection Bander CNC Operations Cashier Inventory Bindery CNC Programming Cherry Picker Forklift Production Manager Collator Manual Lathe Commercial Housekeeping Production Scheduler Machine Maintenance Machinist Commercial Painting Production work Machine Repair Press Operations Fabricator Quality Assurance Sheet Metal Press Work Factory Work Quality Control Sheet Operator Tool/Dye Maker Fiberglass Quality Testing Lead Supervisor Tools Used Food Service Scheduler/Expediter

Load & Unload Drill Press Forklift Experience General Labor Injection Molding Punch Press Heat Sealing General Labor Inserting Grinder Labeling Guillotine Operator

Electronic Assembly Hand Tools Packaging Heavy Lifting Assembly-Electric Nail Gun Palletizer Heating/Vent/AC Electronics Test Sander Picker/Packer Parking Lot Attendant Final Assembly Electronics Slitter Operator Shipping/Receiving Plumbing

Soldering Construction Shrink Packaging Mover

Licenses Blue Print Reading Sorting Janitorial Certified Forklift Carpentry Stocking Clerk Landscaping Commercial Driver Construction Finishing Stock room Mailroom Food Handler’s Permit Framer Tagging Residential Housekeeping

Welding Grading Supply Chain Painter MIG Welder Extruder Distribution Security Spot Welder Woodworking Supply Chain Analyst Mill work Stick Welder Roofing Supply Chain Management Truck Driving TIG Welder Hazardous Materials Material Handler Vending Machine Warehouse

Accounting Accounting Software Banking Software Audit Accounting Dynamics Bank Teller Adobe FrameMaker Accounts Payable Great Plains Loan Processing Adobe Illustrator

A/P Coding Peachtree Health Care Adobe PhotoShop Accounts Receivable Payroll Software Medical Records Crystal Reports Collections ADP Payroll Medical Billing Desktop Publishing Cost Accounting Ceridian HCFA-1500 Dreamweaver Billing Payroll Union ICD-9 Lotus Notes

General Ledger Administrative CPT-4 MS Access Financial Statements Customer Service Medical Receptionist MS Excel Job Costing Alpha Data Entry Medical Secretary MS Outlook Payroll Numerical Data Entry Medical Terminology MS Photo Editor Profit & Loss Filing Medical Records MS PowerPoint Quarterly Reports Graphics Design Human Resources MS Project Receivable Reconcile File Clerk HR Assistant MS Publisher Accounting Clerk Help Desk HR Comp & Benefits MS Visio Accounting Manager Inventory HR Generalist MS Word Controller Assistant Mailroom HR Labor Relations Oracle Billing Manager Administrative Assistant HR Manager QuickBooks Bookkeeper Sr. Admin Assistant HR Recruiting & Staffing Quicken

Controller Events Coordinator HR Safety/Workers Comp Industry Certified Public Acct. Executive Assistant HR Training & Dvlpmnt Accounting/CPA

Credit Manager Office Assistant Manufacturing Aerospace A/P Manager Office Management Blue Print Reading Architecture A/R Manager Project Coordinator Buyer Banking Finance Payroll Manager Project Management Purchasing/Procurement Education Public Accounting Reception Planner Construction Staff Accounting Research Assistant Manufacturing Sales Engineering

Tax Accounting Sales Coordinator Sales & Marketing Food Service Budgeting Switchboard Call Center Forestry CFO Transcription Inside Sales Government Credit Analyst Word Processing Marketing Assistant High Tech Finance Marketing Director Hospitality Financial Analyst Marketing Manager Insurance Finance Auditing Public Relations Legal Financial Reporting Telephone Sales Manufacturing Investment Services Marketing Portfolio Management Medical and Dental SEC Reporting Mental Health Treasurer Mortgage VP Accounting Non-Profit VP Finance

I authorize my former employer to furnish TERRA Staffing Group with the information requested on this

form and release that employer and TERRA Staffing Group from any and all claims and liabilities of

any nature arising from such inquiry and investigation or the supplying of information for such

investigation.

Signature Date

REFERENCE REQUEST

Company

Employee

Name

SSN#

The above named employee has applied for employment through TERRA Staffing Group

and has given you as a reference. Above is the signed authorization to release the

information. We would appreciate you completing the information requested and

returning this form to us. You may be assured any information you supply will be held in

strictest confidence.

Job Title Eligible for rehire? Yes No

Dates worked: From: To:

Excellent Good Fair Poor

Performance

Productivity

Attitude

Adaptability

Attendance

Punctuality

Comments:

Do you have any reason to believe the applicant may be dangerous, violent, abusive, or

may engage in illegal, improper, discriminatory or harassing conduct at work? Yes

No

Signature _____________________________ Title _____________________________

Thank you for your cooperation. You may fax this form to us to the office checked below.

TERRA Representative _____________________________

Tukwila Seattle Tacoma

P 425.793.5460 P 206.405.3300 P 253.568.8545

Portland Everett Kirkland

P 503.290.0039 P 425.355.7223 P 425.822.2929

FAX for all offices: 1.888.329.7599

Disclosure & Authorization for Employment Related Consumer Report and Drug Screening

I understand that, as a condition of my consideration for employment, or as a condition of my continued employment, TERRA Staffing Group may obtain a consumer report that includes, but is not limited to, my employment and/or education verifications, social security verification, criminal and civil history, DMV records, any other public records and any other information bearing on my credit standing, character, general reputation, personal characteristics and trustworthiness. By signing the release below, I hereby authorize TERRA Staffing Group on behalf of TalentWise to contact any and all corporations, former employers, credit agencies, educational institutions, law enforcement agencies, city, state, county, and federal courts, military services to release information about my background as stated above. I release from all liability all persons, companies, schools supplying such information. I indemnify TERRA Staffing Group against all liability, which may result from making such requests. This release shall remain in effect for the length of my employment, if hired. I understand that, pursuant to the federal Fair Credit Reporting Act, TERRA Staffing Group will provide me with a copy of any such report if the information contained in such report is, in any way, to be used in making a decision regarding my fitness for employment. I further understand that such report will be made available to me prior to any such decision being made, along with the name and address of the reporting agency that produced the report. I believe to the best of my knowledge that all information I have provided both on the application and this authorization form is accurate, true and correct and that I fully understand the terms of this release.

SIGNATURE:

PRINT NAME (FIRST, MIDDLE, LAST):

PRINT ANY OTHER NAMES USED:

SOCIAL SECURITY #: BIRTHDATE (Mo/Day/Year):

DRIVER'S LICENSE NUMBER & STATE (A DMV check will be completed only for jobs that require driving a company owned vehicle) #______________________State ______________

ADDRESS:

CITY/STATE/ZIP: OTHER STATES:

EDUCATION VERIFICATION

SCHOOL NAME: _________________________________________________________________

SCHOOL CITY: _____________________________________ SCHOOL STATE: _____________

GRADUATION DATE (If applicable):

FIELD OF STUDY: ______________________DEGREE RECEIVED: _______________________

TalentWise, a consumer reporting agency, will obtain the report for the Company. PO Box 1048 Bothell, WA 98041 866-246-3570

Directions to TERRA Staffing Group Tacoma Branch

1101 Broadway

Tacoma, WA 98402 253-568-8545

From I-5 Northbound or Southbound

From Tacoma Take I-5 to Hwy 705 (City Center) Take the A St. Exit Turn Left on 11th Turn Left On Broadway We’ll be on you left side in front of the fountain