Current Home Address City State Zip How long at this address? Previous Address (If less than 4 years above.) City State Zip How long at this address?

EMPLOYMENT APPLICATION

NAI MLG Commercial / MLG Services Corp.

Phone 414-347-9400 Fax 262-364-5544

BIOGRAPHICAL INFORMATION (PRINT CLEARLY AND FILL OUT APPLICATION ENTIRELY)

Last Name First Middle Suffix (Sr., Jr., III, etc.) Other Names (Maiden, etc.) Current Home Address City State Zip How long at this address? Previous Address (If less than 4 years above.) City State Zip How long at this address? Personal Telephone Work Telephone + Extension May we contact you at work? When is the best time to call?

( ) ( )

_____ Yes _____ No _____ : _____ a.m. / p.m. Position Applying For:________________________________________ Sun Mon Tue Wed Thu Fri Sat

a.m. Date Available:___________ What are you interested in?

p.m. _____Full-Time _____Part-Time _____Temporary _____Summer

How were you referred to our company? (Newspaper, friend, internet, etc.) Are you willing to travel? Are you willing to relocate? _____ Yes _____ No _____Yes _____No

EDUCATION, LICENSES & CERTIFICATIONS

Type Name and Location of School Degree of Study Attendance Did you

Major/Minor Dates (month/year) graduate? Name Address

High School _____ Yes

Prep School City State Zip

_____ No Name Address

College _____ Yes

University City State Zip

_____ No Name Address

Graduate _____ Yes

School City State Zip

_____ No Name Address

Vocational _____ Yes

Trade School City State Zip

_____ No Name (Microsoft, RE, CPA, etc.) and Number State Date Issued Expiration Date Standing Licenses

Certifications

U.S. MILITARY SERVICE

Branch of Service Technical Specialization Rank Attained Date of Entrance Date of Discharge

SPECIAL SKILLS

What programming languages, software, and operating systems are you experienced with? (Microsoft Certifications, etc.)

LEGAL

Federal, state and local laws prohibit discrimination based on race, color, sex, religion, national origin, age, ancestry, disability or marital status. MLG Services Corp. is an equal opportunity employer and your response to any question will be judged on its relevance to the position applied.

Are you a U.S. citizen? _____ Yes _____ No. If no, do you have a legal right and necessary documents to work in the U.S.? _____ Yes _____ No. Do you have a green card? _____ Yes _____ No. Are you H1B? _____ Yes _____ No. (Identity and employment eligibility of all new hires will be verified as required by the Immigration Reform and Control Act of 1986).

Have you ever been convicted of a felony or misdemeanor or have an arrest pending a conviction, not including minor traffic violations? _____ Yes _____ No. If yes, explain: Nature of crime, Date of conviction, County and State. (Convictions do not automatically bar employment.)

Were you ever discharged by any company? _____ Yes _____ No. If yes, name of company(ies)_____________________________________. Reason(s) for discharge:_________________________________________________________________________________________________. 757 N Broadway, Suite #700

Milwaukee, WI 53202

EMPLOYMENT HISTORY (List most recent position first)

Dates Name and Address of Employer Position Held List Major Salary ($) Reason For

(month/year) and Supervisor Duties Leaving

From: Name Your Job Title Start

Address City State

To: Supervisor Final

Phone

From: Name Your Job Title Start

Address City State

To: Supervisor Final

Phone

From: Name Your Job Title Start

Address City State

To: Supervisor Final

Phone

From: Name Your Job Title Start

Address City State

To: Supervisor Final

Phone

REFERENCES (Do not list relatives and please indicate if you were employed under a different name.)

Name Address, City, State and Zip Work Telephone Title Years Known

IMPORTANT - PLEASE READ CAREFULLY

Address, City, State & Zip:____________________________________________________________ Position Held:__________________________________ Supervisor(s):______________________________________________________________________________ Dates (month/year):__________ to ________ Have you previously worked for MLG Services Corp. or any of its affiliates? _____ Yes _____ No. If yes, please complete the following:

Name:______________________________________________________________ Location:___________________________________________________ May we contact your present employer? _____ Yes _____ No. May we contact your present supervisor? _____ Yes _____ No.

This section must be completed. Please do not reference resume.

This section must be completed. Please do not reference resume.

Reason for leaving:________________________________________________________________________________________________________________

In the event of employment, I understand that false or misleading information given in this employment application, on my resume, in interview(s) or on related company documents may result in immediate termination. I also understand that I am required to abide by all rules, regulations and policies of MLG Services Corp..

In submitting this application for employment, I understand an investigation may be made whereby information is obtained regarding my character, employment history, education, licenses, credentials, credit history, driving record and criminal history. I agree to indemnify and hold harmless MLG Services Corp. and MRA - The Management Association, Inc., from all liability and damages whatsoever in obtaining, furnishing or using said information.

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Background Check Disclosure and Authorization

MLG Services Corp. (the “Company”) may order a consumer report and/or investigative

consumer report (“background check report”) on you in connection with your application for

employment and, if hired, during your employment, for employment purposes. By your

signature below, you hereby authorize the Company to order consumer reports and/or

investigative consumer reports on you including, but not limited to, the following information:

employment history, military service, social security number validation; criminal conviction

records, education history, driving record, credit reports, and licensing and certification checks.

Please be advised that the Company may also obtain an investigative consumer report

including information as to your character, general reputation, personal characteristics, and

mode of living. Information may be obtained from private and public persons, entities and

repositories of information, and you authorize disclosure by such parties to the consumer

reporting agency and/or the Company.

The consumer reporting agency that will prepare the report is MRA – The Management

Association N19 W24400 Riverwood Dr. Waukesha, WI 53188, telephone (262) 523-9090. The

Fair Credit Reporting Act and certain state laws give you specific rights in dealing with

consumer reporting agencies. You will find these rights in the attached documents. In the

event that information from the report is utilized in whole or in part in making an adverse

decision with regard to your potential employment or employment, before making the adverse

decision, the Company will provide you with a copy of the background check report and a

description in writing of your rights under the law.

You have the right to request, in writing, within a reasonable time, that the Company make a

complete and accurate disclosure of the nature and scope of the information requested. Such

disclosure will be made to you within 5 days of the date on which we receive the request from

you or within 5 days of the time the report was first requested, whichever is the later. To receive

this information or to inspect any files concerning such a report or to determine if a report has

been requested, you may contact the Company.

For residents of, or for jobs located in, California, Minnesota, Massachusetts, New York

and Oklahoma only: You may request a free copy of any background check report by

checking the box.

□

I request a free copy of my report.

I agree that a facsimile or photocopy of this form is valid just like the original form.

Applicant/Employee’s Signature: _____________________________ Date: _______________

Attachments: Additional State notices; FCRA “Summary of Your Rights”; Information form

ADDITIONAL STATE LAW NOTICES:

If you live in, or are seeking work for the Company in California, Maine, Massachusetts, New

York or Washington State, note:

CALIFORNIA: You may view the file that the Consumer Reporting Agency has for you, and

order a copy of the file, upon submitting proper identification and paying copying costs, by going

to the Consumer Reporting Agency’s offices, during normal business hours and on reasonable

notice, or by mail. You may also ask for a file summary by telephone. The Consumer

Reporting Agency can answer questions about information in your file, including any coded

information. If you go in person, another person can come with you, so long as that person can

show proper identification.

MAINE: If you ask us, you have the right to know whether the Company ordered a background

check report on you. You may request the name, address and telephone number of the nearest

office for the Consumer Reporting Agency. We will send this information to you within five

business days of our receipt of your request. You have the right to ask the Consumer Reporting

Agency for the report.

MASSACHUSETTS: If you ask, you have the right to a copy of any background check report

concerning you that the Company has ordered. You may contact the Consumer Reporting

Agency for a copy.

NEW YORK: If you submit a written request, you have the right to know whether the Company

ordered a background check on you from the Consumer Reporting Agency. You may inspect

and order a copy of the report by contacting the Consumer Reporting Agency.

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FOR BACKGROUND CHECK PURPOSES ONLY – PLEASE PROVIDE THE FOLLOWING

THE INFORMATION WE ARE REQUESTING BELOW IS BEING USED SOLELY FOR THE PURPOSE OF CONDUCTING A BACKGROUND INVESTIGATION. THE INFORMATION PROVIDED BELOW WILL REMAIN CONFIDENTIAL AND KEPT SEPARATE FROM YOUR APPLICATION.

___________________________________________ ___________________________ __________________________

PRINT - Last Name First Name Middle Name

________________________________________________________________ ________________________ Required Previous Name(s)/Maiden Name Date of Change

List addresses (CURRENT ADDRESS FIRST) for the past 7 years. Attach additional sheet of paper if necessary.

Street Address City and County State Zip Code Years At This Address

__ __ __ -__ __ - __ __ __ __ __ ___ - __ __ - __ ___ ___ __

Social Security Number Date of Birth

Please provide your driver’s license information. This information is required to conduct a driver’s license check.

__________________________________ ____________ ______________ _________________________ Driver’s License Number State of License

By signing below, I certify that the above is true and correct to the best of my knowledge. I acknowledge and agree that any misrepresentations or omissions may result in the Company no longer considering me for employment, withdrawal of a job offer from the Company or, if I am already employed by the Company, termination of my employment.

___________________________________________________________ ___________ ______________ Applicant/Employee Signature Date

May your current supervisor, and/or any references or individuals associated with your current employer (including Human Resource Dept.) be contacted? YES ______ NO ______ NOT CURRENTLY EMPLOYED ________

Specific Comments __________________________________________________________________________

School Name Location (city/state) Circle Degree Completed Graduation Date