JACKSON OFFSHORE OPERATORS, LLC.
(WE ARE AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER)
APPLICANT’S STATEMENT: I understand that Jackson Offshore Operators, LLC is committed to providing equal opportunity in all employment practices, including but not limited to selection, hiring promotion, transfer, and compensation to all qualified applications and employees without regard to age, race, color, national origin, sex, religion, handicap or disability, citizenship status, service member status, or any other category protected by federal, state, or local law.

I authorize former and present employers, and professional, work, and personal references listed in the application and any other individuals I may name, to give Jackson Offshore Operators, LLC or its designee any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release such parties from all liability for any damages that may result from furnishing same to Jackson Offshore Operators, LLC. I also authorize Jackson Offshore Operators, LLC to provide truthful information concerning my employment with it to future employers, and I agree to hold it harmless for providing such information.

I understand that Jackson Offshore Operators, LLC reserves the right, to the extent permitted by a law, to require drug and alcohol screening tests of an applicant or an employee either prior to employment or any time during employment, and I hereby give my consent to any such tests. I consent to the release of the results of any such tests to Jackson Offshore Operators, LLC or its designee. I release Jackson Offshore Operators, LLC and its designee from any and all liability and damages that may result or arise from any drug test or the provision of information in connection with such a test.

I understand that this employment application and any other Company document are not promises of employment. SHOULD I BE EMPLOYED, I UNDERSTAND THAT MY EMPLOYMENT WILL BE ON AN AT-WILL BASIS. I FURTHER UNDERSTAND THAT , IF I AM EMPLOYED, I CAN TERMINATE MY EMPLOYMENT AT ANY TIME WITH OR WITHOUT CAUSE AND WITH OR WITHOUT ADVANCE NOTICE AN THAT THE COMPANY HAS A SIMILAR RIGHT. I understand that no manager, representative, or agent of Jackson Offshore Operators, LLC has any authority to enter into any agreement for employment for any specified period of ime or to make any agreement contrary to the foregoing, except that the President may do so in writing.

I certify that the information given by me on this application and during the interview process is true and complete in al respects, and I agree that if the information is found to be false, misleading , or unsatisfactory in any respect (in the Company’s judgment) that I will be disqualified from consideration for employment or subject to immediate dismissal if discovered after I am hired.

I certify that I have received a separate written notification that Jackson Offshore Operators, LLC may obtain a consumer report on me for use in connection with my application and, if I am hired, my employment with Jackson Offshore Operators, LLC. I authorize Jackson Offshore Operators, LLC to obtain this report.

This application will be considered “active” for a maximum of thirty (30) days. If you wish to be considered for employment after that time, you must reapply.

Each inquiry on this application must be fully answered or completed. Otherwise, you will not be considered for employment.