SPECIAL PURPOSE QUESTIONS -- THIS SECTION MUST BE COMPLETED
ӿ - Height: ӿ - Weight:
ӿ - Are you a U.S. Citizen:
ӿ - Have you been convicted of a felony or misdemeanor within
the last 5 years?
ӿ - I understand and agree that I may be required to take one
or more physical examination, drug test or lie detector test as a
condition of hiring or continued employment. I agree to consent to
take such tests at such times as designated by Motec, Ltd., and to
release the Motec, Ltd., its directors, officers, agents or
employees from any claim arising in connection with such tests.
ӿ - By typing your name, you are digitally signing this form.
ӿ - Signature of Applicant: