DISCLOSURES

ELECTRONIC SIGNATURE CONSENT

As part of the selection process atGohanna Staffing Solutions, LLC, the "Company," you will need to consent to a background check electronically. By typing your name, you are consenting to receive any communications (legally required or otherwise) and all changes to such communications electronically. To use the website, you must provide at your own expense an Internet connected device that is compatible with the minimum requirements outlined below. You also confirm that your device will meet these specifications and requirements and will permit you to access and retain the communications electronically each time you access and use the website.

SYSTEM REQUIREMENTS TO ACCESS INFORMATION

To receive and view an electronic copy of the Communications you must have the following equipment and software: A personal computer or other device which can access the Internet. Your access to this page verifies that your system/device meets these requirements. An Internet web browser which can support 128-bit SSL encrypted communications, JavaScript, and cookies. Your system or device must have 128-bit SSL encryption software. Your access to this page verifies that your browser and encryption software/device meet these requirements.

SYSTEM REQUIREMENTS TO RETAIN INFORMATION

To retain a copy, you must either have a printer connected to your personal computer or other device or, alternatively, the ability to save a copy through use of printing service or software such as Adobe Acrobat®. If you would like to proceed using paper forms, please contact Gohanna Staffing Solutions, LLC.

WITHDRAWAL OF ELECTRONIC ACCEPTANCE OF DISCLOSURES AND NOTICES

You can also contact us to withdraw your consent to receive any future communications electronically, including if the system requirements described above change and you no longer possess the required system. If you withdraw your consent, we will terminate your use of the CSS Inc. website and the services provided through CSS Inc. website. To ensure that a signature is unique and to safeguard you against unauthorized use of your name, your IP address has been recorded and will be stored along with your electronic signature. Please note that if you wish to submit your Disclosure and Authorization Forms electronically,Gohanna Staffing Solutions, LLC requires that you include your social security number or user identification. All your information will be encrypted and transmitted via our secure website.

DISCLOSURE FOR INVESTIGATIVE CONSUMER REPORT

Gohanna Staffing Solutions, LLC (the "Company") may request an investigative consumer report about you from a third-party consumer reporting agency, in connection with your employment or application for employment. An "investigative consumer report" is a background report that includes information from personal interviews (except in California, where that term includes background reports with or without information obtained from personal interviews). The most common form of an investigative consumer report in connection with your employment is a reference check through personal interviews with sources such as your former employers and associates, and other information sources. The investigative consumer report may contain information concerning your character, general reputation, personal characteristics, or mode of living. You may request more information about the nature and scope of an investigative consumer report, if any, by contacting the Company. If adverse action is taken resulting from information obtained, in whole or in part, from an investigative consumer report from a consumer reporting agency, you will have the option to receive a copy of the report fromGohanna Staffing Solutions, LLC. Gohanna Staffing Solutions, LLC can be contacted at 2366 Golden Mile Highway #411, Pittsburgh, PA 15239 or by phone/fax at 877-361-1196.

DISCLOSURE REGARDING BACKGROUND INVESTIGATION

Gohanna Staffing Solutions, LLC (the "Company") may obtain information about you from a third-party consumer reporting agency for employment purposes. Thus, you may be the subject of a "consumer report" which may include information about your character, general reputation, personal characteristics, and/or mode of living. These reports may contain information regarding your credit history, criminal history, social security verification, motor vehicle records ("driving records"), verification of your education or employment history, or other background checks. You have the right, upon written request made within a reasonable time, to request whether a consumer report has been run about you and to request a copy of your report. These searches will be conducted by Gohanna Staffing Solutions, LLC. 877-361-1196 Golden Mile Highway #411, Pittsburgh, PA 15239. To the extent permitted by law, the Company may obtain consumer reports from any outside organization throughout the course of your employment.

ACKNOWLEDGMENT AND AUTHORIZATION

[IMPORTANT -- PLEASE READ CAREFULLY BEFORE SIGNING ACKNOWLEDGMENT]

I acknowledge receipt of the DISCLOSURE REGARDING BACKGROUND INVESTIGATION and certify that I have read and understand both of those documents. I hereby authorize the procurement of "consumer reports" and/or "investigative consumer reports" at any time after receipt of this authorization and, if I am hired, throughout my employment. To this end, I hereby authorize, without reservation, any law enforcement agency, administrator, state or federal agency, institution, school or university (public or private), information service bureau, employer, or insurance company to furnish any and all background information requested by Gohanna Staffing Solutions, LLC can be contacted at 2366 Golden Mile Highway #411, Pittsburgh, PA 15239, http://www.gohannastaffingsolutions.com, another outside organization acting on behalf of Gohanna Staffing Solutions, LLC ("the Company"), and/or the Company itself. I agree that a facsimile ("fax"), electronic or photographic copy of this Authorization shall be as valid as the original.

Consent*

I authorizing Gohanna Staffing Solutions, LLC to conduct the background checks described above.

Consent*

I am consenting to use electronic means to sign this form and have read all of the above disclosures.*

Consent*

I acknowledge that I may request a hard copy of this Disclosure and Authorization form after agreeing to the background check electronically by calling Gohanna Staffing Solutions, LLC at 877-361-1196.*

Consent*

I understand that by signing/typing my name, entering the last four digits of my social security number and clicking on submit, constitutes my electronic signature, dated as of when I clicked the "submit" button.*

Last 4 of SSN:*

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