* If additional space is needed to complete any questions, you may attach additional sheets to the form.

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1 Select Sires, Inc U.S. 42 N Plain City, OH (614) In order for your application to be considered for employment, it must be completed in its entirety; do not leave blank spaces or ignore any section. If a question does not apply to you, please mark N/A in the blank. * As you complete the application form, provide details on prior education, work experience, and any relevant training or certificates and licenses that would indicate your knowledge, skills and ability to perform the job applying for. Be as specific as possible since the application will be screened based on the information supplied on the form, regardless of what you may otherwise be able to do. * If additional space is needed to complete any questions, you may attach additional sheets to the form. * SIGN the application form. Applications without signatures will not be considered. * If you wish to attach documents (certificates, diplomas, letters of recommendations, etc.) to the application form, please do so. However, once submitted, the application and all attachments become the property of Select Sires, Inc. Copies will not be made and attachments will not be returned. The hiring procedure can be a lengthy process so it may be several weeks between the time you submit the application and the time the position is filled. Please DO NOT CALL to check the status of your application. Do not contact the hiring supervisor or department directly, unless it is in response to a contact initiated by the department. Contacting the department directly in an effort to circumvent the hiring process may disqualify your application from consideration. If you are selected for an interview, you will be contacted by telephone. If you do not have voice mail or an answering machine, please list a telephone contact number of someone that can be reached during the business hours of 8:00 am to 4:30 pm.

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3 Select Sires, Inc U.S. 42 N Plain City, OH (614) The World s Source for Superior Bovine Genetics APPLICATION FOR EMPLOYMENT Please print or type all information except signature. Answer all questions completely and accurately. Select Sires, Inc. is an equal employment opportunity employer. Applicants for employment are considered without regard to age, color, disability, marital status, national origin, race, religion, sex, veteran s status, genetic information, or any other protected characteristic as established by law. PERSONAL INFORMATION Date Are you available to work 1 st 2 nd Weekends Starting Wage Desired 8-hr 10-hr Rotating per hour Position Applied For (Or Desired) REFERRED BY: Name Present Last First Middle Number Street City State ZIP COUNTY Lived Here How Long? Previous Number Street City State ZIP COUNTY Lived Here How Long? Primary Telephone ( ) address Have you ever been employed by Select Sires before? Yes No If yes, when? Have you ever been interviewed by Select Sires before? Yes No If yes, when? List relatives employed by Select Sires and type of relationship. Are you at least 18 years of age or older? Yes No Federal laws require that employers hire only individuals who are authorized to be lawfully employed in the United States. In compliance with such laws, Select Sires, Inc. participates in E-Verify to verify the status of every individual offered employment with the company. In connection, all offers of employment are subject to verification of the applicant s identity and employment authorization, and it will be necessary for you to submit such documents as are required by law to verify your identification and employment authorization upon employment. If offered employment, can you submit verification of identity and authorization to work in the United States? Yes No If hired, do you have access to reliable transportation to get to work? Yes No Have you ever been convicted of a felony?* Yes No If yes, please explain *This information will be used only for job-related purposes and only to the extent permitted by applicable law. Do you have any employment agreements that are in force? Yes No If yes, please explain terms and duration of any non-competition or non-solicitation clauses.

4 EDUCATION TYPE OF SCHOOL High School NAME OF SCHOOL LOCATION (Complete mailing address) YEARS COMPLETED MAJOR & DEGREE College Graduate School Business, Professional, or Trade School Special Honors: OFFICE & COMPUTER SKILLS Please list skills, typing speeds, office equipment, and computer skills you may have, e.g., hardware skills, software skills, and/or special training required for the position which you are applying. SPECIAL SKILLS Please list farm machinery and farm equipment that you can operate for the position which you are applying. OTHER SKILLS Please list other special skills you may have, e.g., fluency in other languages, certifications, licenses, special training required for the position for which you are applying. DRIVER S LICENSE Do you have a driver s license? No Yes State of issue Operator Commercial (CDL) Have you had any accidents during the past three years? Yes No How many? Have you had any moving violations during the past three years Yes No How many? MILITARY SERVICE Are you a veteran of the United States military service? Yes No If yes, what branch? If yes, Date Entered Date Discharged If yes, please describe any special skills or training acquired while in the service:

5 WORK EXPERIENCE Please list your work experience beginning with your most recent job. Attach additional sheets, if necessary. Current Employer May we contact your current employer? Yes No Employer Employer Employer

6 REFERENCES Please list two professional references other than relatives who can provide work and/or character references. Name Name Occupation / Position _ Occupation / Position Telephone ( ) Years Known. Telephone ( ) Years Known. WAIVERS AND DISCLOSURES Please read each section carefully and sign where indicated. CERTIFICATION OF TRUTH AND ACCURACY I certify that all the information on this application is accurate and complete to the best of my knowledge. I understand that false or misleading statements, or significant omission of any fact, made by me on this application, resume, or any other materials, or during any interviews, will constitute sufficient cause for refusal to hire or, if employed, termination of my employment. AT-WILL EMPLOYMENT In consideration of my employment, I agree to comply with the policies, procedures, regulations, and rules of Select Sires, Inc. It is my understanding that this employment application, or the granting of an interview, does not represent an actual or implied contract of employment. I understand that, if I accept employment with Select Sires, Inc., it will be on an at-will basis. This means that either Select Sires, Inc. or I have the right to terminate the employment relationship at any time, for any reason, with or without cause. I also understand that this written statement supersedes any and all oral representations made by agents or representatives of Select Sires, Inc. NOTIFICATION AND AUTHORIZATION TO CONDUCT BACKGROUND INVESTIGATION I understand that I may be subject to a background check, and hereby authorize Select Sires, Inc. to make any investigation of my work history, educational background, military records, motor vehicle records, criminal records, credit history and/or any personal websites or social media/networking sites to which I belong, through an investigative or credit agency or bureau of your choice. I release Select Sires and its directors, officers, employees, affiliates, and agents from any and all liability, claims, demands, damages, and causes of action of every kind and nature arising out of such investigation and any decision concerning employment by Select Sires, in whole or in part, based upon the results of the investigation. I understand that passing the background check is a condition of initial employment. In addition, I understand that random background checks may be conducted at any time during my continued employment with or without cause, and with or without notice to me. A negative background check can be grounds for dismissal, even if an offer has been made to me and I have been hired. VOLUNTARY CONSENT TO PRE-EMPLOYMENT DRUG TESTING I understand that any offer of employment from Select Sires, Inc. is contingent upon my taking and passing a pre-employment drug test with results that are satisfactory to Select Sires, Inc. I hereby consent to such pre-employment drug testing and to the release of any drug testing reports from any laboratory to Select Sires, Inc. I further agree to release Select Sires and its directors, officers, employees, affiliates, and agents from any and all liability, claims, demands, damages, and causes of action of every kind and nature arising out of the pre-employment drug testing and any decision concerning employment by Select Sires, in whole or in part, based upon the results of the pre-employment drug test. ANY APPLICANT WHO IS UNWILLING TO AGREE TO THESE CONDITIONS SHOULD NOT APPLY FOR EMPLOYMENT WITH SELECT SIRES, INC. SIGNATURE OF APPLICANT: Date Thank you for applying to Select Sires, Inc. Our Mission To enhance the productivity and profitability of dairy and beef producers, Select Sires is committed to be the premier provider of highly fertile, superior genetics accompanied by effective reproductive- and herd-management products and services.