PERSONAL DATA

Full Name: Home Address: Phone Number: Email Address: Social Security Number: How may we reach you during the day? Any By Phone By Email Position desired: Hours and days available: Salary expectations: Are you over 18 years of age? Yes No How were you referred to LegalCreation? Our Web Site Are you legally eligible to work in the United States? Yes No

ACADEMIC INFORMATION

High school name: City and State: Post High School education: Institution name: Major: Degree: Location: Overall GPA: Was program completed? Yes No Institution name: Major: Degree: Location: Overall GPA: Was program completed? Yes No Institution name: Major: Degree: Location: Overall GPA: Was program completed? Yes No

EMPLOYMENT HISTORY

Employer 1 (present or most recent): Employer: Address: Your Job Title: Supervisor's name and title: Supervisor's telephone: Employment date: Form:    To: Please enter the date like: 06/12/2007 Salary: Description of duties: Reason for leaving: May we contact this employer? Yes No If NO, why: Employer 2 (present or most recent): Employer: Address: Your Job Title: Supervisor's name and title: Supervisor's telephone: Employment date: Form:    To: Please enter the date like: 06/12/2007 Salary: Description of duties: Reason for leaving: May we contact this employer? Yes No If NO, why: Employer 3(present or most recent): Employer: Address: Your Job Title: Supervisor's name and title: Supervisor's telephone: Employment date: Form:    To: Please enter the date like: 06/12/2007 Salary: Description of duties: Reason for leaving: May we contact this employer? Yes No If NO, why: Please describe any gaps in employment that lasted more than one month. Give reason for each gap:   Please provide any additional information you would like to add to assist us in reviewing your application: Indicate office machines, software, hardware you have used and have working knowledge about: Typing speed: Data entry speed:

REFERENCES

Please list three persons best qualified to comment on your related experience and/or educational background. Do not use relatives. Reference 1 Name: Title: Company: Address: Business Phone: Home Phone: Reference 2 Name: Title: Company: Address: Business Phone: Home Phone: Reference 3 Name: Title: Company: Address: Business Phone: Home Phone: Have you ever been convicted of a felony? Yes No   If yes, please explain:

CONFIRMATION

I certify that all the information on this form is true, complete and accurate. I authorize past and present employer, educational institutions or references to verify information on the application and I release them to provide additional information relating to my past employment, education and performance as requested by LegalCreation.com, Inc. I authorize LegalCreation Corporation and/or its agents to complete a pre-employment background investigation. I understand this background check may be done at any time during the employment process and during my employment, and may include, but not be limited to, local, state and federal criminal record,, credit records, drug testing, and department of motor vehicles records. If I become employed by LegalCreation, I understand that false or misleading information given in my application or interview(s) may be grounds for dismissal. . I agree to provide LegalCreation with documentation that I am legally eligible to work in the U.S. according to rules established by U.S. Immigration and naturalization services. I understand that this application or any other Company documents or oral statements are not contracts of employment, and that if I am hired, my employment and compensation can be terminated with or without cause and with or without notice at any time at the option of either LegalCreation or myself. I understand that no representative of LegalCreation other than its Executive offers have the authority to enter into any agreement for employment for any specified time or to make any agreement contrary to the foregoing. Any exception to this policy must be in writing and signed by an Executive Officer. I have fully read and understand the terms of this application as stated above. Signature of Applicant: Date: