Dear Applicant, Thank you for your interest in employment with Dow Corning Corporation. To be considered for Loss Prevention Technician (LPT) employment at our Carrollton, Kentucky manufacturing facility, you will need to submit a hardcopy complete resume packet to the following address: Dow Corning Corporation HR Service Center ATTN: Cindy P.O. Box 994; Mail #HRSC Midland, MI 48686-0994 A complete resume packet includes: Complete, up-to-date resume. Resume must include month and year of employment history. Completed Checklist of Minimum Requirements along with any noted documentation (you must print this document, then complete and submit hardcopy). NOTE: PLEASE PRINT THE CHECKLIST ON A PAGE SEPARATE FROM THIS LETTER. Submission of a complete resume packet will meet the requirements of Phase I and II of the LPT hiring process. PLEASE NOTE: YOUR RESUME WILL NOT BE CONSIDERED FURTHER UNTIL THIS COMPLETE RESUME PACKET IS RECEIVED. Once your packet has been reviewed, you will be notified by letter whether (or not) you meet the minimum hiring requirements and what the next Phase of the process will be. Please do not contact us regarding the status of your resume. Dow Corning is an equal opportunity employer M/F/D/V. Staffing Specialist, HR Service Center CHECKLIST OF MINIMUM REQUIREMENTS FOR LOSS PREVENTION TECHNICIAN EMPLOYMENT Please indicate, by checkmark, all applicable categories that apply to you from the following list of minimum requirements for Loss Prevention Technician employment. Once you have checked the applicable requirements, read and sign the acknowledgement statement at the bottom of this form. □ I have a High School diploma or G.E.D. □ I am computer literate. □ I have a current State of Kentucky or National Registry (with Kentucky Certification) Emergency Medical Technician (EMT) License (must provide copy of state license). Date current license expires: ____________ If license expires within 6 months, please provide number of renewal credits you have completed to date: ____________ I UNDERSTAND THAT, AT ANY TIME, I MAY BE REQUESTED TO PROVIDE PROOF OF THE STATEMENTS MADE ABOVE. I ACKNOWLEDGE THAT ANY INACCURATE REPRESENTATIONS THAT I MAKE TO DOW CORNING CORPORATION DURING MY APPLICATION PROCESS MAY BE DEEMED FALSIFICATION OF COMPANY RECORDS DISQUALIFYING ME FOR CONSIDERATION FOR HIRE OR DISQUALIFYING ME FOR CONTINUED EMPLOYMENT. Have you ever worked for Dow Corning Corporation or one of its known subsidiaries? □ No □ Yes If answered “Yes” to question above, please indicate the dates and location of employment: _______________________________________________________________________________________________ Name of Applicant (PLEASE PRINT): ____________________________________________________________________ Date ____________________________________________________________________________________________________ Signature of Applicant Social Security # LPO - CARR