Application for At Will Employment

Application for At Will Employment Personal Information Last Name:

Home Phone Number:

First Name:

Cell Phone Number:

Middle Name:

Work Phone Number:

Email Address: Permanent Street Address: City:

State/Province:

Zip/Postal Code:

Country:

State/Province:

Zip/Postal Code:

Country:

Temporary Street Address: City: Are You Under 18?

Yes

No

Do you have a valid Driver’s License?

Yes

No

Driver's License Number:

State/Province:

Have You Previously Been Employed By RGNext? If Yes, Location:

Yes

No

From:(mm/yyyy)

To:(mm/yyyy)

Are You Currently Applying Or Under Consideration For Employment At Another RGNext Facility? Yes No If Yes, Which Facility? During The Past 12 Months, Have You Been Rejected By RGNEXT For Employment? If Yes, Give Date:(mm/dd/yyyy)

Yes

No

Reason:

What Type of work and Shifts are you interested in? Please check all that apply: Full Time

Part Time

Position Desired:

Seasonal

First Shift Date Available:

Second Shift

Third Shift

Minimum Salary Required (annual):

List Below The Names Of Any Individuals Employed By RGNext Who Know You: Name and Where Employed: Name and Where Employed: How, Or By Whom Were You Referred To This Company:

Rotating/Split Shift

Application for At Will Employment Training And Education If You Did Not Graduate From High School, Select Highest Grade Completed: City:

High School Attended:

Zip/Postal Code:

Diploma Received? Yes No Name at time of graduation:

Country:

State/Province:

Additional education (non College or University):

List Licenses Held (Professional Engineer, Electrician, Etc.) License Type:

License#:

Issuing State:

License Type:

License#:

Issuing State:

License Type:

License#:

Issuing State:

Colleges And Universities Attended Have you attended College or a University?

Yes

No

Name: City:

Degree Conferred Title: State/Province:

Country:

Field Of Specialization:

Grade Point Average:

Name at time of graduation: Employment With Department Of Defense/Service In Armed Forces Are you a current or a former U.S. Government, military or civilian, employee? Do you have prior US Military service experience? Are you currently in the US Military?

Yes

Yes

Yes

No

No

Branch Of Service:

Military ID Number:

Highest Rank:

Current Status: Currently Serving Discharged Retired

Military Occupation Specialty:

National Guard and Reserve Service Are you a member of: Air National Guard Army National Guard Air Force Reserves Army Reserves Marine Corps Reserves Navy Reserves None of the above

Branch Of Service: Rank: Unit: Mailing Address:

Current Status: Ready Standby IRR Inactive

No

Application for At Will Employment Experience Beginning with the most recent, list all employment for the past 10 years, including part-time and self-employment. Also list significant experience; you may include any verified work performed on a voluntary basis. Use the "Description of Duties" text area on the last form to account for periods of time that are not shown under the Employment, Military Service, and Education sections of this employment application. Complete this section in its entirety.

Have you had previous Employment? Industry: Employer Name: Street: City: Zip/Postal Code: Country: State/Province: Description Of Duties:

Yes Name Of Supervisor: Title: Telephone Number: Starting Position: Current Or Last Position: From:(mm/yyyy) To:(mm/yyyy)

No

Salary/Wage Monthly Annually Hourly Starting Base Pay: Final Base Pay: Other Compensation (Bonus, O.T.): Reason For Leaving:

May We Contact This Employer? Industry: Employer Name: Street: City: Zip/Postal Code: Country: State/Province: Description Of Duties:

Yes

No

Name Of Supervisor: Title: Telephone Number: Starting Position: Current Or Last Position: From:(mm/yyyy) To:(mm/yyyy)

Salary/Wage Monthly Annually Hourly Starting Base Pay: Final Base Pay: Other Compensation (Bonus, O.T.): Reason For Leaving:

May We Contact This Employer? Industry: Employer Name: Street: City: Zip/Postal Code: Country: State/Province: Description Of Duties:

Yes

No

Name Of Supervisor: Title: Telephone Number: Starting Position: Current Or Last Position: From:(mm/yyyy) To:(mm/yyyy)

Salary/Wage Monthly Annually Hourly Starting Base Pay: Final Base Pay: Other Compensation (Bonus, O.T.): Reason For Leaving:

May We Contact This Employer?

Yes

No

Additional Information Are you currently or have you ever been subject to an order of suspension or debarment from working on federal contracts? Yes No If yes, please provide date of suspension or debarment and details: Have You Ever Been Denied A Security Clearance? Yes No Do You Hold Or Have You Held In The Last 24 Months A Security Clearance? Level:

Granting Agency:

Yes

No

Organization Where Cleared:

Application for At Will Employment Conflict of Interest RGNext employees have an obligation to maintain the confidentiality of Company proprietary information. Likewise, RGNext employees may not use or possess another employer’s proprietary information, regardless of how it was obtained, without proper authorization from the owner. Our employment offer process requires prospective RGNext employees to consider and disclose any circumstance relating to your current or prior employment that may impact or restrict assignments at RGNext. The following questions will assist us in assessing whether further discussion of possible restrictions or limitations on your work assignments with RGNext may exist because of prior work you may have performed for a competitor. Your responses will be reviewed and may lead to further discussion with RGNext representatives to assure the appropriate disposition of any issues identified. Yes No 1. Do you have a written agreement with, or notification from, a current/former employer which outlines intellectual property rights in connection with the work you performed for that employer? If “Yes”, please describe and provide a copy of the document and/or agreement, if available.

Yes No 2. Do you have any type of non-compete agreement with a current/former employer that restricts your ability to perform work on or behalf of RGNext? If “Yes”, please describe and provide a copy of the document and/or agreement, if available.

Yes No 3. Are you aware of any type of non-solicitation provision contained in an agreement between RGNext and a current/former employer that restricts the ability of RGNext to recruit you for this current position? If “Yes”, please describe and provide a copy of the document and/or agreement, if available.

Yes No 4. Do you have any agreement with a current or former employer which restricts your recruitment of other employees at your current/former employer? If “Yes”, please describe and provide a copy of the document and/or agreement, if available.

Yes No 5. Do you have access to and/or possession of proprietary information belonging to your current/former employer which will need to be returned to your current/former employer if you are hired by RGNext? Yes No N/A If “Yes”, please affirm that you will be returning such information to your current/former employer and not bringing such information to RGNext. Yes No 6. Do you serve on Boards of Directors, advisory boards, or otherwise participate or maintain an affiliation with any organizations of which RGNext should be aware in order to evaluate whether continued participation could pose a potential conflict of interest (including but not limited to: other companies, industry associations, etc.)? If yes, please list and describe your affiliation.

Yes No 7. Have you participated in preparing bids or otherwise worked on programs for your current/former employer in competition with RGNext? If yes, please identify any such programs and describe your role on the programs.

Yes No 8. Are there any other issues arising from your current employment which should be disclosed to RGNext in connection with our employment discussions? If yes, please describe.

Application for At Will Employment Disclosure

I understand that as a condition of employment I must successfully pass a pre-employment drug screening. I understand a positive test for drugs, other than those prescribed by my physician, will constitute grounds for withdrawal of the Company's employment offer. I will submit the following documents at time of hire: proof that I am authorized to work in the United States, a document verifying my identity. Please note, this is not a contract of employment or a promise of employment for any specific period. Nothing in this application or in the Company’s attachments are intended to alter the “at-will” nature of your employment. Because you are an “at-will” employee, both you and the Company may end the employment relationship at any time and for any reason, with or without notice. I authorize the Company to investigate my background, and to obtain information concerning my ability and desirability as a prospective employee. In connection with this investigation, I authorize my former employers to release to the Company, without liability, any information in their possession relevant to my past performance as their employee. I authorize the Company to release such employment information as necessary to those employees and agents of the Company who require such information in order to make a decision with respect to any matter pertaining to my status as an employee. Applicant Notice: Resumes, applications and any information provided to RGNext may be shared with the parent companies, Raytheon and GDIT. All three companies will comply with confidentiality laws and regulations. However, by applying to RGNext, you will only be considered for employment opportunities available at RGNext. To be considered for employment opportunities with Raytheon Company please visit: http://jobs.raytheon.com/. To be considered for employment opportunities with GDIT please visit: http://www.gdit.com/Careers/. I certify that the statements made by me herein, and other information given by me pursuant to my becoming an employee of this Company are true, complete, and correct and are made in good faith, and I understand that my misstatement or omission may be the basis for immediate dismissal. Signature

Please sign and date with an original signature. We are unable to accept electronic signatures on this application. Date: Signature: