Drug-Free Workplace Statement

     Siskiyou Development Company, Inc. is a drug-free workplace. Upon an offer of employment, you will be required to submit to a drug screen. You may be required to take your drug screen on short notice. Those who test positive will not be considered suitable candidates for employment, but may be reconsidered after six months and upon a subsequent negative drug-screening test at that time.

     If an employee leaves employment at Siskiyou Development Company, Inc. and then wishes to resume employment, they will be subject to a drug screen at the time of rehire, unless the separation was less than two weeks and a negative drug screen has been performed within the past six months.

     If there is an industrial injury or accident, which requires medical care and/or an incident or accident which results in damage to property, a drug screen will be performed at that time. Positive test results are grounds for immediate termination. An altered sample will be considered a positive screen an the consequences for a positive screen will be enforced.

     Employees who have a documented safety violation may also be subjected to a drug screen. Employees who refuse to consent to a drug screen will be terminated.

     When the management of Siskiyou Development Company, Inc. believes that a drug problem exists, such as evidence of drugs, fights or other behavioral systems of drug abuse, negative performance patterns, excessive absenteeism or tardiness, a for-cause testing will be performed. Positive test results, an altered specimen or refusal to submit to a drug screen are grounds for termination.

     I understand the drug-free workplace statement above and I am willing to submit to a pre-employment drug screening test. I understand that if the integrity of the specimen is invalid, the screen will be considered positive and I will not be considered for employment.

     While employed at Siskiyou Development Company, Inc., I understand that I will be drug screened if there is an industrial injury which requires medical care, an incident or accident which results in damage to property or a documented safety violation, or if my supervisor has cause to suspect drug abuse. I understand that refusal to consent to a drug screen will result in termination.

 Date: _______________________________________