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SI6N0. OF INFORMATION IVED <br />TOYS"R"US - DRUG TESTING CONSENT FORM FOR APPLICANT'S <br />I understand that for certain positions and promotions, Toys"R"Us, Inc., requires drug testing as a part of its <br />selection, hiring and promotion process as well as for reasonable suspicion. <br />I hereby give my consent to Toys "R" Us Inc., to administer any or all of the above drug testing procedures to me, <br />and to use the results thereof in further determining my employability with this company. <br />• HAZARD COMMUNICATION <br />I have taken part in this training about the Toys"R"Us, Inc. Hazard Communication Program, including review of the <br />associate manual and video. I have been notified of the location of the written Hazard Communication Program at <br />my location. I acknowledge receipt of the "Right To Know" information and have read and understood it. <br />• VOLUNTARY SELF -IDENTIFICATION Confidential - For Statistical Use Only <br />The "R" Us family of companies is an Equal Opportunity Employer and does not discriminate on the basis of race, <br />color, religion, gender, age, national origin, disability, veteran status, sexual orientation or any other classification <br />protected by federal, state or local law. The information below will be used in the compilation of data for EEOC <br />reporting purposes only. <br />Completion of this data is voluntary and will not affect the terms or conditions of employment. Identification can <br />be declared at any time after hire. <br />• HARASSMENT POLICY <br />I hereby certify that I have read and understand the Harassment Policy of Toys"R"Us Inc. and subsidiaries and <br />certify that I have complied with, and I pledge that I will continue to comply with these requirements. <br />I understand this document will become a part of my personnel file. <br />I understand that this is not a contract for employment and that, even if employed, my employment will be subject <br />to the terms and conditions stated in the application for employment. <br />Name: r c L4 6) L Location/Store Number: <br />Sionature: /6�wDate: 4 — �— () G <br />Witness: <br />Date: <br />Signoff of Information Received <br />Page 1 of 1 <br />9/03 <br />