Contact Information


Position Applied For


Work Authorization


License/Convictions

Have you ever been convicted of/or plead guilty to a misdemeanor other than a traffic violation? (Please note that a misdemeanor “other than a traffic violation” includes, but not limited to: OWI, DUI, Driving Under Suspension and all other indictable offenses).

Have you ever been convicted of/or plead guilty to a felony?

NOTE: A conviction or plea does not automatically eliminate you from employment since nature of the crime and type of job for which application is made will be considered


Education / Training

Please list High School, Trade, Business or College attended.





Employment / Experience

Give complete employment recorded for the last ten (10) years, starting with your present or last employer and work back.






References

List three personal references who know you well but who are not previous employers or relatives.




Referred By

Please enter the name of the person who referred you to apply at Thermo Bond (if applicable).


NOTICE:
To the fullest extent permitted by the state and federal law, the employer will consider all information concerning an applicant or an employee in making hiring, firing and other employment-related decisions. The term "all information" includes information of any kind (verbal, written, photographic, video-graphic, etc.) that is in any medium (print, electronic, etc.) from any source. The employer will consider public information and other information to which it has lawful access. This may include information that is contained in social networking sites blogs, and other electronic sites, such as YouTube. If there is information that pertains to you that you believe requires explanation, interpretation, or clarification when it is considered by the employer, it is your obligation to communicate this information to the employer.

ACKNOWLEDGEMENT:
I have read and I understand the notice provided to me by the employer regarding information that the employer may consider in making hiring, firing, and employment-related decisions. I acknowledge that I have been given the opportunity to provide information to the employer that I wish the employer to consider in making its decisions.

CERTIFICATION:
I hereby certify that all statements made by me in this application and all related information which I have provided are true, accurate and complete to the best of my knowledge. I understand that if I provide any false, inaccurate, or incomplete information, I will not be eligible for employment, or, if I am hired, I may be terminated regardless of the date on which the employer discovers information concerning a violation of this certification. I hereby authorize Thermo Bond Buildings to contact any of the employers listed above to verify employment and work record. I authorize Thermo Bond Buildings to verify and investigate through law enforcement agencies that status of my driver's license and to conduct any background check it deems necessary.

NOTE: All applicants will receive consideration without regard to race, color, religion, sex, age, national origin, or handicap.

Affirmative Action - Equal Opportunity Employer