Application for Employment

All applicants are considered for all positions without regard to race, color, religion, sex, matural origin, age, marital status, veteran status, or the presence of a non-job related medical condition or handicap.

Opportunities available for application are full-time positions. Applicants will be required to complete a basic math and problem solving test.

Date of Application:
12/14/2017
Position Applied For:
Social Security Number:
Are you presently employed?
If so, can we contact your present employer?
When would you be able to start work?
Are you on a lay-off and subject to recall?
Have you ever been convicted of a felony?

If YES, please explain.

Note: A conviction record will not necessarily disqualify an applicant from employment. The circumstances of the conviction will be considered in relation to the nature and duties of the job applied for.

If hired, do you plan to work part time elsewhere that may affect your job performance? example: tardiness, tiredness, or absence.)

Are you lawfully authorized to work in the U.S.?

Note: The law requires that you provide evidence and a sworn statement of your citizenship or work authorization if you are hired. Any offer of employment which you receive is contingent upon your providing the documentation and statement which we will request from you.

Are you able to perform the functions that your job would entail with or without accommodation to the best of your knowledge?
Are you willing to work overtime?
Are you willing to relocate, if necessary, for the position applied for?
Have you ever applied at Toyne before?
If yes, date?
Have you ever interviewed at Toyne before?
If yes, date?
With Whom?
Have you ever worked for Toyne before?
If yes, name used?
Have you ever been discharged or asked to resign from any position?

If YES, please explain.

How many days have you missed from work within the last year other than approved vacation, sick or disability leave?
How many days have you been late to work within the last year other than approved vacation, sick or disability leave?

Please describe.

Employment

List your last four jobs, beginning with the most recent.

Employer Name (1)
Supervisor
Phone
Address
Job Title
Duties
Dates Employed
From:
To:
Rate of Pay
Reason for Leaving

Employer Name (2)
Supervisor
Phone
Address
Job Title
Duties
Dates Employed
From:
To:
Rate of Pay
Reason for Leaving

Employer Name (3)
Supervisor
Phone
Address
Job Title
Duties
Dates Employed
From:
To:
Rate of Pay
Reason for Leaving

Employer Name (4)
Supervisor
Phone
Address
Job Title
Duties
Dates Employed
From:
To:
Rate of Pay
Reason for Leaving

Education

Please list any educational experiences that you feel is applicable to the position that you have applied for.


School/College (1)
Location
Certificate/Degree Received
Major or Specialty

School/College (2)
Location
Certificate/Degree Received
Major or Specialty

School/College (3)
Location
Certificate/Degree Received
Major or Specialty

Please list any other additional information that you feel would be beneficial to you and/or helpful to us in considering your application.

Do you have any medical conditions that may effect your work performance or that of fellow employees?

If YES, please explain.

Do you have any minimum salary requirements?

References

Please list any references you may have (3 minimum) that are not family members, or previous employers.

Reference (1)
Phone
How long known
Occupation

Reference (2)
Phone
How long known
Occupation

Reference (3)
Phone
How long known
Occupation

Reference (4)
Phone
How long known
Occupation

Reference (5)
Phone
How long known
Occupation

Applicant Statement

By submitting this form, I certify that the answers given are true and complete to the best of my knowledge.

I authorize investigation of all information contained in this application for employment as may be neccessary, in arriving at an employment decision. I understand that this application is not and is not intended to be a contract for employment. I hereby agree to submit to any drug/alcohol test required of me, whether prior to my employment or if employed by Toyne at any time thereafter.

In the event of employment, I understand that false or misleading information given in my application of interview(s) may result in discharge. I understand also, that I am required to abide by all rules and regulations of Toyne, Inc.

Full Name