Personal Information
First name
Middle name
Last name
Other name(s) used
Social security number
Please enter numbers only, e.g. 123456789. Address
City
State
Please select state
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip code
Email address
Home phone
Work or other phone
Position applied for
Shift preference
Pay desired
Referred by
Are you at least 18 years old?
Please select Yes or No
Yes
No
Do you have a work permit?
Please select Yes or No
Yes
No
Have you ever interviewed with TCE or its affiliates before?
Please select Yes or No
Yes
No
Please list dates, job title(s) and location.
Have you ever been employed by TCE or its affiliates before?
Please select Yes or No
Yes
No
Please list dates, job title(s) and location.
Do you have any relatives employed by TCE or its affiliates?
Please select Yes or No
Yes
No
Please list dates, job title(s) and location.
General
May we contact your current employer for references?
Please select Yes or No
Yes
No
If hired, will you be able to work overtime?
Please select Yes or No
Yes
No
Will you be able to perform the essential job functions for the position you are applying for with or without reasonable accommodation?
Please select Yes or No
Yes
No
Have you ever been convicted of any crime (excluding convictions that have been sealed, expunged or legally eradicated, or misdemeanors for which probation was completed and the case was dismissed by court)?
Please select Yes or No
Yes
No
(Note: A Yes response does not automatically disqualify your application.)
Please explain.
Are there any personal obligations or appointments (e.g. medical, court-related or other required appointments) that you have which would require your absence from work in the immediate future?
Please select Yes or No
Yes
No
Education
What is your highest level of education?
Please select from list
9th grade (High school)
10th grade (High school)
11th grade (High school)
High school graduate
GED
Some college
College graduate
Graduate studies
High School
School name
Address
Degree, diploma, license or certificate
College/University
School name
Address
Major studies
Degree, diploma, license or certificate
Vocational, Business, Other
School name
Address
Major studies
Degree, diploma, license or certificate
List any professional designations
Other special knowledge, skills or qualifications
Employment History
List all employments for the past 10 years , starting with the most recent position. All information must be completed.
+ Add Employer Certification & Authorization
The above information is true and correct. I understand that the hiring process will be terminated, or in the event of my employment by the Company, I shall be subject to dismissal, if any information that I have given in this application, the background release form, in any resume or interview or any part of the hiring process is false or misleading or if I have failed to give any information herein requested, or if I have withheld relevant information, regardless of the time elapsed after discovery.
I authorize the Company to inquire into my educational, professional and past employment history references as needed to research my qualifications for this position. I hereby give my consent to any former employer to provide employment-related information about me to the Company and will hold the Company and my former employer harmless from any claim made on the basis that such information about me was provided or that any employment decision was made on the basis of such information. I further authorize the Company to obtain any credit and consumer check. I understand that in consideration of employment with the company, I may be required to submit to a pre-employment drug test and/or background check and the results of this test will be used in the decision making process.
I understand that nothing in this employment application, the granting of an interview or my subsequent employment with the Company is intended to create an employment contract between myself and the Company under which my employment could be terminated only for cause. On the contrary, I understand and agree that, if hired; my employment will be terminable at will and may be terminated by me or the Company at any time and for any reason. I understand that no person has any authority to enter into any agreement contrary to the foregoing.
If employed, I will be required to provide original documents which verify my identity and right to work in the United States under the Immigration Reform and Control Act (IRCA) of 1986. The document(s) provided will be used for completion of Form I-9.
I hereby acknowledge that I have read and agree to the above statements and that I completed this application myself.
Please type your name and today's date below. This serves as your digital signature, indicating that you acknowledge and agree to the terms above.
Name
Today's Date
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