Employment Application

An Equal Opportunity Employer • A Drug Free Workplace

(Valid for only 90 days)

Important Information To Know Before Filling Out An Application For Employment.

Thompson Pump & Manufacturing Co., Inc. is committed to maintaining a DRUG-FREE WORKPLACE. All new employees are required to pass a PRE-EMPLOYMENT DRUG SCREENING TEST. Please do not apply for employment with our company if you cannot pass such a test.

Thompson Pump & Manufacturing Co., Inc. will also perform reference and criminal background investigations on all new applicants. Therefore, if there is a discrepancy in your information, the job offer may be withdrawn. It is important to be sure that what you have written is complete and accurate.

Please fill in the required information directly on the application and do not indicate, "see resume." If you are offered a position with our organization be aware that we may verify all of the information that you have written on the application as well as your resume.

If you have any questions about completing the application, it is important to ask the representative who has been assisting you.

Thank you for your cooperation.

Please answer all questions. Resumes are not accepted in lieu of completion of this application. Note: This application was designed to be used with several types of job descriptions. Some questions may not be completely applicable to the job you are seeking; however, we ask that you answer all questions.

Personal Data

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Last Name

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Date:

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First Name

 

Middle

 

SSN:

 

Email

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Street Address

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City

*

State

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Zip

*

Phone

 

Country

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Position applying for

 

Only U.S. citizens or aliens who have a legal right to work in the U.S. are eligible for employment. Can you, upon employment, submit documents verifying your legal right to work in the U.S. and your identity?

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Have you ever been convicted of a crime?

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Have you ever had adjudication withheld for any crime?

*

If Yes to either question as to the crimes, give details as to the type of felony, the date of the conviction, and the penalty imposed. A conviction will not necessarily disqualify you from employment.

Are you over 18 years of age?  

 

Educational Data

School

Name and Address

Years Completed

Degree

Major Course of Study

*

High School or GED

 
 

College

 

Graduate School

 

Trade Bus. Night, or Corres.

 

Other

 

 

 

 

 

 

Other skills: List any other job-related skills or qualifications that support your application.

Honors Received

In order to check your work and educational records, should we be made
aware of any change of name or assumed name that you previously used?

If Yes, identify names and relevant dates.

Have you had prior educational experience which relates to the job for
which you are applying?

If Yes, describe

Are you a veteran of the U.S. Military Service? 

 

If Yes, what branch of service?

If Yes, beginning date and ending date of active duty:

From (Year/Month):

 

To (Year/Month)

Date of discharge from Military Service

 

 

 

Employment Experience

ALL FORMER JOBS (List most recent job first.) Account for all time periods including unemployment, self-employment and military service.

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Employer

*

Dates Employed (From/To)

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Immediate Supervisor

*

Job Title

*

Address

*

Telephone

*

Hourly Rate/Salary (Starting/Final)

*

Work Performed

*

Reason For Leaving

 
 

Employer

 

Dates Employed (From/To)

 

Immediate Supervisor

 

Job Title

 

Address

 

Telephone

 

Hourly Rate/Salary (Starting/Final)

 

Work Performed

 

Reason For Leaving

 
 

Employer

 

Dates Employed (From/To)

 

Immediate Supervisor

 

Job Title

 

Address

 

Telephone

 

Hourly Rate/Salary (Starting/Final)

 

Work Performed

 

Reason For Leaving

 
 

Employer

 

Dates Employed (From/To)

 

Immediate Supervisor

 

Job Title

 

Address

 

Telephone

 

Hourly Rate/Salary (Starting/Final)

 

Work Performed

 

Reason For Leaving

 

Have you ever been known by any other name?

*

If Yes,provide name(s).

 

Have you ever been dismissed or forced to resign from any employment? 

*

If Yes,please explain.

 

Have you ever been disciplined or fired for insubordination?

*

If Yes, please explain.

 

Have you ever been disciplined or discharged for violating a safety rule? 

*

If Yes, please explain.

 

Have you ever been disciplined or fired for fighting, assault, or similar offenses? 

*

If Yes, please explain.

Have you ever been sued for an intentional tort (such as fraud, battery, assult, etc.)? 

*

If Yes, please explain the nature of the tort or suit and the disposition of the action.

Emergency Contact

Name

Address

City/State

Phone

Do you have transportation to work?

*

Will you work overtime if asked? 

*

Are there any hours, shifts, or days you will not work?

*

If Yes, explain: 

 

Do you have any friends or relatives who work here?    

*

Name

Relationship

Name

Relationship

Are you now employed?

*

Are you on a layoff?

*

Are you subject to a recall? 

*

May we contact your present Employer?

*

May we contact your previous Employers? 

*

 

 

Please identify any exceptions and reasons for not contacting prior employers:

Character References

List three persons not related to you, whom you have known for at least one year.

Name

Phone

Occupation
     

List below any other information or remarks that you wish to have considered as a part of your application for employment:

Have you filled an application here before?

 *

If Yes, give date:

Have you ever been employed here before

 *

If Yes, give dates: 

Resume

If you have one, paste your resume in the box below.

Upload a resume

NOTE TO APPLICANTS: This employer complies with the Americans with Disabilities Act of 1990. During the interview process, you may be asked questions concerning your ability to perform job-related functions. If you are given a conditional offer of employment, you may be required to complete a post-job offer medical history questionnaire and/or undergo a medical examination. If required, all entering employees in the same job category will be subject to the same medical questionnaire and/or examination and all information will be kept confidential and in separate files.

Applicant's Statement

I certify that the answers herein are true and complete to the best of my knowledge. I authorize the investigation of all matters contained in this application and hereby give the Employer permission to contact schools, previous employers, references, and others, and hereby release the Employer from any liability as a result of such contact. I understand that misrepresentations, omissions of facts or incomplete information provided in this application may remove me from further consideration for employment. In addition, if employed, any misrepresentations or omissions of facts in this application will be the cause for dismissal at any time without any previous notice.

Applicants accepted for employment should clearly understand that while we make every effort to provide steady, continuous work, we have no employment contracts, and we cannot guarantee the permanence of any position. Job tenure can be affected by many factors including business/economic conditions, changes in laws or Employer policies, conformity to our rules, job performance, etc. And of course, employees may elect to leave on their own account and seek other jobs.

I understand that my employment with the Employer is for no specific term and may be terminated by me or the Employer with or without notice or cause at any time. I further understand that no oral promise, Employer policy, custom, business practice or other procedure (including the Employer’s Personnel Handbook or any personnel manuals) constitutes an employment contract or modification of the at-will employment relationship between me and the Employer.

The contents of any employee handbook or personnel manuals, as well as other Employer policies and practices, are subject to change or modification by the Employer, solely at its discretion, without notice. I also understand that no supervisor or other official of the Employer (except its Chief Executive Officer, in writing) has the authority to enter into any agreement with me or to make any agreement contrary to the foregoing.

We conduct our business with the highest possible degree of safety and efficiency. Because of this the Employer will require applicants for employment to undergo blood and/or urinalysis screening for drug or alcohol use as part or our pre-placement physical examination. In addition, all employees of the Employer are subject to blood tests or urinalysis screening for drug or alcohol use.

This application will remain active for ninety (90) days. Any applicant wishing to be considered for employment beyond ninety (90) days should reapply.

By checking this box, you agree to the above "Applicants Statement"

I fully understand that I must submit this application prior to any interview given by Thompson Pump & Manufacturing Co., Inc.     

This employer is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, age, sex, religion, national origin, disability or marital status. We assure you that your opportunity for employment with this Employer depends solely upon your qualifications.