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Employment Application

"*" indicates required fields

Personal Information

Name*

First Last

Email Address*

Phone*

Current Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Position Desired

Position(s) applied for or type of work desired*

Location

Have you been previously employed by Thompson?

Are you legally eligible to work in the United States?

Are you over 18 years of age

Can you travel if required by this position?

Have you ever been convicted of a crime?

How were you referred to us?

Military Experience

Have you ever served in the military

Education

What is your highest level of education

Other skills

Personal References

Reference 1 - Name

First Last

Reference 1 - Phone

Reference 2 - Name

First Last

Reference 2 - Phone

Work Experience 1

Please list all previous employment, beginning with the most recent.

Employer*

Position*

Phone*

Supervisor Name and Title*

May we contact your supervisor*

Employed from*

Employed to*

Starting Salary*

Ending Salary*

Job Summary*

Reason for Leaving*

Work Experience 2

Please list all previous employment, beginning with the most recent.

Employer

Position

Phone

May we contact your supervisor

Supervisor Name and Title

Employed from

Employed to

Starting Salary

Ending Salary

Job Summary

Reason for Leaving*

Work Experience 3

Please list all previous employment, beginning with the most recent.

Employer

Position

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Supervisor Name and Title

May we contact your supervisor

Employed from

Employed to

Starting Salary

Ending Salary

Job Summary

Reason for Leaving*

Authorization & Acknowledgments

I certify that the facts contained in this application are true and complete to the best of my knowledge. I understand that if I am employed, any false statements on this application may be grounds for dismissal. I authorize investigation of all statements contained in this application. I also grant permission to contact all references listed above, and authorize them to release all information concerning my previous employment and any other pertinent information these references might have, personal or otherwise. I release all parties from all liability for any damage that may result from furnishing this information to you. I understand and agree that, if hired, my employment is for no definite period and may be terminated at any time and without prior notice. I understand that this application is valid for 60 days from date of application.

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Comments

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