Employee Application

Elijah Tooling, Inc. is an equal opportunity employer. Our policy is to consider all applicants for employment based on their qualifications and our current job vacancies. Applicants are considered without regard to race, color, religion, gender, national origin, age, disability or marital status or any other category that may be protected under applicable law.

Fields marked with* are required. It takes about 10 minuted to fill out this application.

PERSONAL INFORMATION

First Name*

Middle Name*

Last Name*

Phone*

Email*

Are you 18 years of age or older?

Are you legally eligible for employment in the U.S.

DRIVERS LICENSE INFORMATION

Do you have a drivers license?

Yes

No

License #

State #

Expires

Operator

Commercial

Any Accidents in the last 3 years?

Yes

No

How Many

Any moving violations in the last 3 years?

Yes

No

How Many

NOTE: Answering yes for above questions will not necessarily disqualify an applicant from employment. Factors such as age and date of offense, the seriousness of the violation and rehabilitation will be considered. Not answering this question completely and truthfully, if discovered through a criminal background investigation, will result in falsification of application and not being hired and/or terminated if hired.

ADDRESS

Street address

City

State

Zip code

POSITION APPLYING FOR

Position:

BACKGROUND CHECK

We will run a background check on you to help determine suitability for employment. You don't know what we're looking for in that background check, so don't jump to any conclusions regarding your possibilities. Let us make that decision! If you are qualified for this position, please provide the following information so that we may proceed. Feel free to call in your social security number if you don't like the idea of transmitting it.

Social Securiy #:

Where were you born? D.O.B.

City

State

Country

Will you authorize ELT to conduct a background investigation*

PREVIOUS ADDRESSES

Please list your last 2 residences:

Address 1 :

Address 2 :

BACKGROUND INFORMATION

Have you ever been convicted of a crime? (petty, misdemeanor, felony or wobbler?) If yes, explain the number of conviction(s), nature of offense(s) leading to the conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation:

Have you ever used illegal drugs?

Yes

No

If so, when was the last time?

MILITARY SERVICE RECORD

If you have served in the U.S. Armed Forces, indicate your last rank here:

Did you serve in the U.S. armed forces during the Vietnam Era?

Are you a disabled veteran?

Do you have a disability?

DATE YOU CAN START

CAN YOU WORK OVERTIME IF NECESSARY?

NUMBER OF HOURS AVAILABLE TO WORK

Monday

Tueday

Wednesday

Thuday

Friday

Saturday

Sunday

LANGUAGES Language 1 & Level

Language 2 & Level

Language 3 & Level

Language 4 & Level

IT SKILLS Select application & Level

Select application & Level

LIST 2 CO-WORKER REFERENCES

Name

City/State

Phone number

Years known

Occupation

Name

City/State

Phone number

Years known

Occupation

An application sometimes makes it difficult for an individual to adequately summarize a complete background. We want to give you every opportunity to succeed, so, please answer the following questions so that we can get a better understanding of why you should be considered for this position:

WHY IS ELIJAH TOOLING A GOOD CHOICE FOR YOU?

DO YOU ENRICH YOURSELF? IF SO, HOW DO YOU IMPROVE YOUR SKILLS / UNDERSTANDING?

DESCRIBE A MISTAKE YOU MADE IN A PAST POSITION AND WHAT YOU DID ABOUT IT.

WHAT COMPUTER PROGRAMS DO YOU USE REGULARLY?

WHAT OATHS DO YOU KEEP?

WHAT'S YOUR 5 YEAR PLAN?

ARE YOU IMPAIRED IN SOME WAY? IF SO, PLEASE SPECIFY ANY LIMITATIONS

EMPLOYMENT APPLICATION SUPPLEMENT

Your participation in this survey is voluntary and your replies will be kept confidential.

Gender

Age

Ethnic background

A. White, Non-Hispanic
Having origins in any of the original peoples of Europe, North Africa, or the Middle East.
B. Hispanic
Mexican, Puerto Rican, Cuban, Central or South America or other Spanish cultureor origin, regardless of race.
C. Asian
Includes Chinese, Japanese, Korean, Filipino, Burmese, Thais, Vietnamese, Pacific Islanders, and others from Asia.
D. Black (African-American)
Having origins in any of the Black racial groups of Africa. Non-Hispanic.
E. American Indian
Includes Alaskan and other Native Americans.
F. OTHER
Select this option if you are uncertain of the category to which you belong and enter either: Specific ethnic decent or Mixture of ethnic decent.

OTHER

Your participation in this survey is voluntary and your replies will be kept confidential.

Did you complete this application yourself?

Yes

No

If not, who did and why?

Any other comments?

CERTIFICATE OF APPLICANT

In exchange for the consideration of my application for employment by Elijah Tooling Incorporated (hereinafter called “the Company”), I agree that: Neither the acceptance of this application nor the subsequent entry into any type of employment relationship, either in the position applied for or any other position, and regardless of the contents of employee handbooks, personnel manuals, benefit plans, policy statements, and the like as they may exist from time to time, or other Company practices, shall serve to create an actual or implied contract of employment, or to confer any right to remain an employee of, or otherwise to change in any respect the employment-at-will relationship between it and the undersigned, and that relationship cannot be altered except by a written instrument signed by the President /General Manager of the Company. Both the undersigned and the Company may end the employment relationship at any time, without specified notice or reason. If employed, I understand that the Company may unilaterally change or revise their benefits, policies and procedures and such changes may include reduction in benefits. I authorize investigation of all statements contained in this application. I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice. I hereby give the Company permission to contact schools, previous employers (unless otherwise indicated), references, and others, and hereby release the Company from any liability as a result of such contract. I also agree that the Company may at anytime (1) institute a drug and alcohol policy that provides for pre-employment testing as well as testing after employment; (2) consent to and comply with such policy is a condition of my employment; and (3) continued employment may be based on the successful passing of testing under such policy. I further understand that continued employment may be based on the successful passing of work-related physical examinations. I understand that, in connection with the routine processing of your employment application, the Company may request from a consumer reporting agency an investigative consumer report including information as to my credit records, character, general reputation, personal characteristics, and mode of living. Upon written request from me, the Company will provide me with additional information concerning the nature and scope of any such report requested by it, as required by the Fair Credit Reporting Act. I further understand that my employment with the Company is “at will” and shall have an Introductory period of ninety (90) days, and further that at any time during the Introductory period or thereafter, my employment relation with the Company is terminable at will for any reason by either party.

I AGREE WITH STATEMENT ABOVE*

TYPE YOUR NAME TO INDICATE YOUR ELECTRONIC SIGNATURE*

SPAM CONTROL*

Two + Four =

Please be informed:Our policy prohibits and there will be no accommodation for the use of tobacco in any form on company premises.

This company is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, national origin, citizenship, age or disability. We assure you that your

opportunity for employment with this Company depends solely on your qualifications.

In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.

Thank you for completing this team application form and
for your interest in our business!

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Employee Application

ELIJAH TOOLING EMPLOYMENT APPLICATION