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Name*
First Middle Last
Position Applied For*
Address*
Street Address Address Line 2 City State ZIP Code
Phone Number*
Alternate Phone Number
Email*
What salary expectations do you have if employed?*
Pay Type (hour/week/month/annual)*
Date of Availability*
MM slash DD slash YYYY
How did you hear about us?*
- Online Ad
- Employment Agency
- Current Employee
- Our Website
Are you legally eligible to work in the United States?*
- Yes
- No
(Proof of eligibility will be required upon offer of employment.)
Do you have a valid driver's license?*
- Yes
- No
Drivers License Number
State
Expiration Date
MM slash DD slash YYYY
Have you been convicted of a moving violation in the past five years?*
- Yes
- No
If yes, please explain.
Are you over the age of 18 years?*
- Yes
- No
(If no, you may be required to provide authorization to work.)
Can you with or without reasonable accommodations perform the essential functions of the job?
- Yes
- No
(If you have questions about the functions of the position, please ask the interviewer before answering this question.)
Have you ever been fired or asked to resign from a job?*
- Yes
- No
If yes, please explain below. This will not necessarily automatically eliminate your candidacy.
If yes, please explain.
Are you willing and able to travel?*
- Yes
- No
How far?
How often?
Have you served in the military?*
- Yes
- No
Branch of Service
Rank at Discharge
Do you have any specialized training, apprenticeships, licenses, certifications or skills? If so, please list them here.
What is your experience level with computers and most major software?*
- Beginner
- Intermediate
- Advanced
- Expert
Please list below the software packages or programs with which you are familiar or use on a regular basis.
School Last Attended*
Years Attended*
Area of Study*
Professional References
Please list three persons, who are not related to you or who have a personal relationship with you, who can provide professional, work-related references.
Name*
First Last
Company*
Phone*
Relationship*
Years Known*
Name*
First Last
Company*
Phone*
Relationship*
Years Known*
Name*
First Last
Company*
Phone*
Relationship*
Years Known*
Employment History
Begin with your current or most recent employer. Please list all employment for the past 10 years. Include any applicable temporary employment. You may attach a file below if you need more space.
Company*
Phone*
Address*
Supervisor*
Job Title*
Starting Salary*
Ending Salary*
From*
MM slash DD slash YYYY
To*
MM slash DD slash YYYY
Describe your title and duties.*
Reason for leaving and explanation.*
May we contact your previous supervisor for a reference?*
- Yes
- No
Company
Phone
Address
Supervisor
Job Title
Starting Salary
Ending Salary
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Describe your title and duties.
Reason for leaving and explanation.
May we contact your previous supervisor for a reference?
- Yes
- No
Company
Phone
Address
Supervisor
Job Title
Starting Salary
Ending Salary
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Describe your title and duties.
Reason for leaving and explanation.
May we contact your previous supervisor for a reference?
- Yes
- No
Upload Your Resume
Max. file size: 512 MB.
Upload An Additional Attachment if Necessary
Max. file size: 512 MB.
Interview Questions
How would a good friend describe you?*
How would a previous supervisor describe you?*
Describe your greatest strength.*
Describe an area where you would like to see improvement in yourself, or an area where you have made self-improvement.*
Has there been anyone throughout your life that has had a significant influence on you? How did they impact you?*
Tell us about a time when you were part of a team/group. What role did you play? How were you impacted?*
What do you do for fun? What do you like to do in your spare time?*
Applicant Acknowledgement & Authorization
Name*
First Last
PLEASE READ CAREFULLY BEFORE SIGNING BELOW
I hereby certify that all of the information provided by me in this application (or any other accompanying or required documents) is correct, accurate and complete to the best of my knowledge. I understand that the falsification, misrepresentation or omission of any facts in said documents will be cause for denial of employment or immediate termination of employment regardless of the timing or circumstances of discovery.

I understand that submission of an application does not guarantee employment. I further understand that, should an offer of employment be extended by TDH, Inc., that such employment with TDH, Inc. is at will, for no specified duration and may be terminated by either TDH, Inc. or myself with or without cause or notice. I understand that none of the documents, policies, procedures, actions, statements of TDH, Inc. or its representatives, or agents used during the employment process is deemed a contract of employment real or implied. I understand that no representative of TDH, Inc. except the President has the authority to enter into any agreement guaranteeing any conditions of employment or any agreement contrary to the foregoing statements and that any such agreements must be made in writing and signed by the President of TDH, Inc.

In consideration for employment with TDH, Inc., if employed, I agree to conform to the rules, regulations, policies and procedures of TDH, Inc. at all times and understand that such obedience is a condition of employment. I understand that due to the nature of TDH, Inc. business, attendance and punctuality are considered essential requirements of every position at TDH, Inc. and that poor attendance or tardiness will/may result in disciplinary action.

I understand that if offered a position with TDH, Inc. I may be required to submit to a pre-employment drug screening and background check as a condition of employment. I understand that unsatisfactory result from, refusal to cooperate with, or any attempt to affect the result of these pre-employment tests and checks will result in the withdrawal of any employment offer or termination of employment if already employed.

I hereby authorize any all schools, former employers, references, courts and any others who have information about me to provide such information to TDH, Inc. and/or any of it representatives, agents or vendors and I release all parties involved from any and all liability for any and all damage that may result from providing such information.

I understand that this application is considered current for six months. If I wish to be considered after this period I understand that I must complete and submit a new application.
Signature*

BY SIGNING ABOVE, I ACKNOWLEDGE THAT I HAVE READ, UNDERSTOOD AND AGREE TO THE ABOVE STATEMENTS.
Date*
MM slash DD slash YYYY
Email
This field is for validation purposes and should be left unchanged.

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Professional References

Employment History

Interview Questions

Applicant Acknowledgement & Authorization