APPLICATION FOR EMPLOYMENT
It is our policy to comply with all Federal, state and local laws prohibiting discrimination in employment based on any protected class including but not limited to race, age, color, gender, religion, national origin, ancestry, marital status, pregnancy, veteran status, mental or physical disability (which can be reasonably accommodated).
Please complete in full. Applications are kept on file for twelve months. After that time, you must re-apply to be considered again for employment.
PERSONAL DATA / Last Name: First: Middle Initial: / Date of Application:Present Address: City: State: Zip Code:
Permanent Address (if different): City: State: Zip Code:
Home Telephone: / Day Telephone (if different): / Mobile Telephone Number: / Email Address:
CAREER INTERESTS / For which position(s) are you applying? ______Interested in: Full-time Part-time Temporary
If part time or temporary, list days and hours available:______
Are you 18 years or older? Yes No Are you available to travel? Yes No
What are your salary expectations? $______per ______Are you willing to work over 40 hours a week as needed? Yes No
Are you legally eligible for continued employment in the United States? Yes No (Note: You will be required to furnish proof of eligibility within 3 days of employment in accordance with Federal law.)
Are any of your relatives employed by ITE? Yes No (If yes, indicate name and relationship:______)
Have you applied at ITE before? Yes No (If yes, indicate month and year:______)
Have you been employed by ITE before? Yes No (If yes, indicate month and year:______)
How were you referred to ITE?______
Have you even been convicted of any misdemeanor or felony (this includes, without limitation, pleading guilty, pleading no contest, or having a finding of guilty)? Yes No
If yes, where, for what, and give dates:______
TRAINING AND EDUCATIONAL EXPERIENCE / NAME, CITY, AND
STATE OF SCHOOL / DID YOU
GRADUATE / DIPLOMA/ DEGREE EARNED / COURSE OF STUDY / OVERALL
GPA
YES / NO
High School
College, University, or Vocational School / Major:
Minor:
College, University, or Vocational School / Major:
Minor:
Post Graduate
Special Training and Designations Relevant to Job Interests (List courses, certificates, seminars):
College Activities, Awards, and Scholarships:
Are you pursuing or planning to pursue further studies? / If so, when, where, and in what field?
Are your classes: Day Night Part-time Full-time
J O B S K I L L S / Computer experience and proficiency level:
3D Design software (list type): ______Proficiency Level: Basic Intermediate Advanced
2D Design software (list type):______Proficiency Level: Basic Intermediate Advanced
Other engineering software (list type):______Proficiency Level: Basic Intermediate Advanced
Describe any other skills and abilities you possess related to the position for which you are applying:
E M P L O Y M E N T H I S T O R Y / LIST EMPLOYMENT INFORMATION, INCLUDING MILITARY SERVICE.
Name and Address of Present or Most Recent Employer: / From:______/ ______
To: ______/______/ Nature of Duties: / Reason for Leaving:
Supervisor/Phone: / Your Job Title: / Present Salary or Salary on Leaving:
$______per ______
May we contact?
Name and Address of Present or Most Recent Employer: / From:______/ ______
To: ______/______/ Nature of Duties: / Reason for Leaving:
Supervisor/Phone: / Your Job Title: / Present Salary or Salary on Leaving:
$______per ______
May we contact?
Name and Address of Present or Most Recent Employer: / From:______/ ______
To: ______/______/ Nature of Duties: / Reason for Leaving:
Supervisor/Phone: / Your Job Title: / Present Salary or Salary on Leaving:
$______per ______
May we contact?
Name and Address of Present or Most Recent Employer: / From:______/ ______
To: ______/______/ Nature of Duties: / Reason for Leaving:
Supervisor/Phone: / Your Job Title: / Present Salary or Salary on Leaving:
$______per ______
May we contact?
Account for all periods of unemployment and/or volunteer work, including applicable dates:
______
______
REFERENCES / List three professional references below. Do not include relatives or individuals whom you have previously or currently supervised.
Name/Occupation Email Address Business Phone Home Phone Relationship to You
1. ______
2. ______
3. ______
List other names you have used (e.g., maiden name) that we would need to know to check your references:______
APPLICANT STATEMENT
My signature authorizes ITE or its authorized agents to conduct a thorough investigation of all statements, written and oral, made by me during the employment application process, including without limitation, information concerning my employment positions, law enforcement record, driving record, and educational background. I hereby authorize all persons, companies or other entities connected with any such informational request, including without limitation, current or prior employers and law enforcement agencies to provide any and all information they may have regarding me or my employment. I release and agree to indemnify ITE, its authorized agents, and its employees, and all other persons, companies, and other entities from any and all liability arising out of such investigation, including without limitation any liability for furnishing information or for taking any action based on the information provided.
I hereby certify that all responses set forth during my employment application process are true and complete. I understand and agree that any falsification, misrepresentation, or omission either on the employment application form or in my responses to questions asked during the interviewing or examination process may disqualify me from further consideration for employment, or if employed by ITE, will subject me to immediate termination, whenever the falsification or omission is discovered. In this regard, where an item is left blank on the employment application, it is because there is no information within its scope.
I certify that I am a citizen of the United States, or, if not, I can provide required documentation permitting me to work in the United States.
I understand and agree if I am employed by ITE my employment is at-will so that I may terminate my employment at any time and for any or no reason. Likewise, ITE can terminate my employment at any time and for any or no reason. I also understand and agree that nothing contained in ITE’s employment application or in the granting or conducting of an interview or anything set forth in any oral or written statement, communication, or policy now or in the future constitutes or creates or is intended to constitute or to create a contract or promise between me and ITE for employment, hours of work, or for the providing of benefits. Moreover, I acknowledge that ITE may modify, revoke, suspend, terminate or change any or all of its plans, policies, or procedures at any time, without prior notice. No promises or guarantees regarding employment, hours of work, or for the providing of benefits have been made to me. I further understand and agree that no such promise or guarantee is binding on ITE unless it is in writing signed by me and the President of ITE and that document states that the employment relationship is not “at-will” and details the specific promise or guarantee.
I also understand ITE follows the usual practice of requiring employees, prior to beginning work, to sign a security agreement covering non-disclosure of confidential information and terms of employment. I certify that by applying with ITE I am not violating any Non-Compete Agreement in force at my current employer.
Applicant’s Signature:______Date:______
EEO AFFIRMATIVE ACTION QUESTIONNAIRE
ITE, LLC is an equal opportunity employer committed to providing equal opportunity employment to its employees and applicants. You are not required to complete this form; however, this information is essential in order for ITE, LLC to comply with EEO Federal and State reporting regulations. This information will in no way affect any employment decision. In order to assure confidentiality, this page will be held separately from the rest of your paperwork.
Name:______Date:______
Last First MI
Social Security #: ______Sex: ____Male ___Female
Date of Birth:______/______/______
RACE/ETHNIC CATEGORIES: Please circle the appropriate number (Circle one only)
1) Caucasian
(Includes persons having origins in any of the original peoples of Europe, North Africa, and the Middle East).
2) African American
(Not of Hispanic Origin. Persons having origins in any of the Black racial groups of Africa).
3) Hispanic
(Persons of Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin, regardless of race).
4) Asian/Pacific Islander
(Persons having origins in any of the original peoples of the Far East, Southeast Asia, or the Pacific Islands, including China, Japan, Korea, the Philippine Islands, and Samoa).
5) Native American (American Indian or Alaskan Native)
(Persons descended from any of the original peoples of North America and who maintain cultural identification through tribal affiliation or community recognition).
6) Other ______
VETERAN/U.S. MILITARY STATUS: Please circle the appropriate number (Circle one only)
0) Non-Veteran
1) Pre-Vietnam Veteran
2) Pre-Vietnam Veteran with service incurred disability
3) Vietnam Era Veteran (08/05/64 – 05/07/75)
4) Vietnam Era Veteran with service incurred disability
5) Post Vietnam Veteran
6) Post Vietnam Veteran with service incurred disability