ThemeWorks Inc. Application for Employment

Employment Application

We appreciate the opportunity to review your qualifications for employment with the company. So that we can thoroughly consider your special skills and abilities, we would appreciate your completion of our Employment Application. This employment application will only be valid for 30 days from the date of the application. If you wish to be considered for employment subsequent to that date, a new application must be completed.

Thank You

Instructions

To begin, please click on the "Start" button below. Fill out each applicable question, then click the "Next" button at the bottom of each section. When complete, click the "Submit" button.

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(PLEASE COMPLETELY ANSWER ALL QUESTIONS)

ADP TotalSource and its Clients fully subscribe to the principles of Equal Employment Opportunity. It is our policy to provide employment, compensation, and other benefits related to employment based on qualifications, without regard to race, color, religion, national origin, age, sex, veteran status, disability, or any other basis prohibited by federal, state or local law. In accordance with requirements of the Americans With Disabilities Act, it is our policy to provide reasonable accommodation upon request during the application process to eligible applicants in order that they may be given a full and fair opportunity to be considered for employment. As Equal Opportunity Employers, we intend to comply fully with applicable federal and State employment laws and the information requested on this application will only be used for purposes consistent with those laws. Applications are only accepted for positions currently available and will only be considered for thirty (30) days from today’s date or until the position applied for is filled, whichever first occurs.

POSITION APPLIED FOR:

Date

PERSONAL DATA

Name

First

Middle

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Email

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EMPLOYMENT DATA

If you are under 18 years of age, please specify your age here

This information will be used only for child labor law purposes.

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

Yes
No

If yes, please explain:

Are you available for out-of-town work?

Yes
No

Will you work overtime, if required?

Yes
No

When will you be able to start work?

Have you signed any non-compete or non-solicit agreement with any other employer that might restrict you from working for us?

Yes
No

If yes, please explain:

Have you taken any illegal drugs in the last 30 days?

Have you ever been a defendant in a civil action for an intentional tort (intentional commission of a wrongful act)?

Yes
No

Note: Answering “yes” does not automatically exclude you from further consideration for the position.

If yes, include nature of the intentional tort and the disposition of the action:

How did you learn of our Company?

If referral, who were you referred by?

Have you ever applied or worked here before?

Yes
No

If yes, provide dates:

Are you legally authorized to work in the United States?

Yes
No

Will you now or in the future require sponsorship for employment visa status (e.g.,H-1B visa status)?

Yes
No

Note: The Federal Immigration and Reform and Control Act of 1986 requires that a DHS Employment Eligibility Verification “Form I-9” be completed for every new hire and that within 3 business days of beginning work every new hire must present to the employer documentation establishing his/her identity and authorization to work. This federal requirement must be satisfied as a condition of employment.

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EDUCATION

Describe any educational degrees, skills, training or experience you believe are relevant to the job applied for:

High School

Graduated?

Yes
No

Type of Degree Received or Expected

Grade Point Average

College or University

Graduated?

Yes
No

Type of Degree Received or Expected

Grade Point Average

Technical/GED

Graduated?

Yes
No

Type of Degree Received or Expected

Grade Point Average

Licenses/Certifications/Other (Please List)

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EMPLOYMENT HISTORY

List most recent first

Company Name

Employed From

Employed To

Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

Supervisor Name

Rate of Pay- Start

Rate of Pay- Last

Reason for Leaving

May we contact?

Yes
No

Prior Employment

Company Name

Employed From

Employed To

Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

Supervisor Name

Rate of Pay- Start

Rate of Pay- Last

Reason for Leaving

May we contact?

Yes
No

Prior Employment

Company Name

Employed From

Employed To

Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

Supervisor Name

Rate of Pay- Start

Rate of Pay- Last

Reason for Leaving

May we contact?

Yes
No

Prior Employment

Please list any other relevant experience not included above:

Please Explain any gaps in your employment history:

Military Service

Complete only if you served in the military

Branch of Service

Number of Years/Months of Service

Rank at Discharge

Reason for Leaving

Describe any military skills, training or experience you believe are relevant to the job applied for

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References

Please list three persons not related to you who know your qualifications.

Reference #1

Name

Phone

Email

Relationship

Reference #2

Name

Phone

Email

Relationship

Reference #3

Name

Phone

Email

Relationship

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(Optional) File Upload

Click or drag a file to this area to upload.

Please attach any supporting documentation such as letters of recommendation, portfolio, etc. here. The maximum file size is 256mb. Only one upload, please. PDF format preferred.

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I hereby certify that I have read and fully understand this application. Prior to signing below, I had the opportunity to ask the Company and ADP TotalSource about this application and to clarify any questions I might have had concerning this application form.

I hereby certify that the answers given herein are true and complete to the best of my knowledge. I understand that any misrepresentations, omissions of facts or incomplete answers in any application document may disqualify me from further consideration for employment. I further understand that, if employed, any misrepresentations or omissions of facts in any application document may be cause for my dismissal at any time without prior notice. I consent to and authorize Company or ADP TotalSource to contact my former employers, references, and any and all other persons and organizations for infor-mation bearing upon my qualifications for employment. I further authorize the listed employers, schools and personal ref-erences to give the Company or ADP TotalSource (without further notice to me) any and all information about my previous employment and education, along with any other pertinent information they may have and hereby waive any actions which I may have against either party(ies) for providing a good faith reference.

I understand that the Company and ADP TotalSource may require additional Information from me and others regarding a driving position with the Company and ADP TotalSource and I agree to provide that information.

I EXPRESSLY AGREE AND UNDERSTAND THAT, IF EMPLOYED, MY EMPLOYMENT IS NOT FOR A SPECIFIC TERM, IS BASED ON MUTUAL CONSENT AND MAY BE TERMINATED BY ME OR MY EMPLOYER(S) WITH OR WITHOUT NOTICE OR CAUSE AT ANY TIME. I FURTHER UNDERSTAND THAT NO ORAL PROMISE, EMPLOYER(S) POLICY, CUSTOM, BUSI-NESS PRACTICE OR OTHER PROCEDURE (INCLUDING THE BASIC EMPLOYMENT POLICIES, PERSONNEL HANDBOOK OR ANY PERSONNEL MANUALS) CONSTITUTE AN EMPLOYMENT CONTRACT OR MODIFICATION OF THE AT-WILL EMPLOYMENT RELATIONSHIP BETWEEN ME AND THE EMPLOYER(S). I ALSO UNDERSTAND THAT THIS ASPECT OF MY EMPLOYMENT MAY NOT CHANGE ABSENT AN INDIVIDUAL WRITTEN AGREEMENT SIGNED BY BOTH ME AND THE PRESIDENT OF THE COMPANY OR OF ADP TOTALSOURCE.

I understand that applicants for certain positions may be required to qualify for employment based on additional employ-ment criteria. For example, I may be required to take job-related tests; take a driver’s examination; submit to a background investigation; take a pre-employment drug test. If I am offered employment or start work before any required test is com-pleted, my employment is contingent on a satisfactory result on all required tests. I authorize ADP TotalSource and its clients to release the results of background checks (if any) and my pre-employment drug/alcohol test (if any), any informa-tion on this application and any relevant information about me to each other and to other ADP TotalSource clients for whom I have applied for employment, and release ADP TotalSource and its clients from any and all claims related to the lawful release of this information. I further authorize the release of any background check results of any drug/alcohol test to any state or federal authority requesting such information and in response to a valid subpoena or other legal document.

I acknowledge that this application will remain active for 30 days from this date. If I have not heard from the Company at the conclusion of this 30 day period, it is my responsibility to complete a new application if I still wish to be considered for employment.

CALIFORNIA APPLICANTS ONLY: I understand the Company or ADP TotalSource may obtain, without using the services of a third party investigative consumer reporting agency, public records pertaining to my character, general reputation, personal characteristics or mode of living during its evaluation of my application for employment and, if employed, during my employment. By checking the following box, I waive my right to receive copies of public records obtained by the Company or ADP TotalSource.

NOTIFICATION OF RIGHTS FOR APPLICANTS FOR A COMMERCIAL MOTOR VEHICLE DRIVER POSITION

The Information you provide in accordance with FMCSA regulations may be used, and your previous employers may be contacted for the purpose of investigating your safety performance history information (as required by 49 C.F.R. 391.23). You have the following rights regarding the investigative information that will be provided to the Company.(1) The right to review information provided by previous employers; (2) The right to have errors in the information cor-rected by the previous employer and for that previous employer to re-send the corrected information to the Company;(3) The right to have a rebuttal statement attached to the alleged erroneous information, if the previous employer and you cannot agree on the accuracy of the information. If you wish to review previous employer-provided investigative information, you must submit a written request to the Company, no later than 30 days after being employed or being notified of denial of employment. The Company will provide the requested investigative information to you within five (5) business days of receiving this written request, or five (5) business days of receipt of the requested information from the previous employer, whichever is later.

CERTIFICATION FOR ALL APPLICANTS - PLEASE READ CAREFULLY

This certifies that this application was completed by me, and that all entries on it and information in it are true and com-plete to the best of my knowledge. (Part 391.21(b) (12))

Signature

Employment Application

Instructions

(PLEASE COMPLETELY ANSWER ALL QUESTIONS)

PERSONAL DATA

EMPLOYMENT DATA

EDUCATION

EMPLOYMENT HISTORY

Prior Employment

Prior Employment

Prior Employment

Military Service

References

Reference #1

Reference #2

Reference #3

Please attach any supporting documentation such as letters of recommendation, portfolio, etc. here. The maximum file size is 256mb. Only one upload, please. PDF format preferred.

NOTIFICATION OF RIGHTS FOR APPLICANTS FOR A COMMERCIAL MOTOR VEHICLE DRIVER POSITION

CERTIFICATION FOR ALL APPLICANTS - PLEASE READ CAREFULLY

The trials and tribulations of our startup years shaped the foundation of who we are today. These early lessons and values were imprinted to our company's DNA and sowed the seeds for future success.

At the same time we're creating these unique experiences, we're also building something just as exciting... ... A deep and talented team!

At the same time we're creating these unique experiences, we're also building something just as exciting...

...And grow we do, creating environments for: SeaWorld Orlando, Universal's Islands of Adventure, Cabela's, and several others in quick succession.

We purchase the building we've been leasing for a year- an old tobacco auction warehouse. It's large interior area, the size of a football field, allows us plenty of room to grow...

We're selected to create the Brookfield Zoo's Living Coast exhibit- The world's largest urethane rockwork project and a great challenge for our fledgling team.

Our first project! We created the faux limestone main entrance signs for the College Football Hall of Fame in South Bend, Indiana.

Our first project! We created the faux limestone main entrance signs for the College Football Hall of Fame in South Bend, Indiana.

We're selected to create the Brookfield Zoo's Living Coast exhibit- The world's largest urethane rockwork project and a great challenge for our fledgling team.

We purchase the building we've been leasing for a year- an old tobacco auction warehouse. It's large interior area, the size of a football field, allows us plenty of room to grow...

...And grow we do, creating environments for: SeaWorld Orlando, Universal's Islands of Adventure, Cabela's, and several others in quick succession.

... A deep and talented team!

At the same time we're creating these unique experiences, we're also building something just as exciting...

The trials and tribulations of our startup years shaped the foundation of who we are today. These early lessons and values were imprinted to our company's DNA and sowed the seeds for future success.

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