TWI Employment Application – ThemeWorks Incorporated

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.

(PLEASE COMPLETELY ANSWER ALL QUESTIONS)

ThemeWorks, Inc. fully subscribes 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

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:

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.

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)

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

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

(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.

Acknowledgments

Accuracy Acknowledgment: I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application or on any document used to secure employment may result in rejection of this application or in immediate discharge if I am employed, regardless of the time elapsed before discovery.

I agree
I do not agree

History Investigation Acknowledgment: I hereby authorize the Company to thoroughly investigate my references, work record, education and other matters related to my suitability for employment and, further, I authorize the references I have listed to disclose to the Company all letters, reports and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release the Company, my former employers and other persons, corporations, partnerships, and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure.

I agree
I do not agree

Employment At-Will Acknowledgment: I understand that nothing contained in the application, or conveyed during any interview which may be granted, or during my employment, if hired, is intended to create an employment contract between the Company and me. In addition, I understand and agree that if I am employed, my employment is at will and is for no definite or determinable period and may be terminated at any time, with or without prior notice, and with or without cause, at the option of either myself or the Company, and that no promises or representations contrary to the foregoing are binding on the Company unless made in writing and signed by me and the Company’s designated representative.

I agree
I do not agree

Drug Free Workplace Acknowledgment: I understand that in connection with my application for employment, depending upon the position for which I have applied, any offer of employment is conditioned upon my taking and passing a post-offer/pre-employment drug test, and if necessary for the position for which I have applied, a post-offer/pre-employment medical examination. I understand that I may refuse to take any required pre- employment drug test and/or medical examination, but that if I do, any offer of employment will be immediately withdrawn.

I agree
I do not agree

Acknowledgments Confirmation: I HAVE READ THE ABOVE PARAGRAPHS, UNDERSTAND THEIR IMPORTANCE AND EFFECT UPON MY EMPLOYMENT, AND ACCEPT SAME AS CONDITIONS OF MY EMPLOYMENT WITH COMPANY.

I agree
I do not agree

CALIFORNIA APPLICANTS ONLY: I understand the Company 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

I agree

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.