Employment DOWA THT AMERICA, INC. EMPLOYMENT APPLICATION An Equal Opportunity Employer * = required field Personal Name * Soc. Sec. No. * Email * Telephone * Address * Desired Position * Full-Time/Part-Time * ---Full-TimePart-Time Language Fluency English: * Other: Are you currently authorized to work in the U.S.? * ---YesNo Have you ever been convicted of a crime? * ---YesNo Explain: Emergency Contact Name * Address * Telephone * Relationship * Education and Training High School - Name Address Years Attended Degree? ---YesNo Concentration College/Professional - Name Address Years Attended Degree? ---YesNo Concentration Trade/Technical - Name Address Years Attended Degree? ---YesNo Concentration Describe any other specialized training or skills that you have: Describe any educational/technical courses you are currently taking: Employment HistoryPlease supply at least one current/prior employer. Current/Prior Employer Name * Address * Telephone * Position * Supervisor * Pay Rate: * Term of Employment: From * To * Reason for Leaving * Next Prior Employer Name Address Telephone Position Supervisor Pay Rate: Term of Employment: From To Reason for Leaving Next Prior Employer Name Address Telephone Position Supervisor Pay Rate: Term of Employment: From To Reason for Leaving References must be available on request. Additional Information Attachments Remove Remove Remove Remove Add file Acknowledgement I certify that the information contained in this application (and any attachments) is correct and complete, and I understand that Dowa THT America, Inc. ("Dowa THT") will be relying upon this information in deciding whether to employ me. I understand that, if I am hired, any incorrect statement or omission may result in my termination. I authorize and release the employers, institutions, and persons that I have identified to furnish to Dowa THT, upon request, any additional information concerning me that is in their possession. I understand that, if Dowa THT decides to employ me, my employment will be at the will of Dowa THT and that either I or Dowa THT may terminate the employment relationship at any time and for any reason, with or without cause. I also understand that no supervisor or other representative of Dowa THT has authority to enter into any agreement for employment for a specified period of time, or to make any agreement contrary to the foregoing, except through a written personal employment contract signed by the President of Dowa THT. * I agree 5-3= ?