419-354-4144

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 *

Language Fluency

English: *

Other:

Are you currently authorized to work in the U.S.? *

Have you ever been convicted of a crime? *

Explain:

Emergency Contact

Name *

Address *

Telephone *

Relationship *

Education and Training

High School - Name

Address

Years Attended

Degree?

Concentration

College/Professional - Name

Address

Years Attended

Degree?

Concentration

Trade/Technical - Name

Address

Years Attended

Degree?

Concentration

Describe any other specialized training or skills that you have:

Describe any educational/technical courses you are currently taking:

Employment History
Please 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

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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.

*