Employment Application

Please complete all requested information.
This application is good for 90 days only. Consideration for employment after 90 days requires a new application.

Position(s) Applied For

How Did You Learn About Us?

Employee

Employment Agency

Friend

Relative

Other

Please describe 'other'

PERSONAL INFORMATION

Name

Phone

Address

City

State

Zip

Message Phone

E-mail

GENERAL INFORMATION

Type of employment desired:

Full-time

Part-time

Shift Preference

First

Second

Third

Available for:

Day Shift

Swing/Night Shift

Overtime (as needed)

On what date would you be available to start work?

Do you need an accommodation to participate in the application or interview process?

Yes

Do you have any relatives employed by this facility?

Yes

If yes, name of relative.

HARRIS THERMAL TRANSFER PRODUCTS, INC. IS AN EQUAL OPPORTUNITY EMPLOYER.WE DO NOT DISCRIMINATE ON THE BASIS OF RACE, RELIGION, COLOR, SEX, AGE, NATIONAL ORIGIN, MARITAL STATUS, MILITARY STATUS, OR DISABILITY. PERSONAL INFORMATION GENERAL INFORMATION

EDUCATION

High School (optional)

What High School did you attend?

Location (optional)

City, State

Last Grade Completed (optional)

Choose one

College (optional)

What college did you attend?

Location (optional)

City, State

Years Completed (optional)

Choose One

Major & Degree (optional)

If Completed

Business or Trade School (optional)

What school did you attend?

Location (optional)

City, State

Years Completed (optional)

Choose One

Major & Degree (optional)

If Completed

ADDITIONAL INFORMATION

Skills and Qualifications

Summarize any training, skills, certifications and areas of specialization or major interest that may qualify you as being able to perform job-related functions in the position for which you are applying. Include any medical, business, or industrial equipment operated.

United States Military Training. (optional)

Summarize any job-related training you received in the United States military.

Professional Licenses and/or Certifications

Type (optional)

State Issued: (optional)

Date Issued (optional)

No.: (optional)

Type (optional)

State Issued: (optional)

Date Issued (optional)

No.: (optional)

EMPLOYMENT HISTORY

Please fill this section out completely and do not write, “see resume.” Begin with your most recent employment.

Employer 1

Company Name (optional)

Title / Position Held (optional)

Address (optional)

Job Description (optional)

Duties, skills, equipment used, etc.

Start Date of Employment: (optional)

End Date of Employment: (optional)

Reason for leaving: (optional)

Person to Contact: (optional)

Phone Number (optional)

Employer 2

Company Name (optional)

Title / Position Held (optional)

Address (optional)

Job Description (optional)

Duties, skills, equipment used, etc.

Start Date of Employment: (optional)

End Date of Employment: (optional)

Reason for Leaving: (optional)

Person to Contact: (optional)

Phone Number (optional)

Employer 3

Company Name (optional)

Title / Position Held (optional)

Address (optional)

Job Description (optional)

Duties, skills, equipment used, etc.

Start Date of Employment: (optional)

End Date of Employment: (optional)

Reason for Leaving: (optional)

Person to Contact: (optional)

Phone Number (optional)

If you do not want us to contact any of the above listed current or former employers, please list below and state the reason you do not want each contacted (optional)

REFERENCES

Professional References: Please provide references who are not relatives. Previous managers and supervisors are significantly preferred.

Name (optional)

Address (optional)

Phone Number (optional)

Name (optional)

Address (optional)

Phone Number (optional)

Name (optional)

Address (optional)

Phone Number (optional)

Resume

If you have a resume you would like to include with your application, please upload it here (PDF only).

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APPLICANT STATEMENT

I certify that all information I have provided is true, complete and correct and that I understand that Harris Thermal relies upon this in making any employment decisions. If any information provided by me is found to be false, incomplete or misrepresented in any respect, it will be sufficient cause for Harris Thermal Transfer Products, Inc. to cancel further consideration of this application, or to immediately discharge me from employment if discovered after I am hired.

I expressly authorize HARRIS THERMAL TRANSFER PRODUCTS, INC. and its agents, without reservation, to contact and obtain information from all references, employers, and educational institutions and to otherwise verify the accuracy of all information in this application, resume, or job interview. Harris Thermal typically does not contact references until after completing the interview process. I hereby waive any and all rights and claims I may have towards HARRIS THERMAL TRANSFER PRODUCTS, INC. or its agents for seeking, gathering and using such information in the employment process.

I understand that HARRIS THERMAL TRANSFER PRODUCTS, INC. does not unlawfully discriminate in employment, and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by applicable local, state or federal law. I understand that completion of this Application For Employment does not guarantee that HARRIS THERMAL will employ me.

I certify that I have read, fully understand, and accept all terms of this Applicant Statement.

Date

Signature

HARRIS THERMAL TRANSFER PRODUCTS, INC. is an Equal Opportunity Employer.

PERSONAL INFORMATION

GENERAL INFORMATION

EDUCATION

ADDITIONAL INFORMATION

Professional Licenses and/or Certifications

EMPLOYMENT HISTORY

Employer 1

Employer 2

Employer 3

REFERENCES

Resume

APPLICANT STATEMENT

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