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Create Job Application

Fill out the following application to the best of your abilities. Omitted information may hurt your chances as a potential candidate. Please allocate 20-30 minutes to complete the application process.

If you prefer to send your application by mail, download this Thermotron application and send to Human Resources, 291 Kollen Park Drive, Holland, Michigan USA 49423.

1. Personal Information
2. Employment History
3. Employer
4. Education
5. Work References
6. Military Involvement
7. Supplemental Information
8. EEO Information (Optional)
9. Signature

1. Personal Information

Thermotron and its affiliated companies are Equal Opportunity Employers, dedicated to a policy of non-discrimination in employment. We support the drug free workplace act of 1988. In support of a safe and secure workplace, we utilize pre-employment drug screening as part of the employment process.

First Name: *

Last Name: *

Job: *

Select the specific position for which you are applying.

Address

Street:

Additional:

City:

State/Province:

Postal code:

Country:

Phone: *

Email: *

Resume Upload:

Please upload your resume.

2. Employment History

Are you presently employed?: *

Yes

If hired, could you provide proof of authorization to work in the United States?: *

Yes

Have you ever been convicted of a crime?: *

Yes

A conviction will not necessarily disqualify you from employment.

Please explain all convictions, when, where and nature of offense:

Would you work: *
Full Time

Part Time

Rate of pay expected: *
$xx per (hour, week, month, year)

Desired days and hours: *

Desired Shift:

If your application is considered favorably, on what date will you be available?: *

Format: May 21 2013

Where you ever employed by Thermotron or any division or affiliate?: *
Yes

No

List any friends or relatives working for Thermotron or any division affiliate and your relationship to them: Order

3. Employer

List all of your past employers beginning with the most recent. If you need more spaces, download this additional employer information form and send to hr@thermotron.com.

		Order
	Present or Last Employer Employer Name: Product Line or Description of Business: Address Street: City: State/Province: Postal code: Supervisors: Positions Held: Dates Employed Leave "To" field blank if still employed. From date: Format: May 21 2013 To date: Format: May 21 2013 Beginning and Ending Salary: Responsibilities: Reason for Leaving:
	Previous Employer Employer Name: Product Line or Description of Business: Address Street: City: State/Province: Postal code: Supervisors: Positions Held: Dates Employed 2 Leave "To" field blank if still employed. From date: Format: May 21 2013 To date: Format: May 21 2013 Beginning and Ending Salary: Responsibilities: Reason for Leaving:
	Previous Employer Employer Name: Product Line or Description of Business: Address Street: City: State/Province: Postal code: Supervisors: Positions Held: Dates Employed 3 Leave "To" field blank if still employed. From date: Format: May 21 2013 To date: Format: May 21 2013 Beginning and Ending Salary: Responsibilities: Reason for Leaving:
	Previous Employer Employer Name: Product Line or Description of Business: Address Street: City: State/Province: Postal code: Supervisors: Positions Held: Dates Employed 4 Leave "To" field blank if still employed. From date: Format: May 21 2013 To date: Format: May 21 2013 Beginning and Ending Salary: Responsibilities: Reason for Leaving:
	Previous Employer Employer Name: Product Line or Description of Business: Address Street: City: State/Province: Postal code: Supervisors: Positions Held: Dates Employed 5 Leave "To" field blank if still employed. From date: Format: May 21 2013 To date: Format: May 21 2013 Beginning and Ending Salary: Responsibilities: Reason for Leaving:
	Previous Employer Employer Name: Product Line or Description of Business: Address Street: City: State/Province: Postal code: Supervisors: Positions Held: Dates Employed 6 Leave "To" field blank if still employed. From date: Format: May 21 2013 To date: Format: May 21 2013 Beginning and Ending Salary: Responsibilities: Reason for Leaving:

4. Education

		Order
	High School School Name, City, State: Graduate: N/A Yes No Years to Complete: Major or Course of Study: Diploma/Degree: Overall GPA:
	College School Name, City, State: Graduate: N/A Yes No Years to Complete: Major or Course of Study: Diploma/Degree: Overall GPA:
	Graduate School School Name, City, State: Graduate: N/A Yes No Years to Complete: Major or Course of Study: Diploma/Degree: Overall GPA:
	Other School Name, City, State: Graduate: N/A Yes No Years to Complete: Major or Course of Study: Diploma/Degree: Overall GPA:

5. Work References

Name and Occupation *	Work Relationship *	Address *	Phone *
Name and Occupation: *	Work Relationship: *	Address Street: * City: * State/Province: * Postal code: *	Phone: *
Name and Occupation: *	Work Relationship: *	Address Street: * City: * State/Province: * Postal code: *	Phone: *
Name and Occupation: *	Work Relationship: *	Address Street: * City: * State/Province: * Postal code: *	Phone: *

6. Military Involvement

Were you in the U.S. Armed Forces?: *

Branch:

Dates of Duty
From date:

Format: May 21 2013

To date:

Format: May 21 2013

Rank at Discharge:

List duties in the service including special training:

7. Supplemental Information

Why are you looking for a new position?: *

How many interviews have you had in the past 2 months?: *

What were the results of the previous interviews?: *

What did you like most about your last/current position?: *

What changes would you have made in your last/current position?: *

Which position in your career have you liked the most? Why?: *

What are the accomplishments in your career? When did these occur?: *

What do you consider to be your major strengths?: *

In what areas would you improve?: *

What characteristics or experiences do you believe make you particularly qualified for the position you are interested in?: *

What are your future goals?: *

What interests or activities do you pursue outside of work that may have transferable skills for this position?: *

Are you willing to relocate now?: *
Yes

No

Are you willing to relocate in the future?: *
Yes

No

Reasons for relocation: *

List any special educational honors, achievements, special activities, athletics, offices held, etc.:

Additional Information:
Are there any other experiences, skills or qualifications that you possess that would especially suit the position you are applying for?

9. Signature

Electronic Signature: *

Copyright ©1998 - 2013 Thermotron Industries, A Venturedyne Ltd. Company
291 Kollen Park Drive, Holland, Michigan 49423 USA
(ph)616.393.4580 • Email Us

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Create Job Application

1. Personal Information

2. Employment History

3. Employer

Present or Last Employer

Previous Employer

Previous Employer

Previous Employer

Previous Employer

Previous Employer

4. Education

High School

College

Graduate School

Other

5. Work References

6. Military Involvement

7. Supplemental Information

8. EEO Information (Optional)

9. Signature