Instructions:

Every Item on this form must be answered to the best of your ability. Your qualifications will be carefully reviewed and you will be given thorough consideration for any suitable vacancy. Upon employment, this application will become part of your permanent record at TLS. Keep this in mind as you complete it.

Special Note:

You are not required to supply any information that is prohibited by federal, state or local law. TLS is an Equal Opportunity Employer of protected veterans and individuals with disabilities. TLS seeks to attract and retain a high performing and diverse workforce in which employees' differences are respected and valued to better meet the varying needs of the diverse customers we serve. TLS fosters a diverse and inclusive work environment that promotes collaboration, flexibility and fairness to all. TLS does not discriminate on the basis of race, color, religion, gender, national origin, pregnancy, marital status, citizenship, age, disability, sexual orientation, gender identity, or any other legally protected class. You may request assistance in completing this application.

If younger than 18, state your age here
Are you legally entitled to work in the United States?** Yes No
If convicted of a crime(s), explain here:
No convictions
Have you ever been convicted of a moving traffic violation?: Yes No
If yes, list all here
Have your driving privileges ever been revoked suspended? Yes No
If yes, list all here
Do you currently hold a commercial driving license? Yes No

Did you graduate? Yes No
If no, last grade completed
G.E.D. Obtained?
Grade Average


Did you graduate? Yes No
If no, number of hours completed
Grade Point Average
Degree
Major
Minor
If attending, date of graduation



Military: Applicable Not applicable
List Service in U.S. Military: From
To
Branch
Rank at Discharge
Military experience that may applicable

General employment information

List here all of the equipment with which you have experience and training. (Examples: small tools, forklift, word processor, computers, etc.


Are you willing to relocate? Yes No
If yes, state location preferred:

Expected Salary: Hourly Weekly Monthly

Type of Employment sought? Regular full time Regular part time Temporary Seasonal As needed

Which of the following are you available: Days Nights Weekends Holidays Shift Work

Indicate hours you are available to work on the following days (or check anytime if you have no restrictions)
To
To
To
To
To
To
To

Are you able and willing to perform the essential functions of the job for which you are applying, including travel, if necessary? Yes No Don’t know
If no, indicate reason:
Need different hours:
     Need different days
Need more training, other, (explain accommodation needed):
Experience

List below all present and past employment, beginning with your most recent employer

Job Title:
Reason for Leaving: Quit Discharge Retired
Dates Employed:
to
   
Laid Off Why?
For Job Reference, call
at
Please do not contact this employer. Why not?

Job Title:
Reason for Leaving: Quit Discharge Retired
Dates Employed:
to
   
Laid Off Why?
For Job Reference, call
at
Please do not contact this employer. Why not?

Job Title:
Reason for Leaving: Quit Discharge Retired
Dates Employed:
to
   
Laid Off Why?
For Job Reference, call
at
Please do not contact this employer. Why not?

Conditions of employment

  1. The facts as stated on this application are true and correct. I understand, if employed, false statement on this application may cause my immediate dismissal.
  2. I authorize such background and personal reports as deemed necessary to verify that the information I have supplied is true and accurate and determine my fitness for this job and hold harmless those who have the responsibility to develop such a report. A copy of this authorization is as valid as original.
  3. I understand that I may be required to work overtime as a condition of being employed.
  4. In consideration of my employment, I agree to confirm to the rules and regulations for employees. I understand I am an employee at will, and that this application is not a contract of employment with TLS and that my employment and compensation can be terminated, with or without cause, at any time, at the option of TLS or me. I understand that no representative of TLS has any authority to enter into any verbal agreement for employment for any specified period of time or to make any agreement contrary to the foregoing and that no document, policy or practice of TLS may change the foregoing unless it is expressly titled “Employment Agreement” and signed by both myself and an officer of TLS.
  5. I understand that I may be required to submit to a pre-employment and post-employment test for fitness and/or substance abuse, if not prohibited by law.
  6. Upon separation of employment, I authorize TLS to withhold from my final pay check any monies owned to them by me (if not prohibited by law) for equipment, loans, products, services, materials, or other assets in my possession not promptly returned.
  7. I may also be required to submit to random drug testing.
Date:
Applicant Name (signature):