TJM Inc.
3418 Industrial Blvd Ste B
Jeffersonville, IN 47130
(812) 725-5687
New Employee Application
TJM Inc. is an equal opportunity employer.
Be as honest and precise as possible. If there is any section that you may not have enough room for, please mark a note and continue (including all information asked) on the blank pages provided at the end of the packet.
Applicant Information:
Name(Last, First, Middle): ___________________________________________
Phone Number: ______________________________________________
Address: ______________________________________________
City: ______________________________________________
State: _______________________________________________
Zip: _______________________________________________
Email: _______________________________________________
Employment Position:
Position(s) applying for: ___________________________________________
How did you hear about us? ___________________________________________
If you are hired, what date
can you start working? ___________________________________________
What is your availability?
(Days and times) ____________________________________________
Personal Information:
Are you able to pass an illicit drug screening? (Circle one) YES/NO
Are you a U.S. Citizen or legally approved to work in the United States? (Circle one) YES/NO
What document(s) can you provide as proof of your citizenship or legal work status?
____________________________________________________________________________________________________________________________________________________________
Have you ever been convicted of, or plead “no contest” to a felony? (Circle one)
YES/NO If yes, please explain:
____________________________________________________________________________________________________________________________________________________________
Do you have a valid state driver’s license? (Circle one) YES/NO
Do you have a personal, reliable vehicle to get to and from work everyday? YES/NO
If not, do you have a reliable method of getting to work everyday? (Someone giving you a ride, bus, etc.) (Circle one) YES/NO
Do you have any relevant tools/equipment you can use while on the jobsite? YES/NO If so, describe below.
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List any experience you may have with non-standard vehicles (Semi-trucks, tractors, forklift, etc.), drivable equipment or heavy machinery.
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Education and Training:
Please list your highest completed level of formal education, along with any trade school programs, vocational school degrees, or specialized job training you may have completed. If you have multiple degrees or vocational programs completed. List them on the lines below with the same information asked in the table. If there is any other formal job training/education you have completed that you feel is relevant to the job you’re applying for, list them on the lines provided below along with a detailed description.
High School/University (Highest Level of Education Completed)
School Name | Location (City, State) | Year Graduated/ Final Year Attended | Degree Earned? (Y/N, type of degree) | Description |
Vocational/Trade School
School Name | Location (City, State) | Year Graduated/ Final Year Attended | Degree Earned/Program Completed? (Y/N, type of degree) | Description |
(Other Education Completed:)
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______________________________________________________________________________
Previous Work Experience:
Please list all work experience you have in the field relevant to the position you are applying for. Be as detailed as you can.
Job 1
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Job 2
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Job 3
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Job 6
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Job Skills/Qualifications:
Please list below all the skills/qualifications you possess for which the job you are applying for. Please note how much experience you have in it as well.
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Out of these skills, which are you most comfortable with/ like to do the most? ____________________________________________________________________________________________________________________________________________________________
Are there any skills certifications/licenses you have relevant to the position you are applying for (Certified welder, licensed electrician, etc.)? If so, list below:
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*The relationship between you and TJM Inc. is referred to “Employment at-will.” This means that your employment can be terminated at any time, for any reason, with or without cause, with or without notice, by you or TJM Inc. No representative of TJM Inc. has authority to enter into any agreement contrary to the foregoing “employment at will” relationship. You understand that your employment is “at will,” and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and our Chief Operations Officer or the Company’s President.*
Applicant Signature: ______________________________________
Dated: _________________________
I also declare that I have been honest to the best of my knowledge, and may be held to some or all of the statements that I have made here today.
Applicant Signature:_______________________________________
Dated: ____________________________
I hereby submit to any future illegal drug screenings, random or not, under any circumstance requested by TJM Inc., during the full length of my employment at TJM Inc. I understand that failure to comply and/or failure to pass said screening may result in the termination of my employment at TJ’s Maintenance LLP. I also submit to a pre-employment illicit drug test, on which to determine the basis of my employment.
Applicant Signature:____________________________________________
Dated: ___________________________
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