Job Application

The Company is an equal opportunity employer and considers applications for all positions without regard to race, sex, religion, color, national origin, pregnancy, genetic information for any other characteristic protected by applicable law. Please let us know if you require a reasonable accommodation to complete this application.

Please carefully and accurately complete this application. Final hiring decisions may be contingent upon verification of your work history, education and other information. If you require a consumer report, you’ll be asked to sign a separate authorization for that purpose.

*Denotes a required field

Please be advised Toyota Boshoku Indiana utilizes Variable Workforce Agencies for hourly production positions. By submitting your application online, if you are ineligible for a direct hire position, your application may be forwarded to one of our variable workforce agencies to contact you for employment opportunities.

Preferred Postion

Date of Application

Salary/Hourly Wage Expected


Have you filed an application here before? Not SureYesNo

If yes, give approximate date

Type of employment desired Full TimePart TimeCo-Op/Internship

Shifts available to work DayEvening

Days available to work WeekdaysWeekendsOvertime

Will you relocate if job requires it? Not SureYesNo

Will you travel if job requires it? Not SureYesNo

If yes, how many days per week?

Have you ever been employed by this or any affiliated company? YesNo

If yes, provide dates

How did you hear about us? AdvertisementStaffing AgencyWord of MouthJob FairOther

If other, please explain

Were you referred by a current employee? YesNo

If yes, please give name and relationship


Are you currently subject to an non-competition agreement with any current or former employer that may interfere with your ability to work for this company? Not SureYesNo

If yes, please explain.


Personal Information

First Name*

Middle Initial

Last Name*

Former name or alias under which employment or education may be verified

Contact Information

Home Phone*

Alternate Phone

Email Address*


Current Address

Address*

City & State*

Zip Code*

Previous Address (if less than five years ago)

Previous Address

Previous City & State

Previous Zip


Education

High School Education

Select the highest grade completed
9101112

School Name

City & State

Major

Diploma, Degree, or Certificate Earned

GPA

College Education

Select the highest grade completed
01234

School Name

City & State

Major

School Diploma, Degree, or Certificate Earned

School GPA

Graduate School Education

School Name

City & State

Major

Diploma, Degree, or Certificate Earned

GPA

Apprentice, Business or Vocational School Education

School Name

City & State

Major

Diploma, Degree, or Certificate Earned

GPA

Other training or skills
(special courses, etc.)

School Name

City & State

Major

Diploma, Degree, or Certificate Earned

GPA

Special Skills, Abilities, Affiliations

Tell us about any special job related skills and qualifications acquired from employment or other experience that you think are important. Include, for example, typing speed, experience with personal computers, word processing and other office machines. Also use this space to tell us about your personal interests and other information you believe will assist us in evaluating your qualifications. (Please do not provide information that may reveal your sex, race, age or similar characteristics.)


Employment History

Please give us accurate and complete employment history including full-time, part-time, contract, self-employment, military service and periods of unemployment. Start with your most recent employer. Referencing a resume is not acceptable.

May we contact your present employer?
YesNo

May we contact your previous employer?
YesNo

Employer #1

Company Name

City & State

Phone

Job Title, Duties and Responsibilities

Reason for Leaving

Dates of Employment

Employer #2

Company Name

City & State

Phone

Job Title, Duties and Responsibilities*

Reason for Leaving

Dates of Employment

Employer #3

Company Name

City & State

Phone

Job Title, Duties and Responsibilities*

Reason for Leaving

Dates of Employment

Employer #4

Company Name

City & State

Phone

Job Title, Duties and Responsibilities

Reason for Leaving

Dates of Employment

Employer #5

Company Name

City & State

Phone

Job Title, Duties and Responsibilities

Reason for Leaving

Dates of Employment

Employer #6

Company Name

City & State

Phone

Job Title, Duties and Responsibilities

Reason for Leaving

Dates of Employment

Please account for any periods of unemployment over the last 10 years.


Personal References

Please list former supervisors and or associates who are acquainted with your employment qualifications.

Reference #1

Name

Title

Phone

Email Address

Nature of your relationship

Reference #2

Name

Title

Phone

Email Address

Nature of your relationship

Reference #3

Name

Title

Phone

Email Address

Nature of your relationship

Affiliated Companies

Indicate if you have been employed by this or any affiliated company.

ARJ Manufacturing, LLCToyota Boshoku America, Inc.Toyota Boshoku Mississippi, LLCAutomotive Technology Systems, LLCToyota Boshoku Indiana, LLCTBDN Tennessee CompanyToyota Boshoku Kentucky, LLCToyota Boshoku Illinois, LLCToyota Boshoku Tennessee, LLC


Certification and Agreement

I agree that any omission, misrepresentation, or falsification by me in this application or in any other document submitted to the Company is ground for the Company to refuse to hire me, or to terminate my employment if discovered after I have been hired. I understand that if I am conditionally offered employment such offer may be revoked if I do not submit to and pass a medical examination by a health care professional of the Company’s choosing. I understand that if I am conditionally offered employment such offer may be revoked if I do not submit to and pass a drug test. I agree to cooperate fully with any such examination and/or tests. I understand that a background check may be required to verify my criminal, employment, education, and/or credit history. I agree to sign any documents necessary to authorize such inquiries, and understand hiring and employment are subject to such cooperation.

I authorize my former employers and other individuals to give the Company information concerning my employment, and I release my former employers from any liability whatsoever for providing such information.

I understand that, if I am hired, my employment with the Company will be “at-will” and the Company will be free to terminate the employment relationship at any time without notice and without cause. I understand this “at-will” employment relationship can never be changed, except by an express written agreement signed by the Company’s President.

I understand that this application is valid for only 60 calendar days and that I must complete and submit a new application if the Company has not offered me employment within 60 days and I still wish to be considered for employment.

I agree that any claim, charge, cause of action or other allegation (collectively, “claims”) that I may ever have against the Company and/or any agent or employee of the Company in connection with my application for employment, my employment (if hired) or termination of my employment shall be forever barred, waived, and released if I do not file such claim with an appropriate court or administrative agency within the least of: (a) one (1) year following the event giving rise to the claim; or (b) such shorter limitation period as may be prescribed by applicable law; or (c) if the relevant jurisdiction has restricted the extent to which private parties may agree to reduce statutory limitation periods, the shortest period to which private parties may agree with respect to the applicable limitation period. I hereby waive any longer statutes of limitation. I understand this limitation and waiver applies to every claim of any nature, including, but not limited to, claims arising under local, state, or federal civil rights and employment laws. I understand and agree that I will remain bound by these terms during and following my employment if I am hired.

I understand that I will not be considered for employment with the Company unless I agree to these terms. I have, therefore, agreed to these terms knowingly, voluntarily, and in exchange for the Company’s consideration of my application for employment.

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