Trinity Products is committed to maintaining a productive workplace that keeps employees and customers safe from harm. For this reason we may require applicants who have been offered employment and current employees to take screening tests for alcohol and illegal drug use according to the Drug Testing Policy maintained in our Employee Handbook.

We expect all employees to comply with Trinity’s Drug Testing Policy, to be responsible for their actions, and to report any unsafe drug related activity.

* – Designates fields that are required to be filled out.

Contact Information

First Name*

Last Name*

Position Applied For*

Phone Number*

Alternate Phone Number

Email

Address 1*

Address 2

City*

State*

Zip*


How long have you lived at this address?* (Month / Year)

Desired pay rate?*
Enter salary or hourly rate.

If under the age of 18, can you produce the necessary work certificate at the time of employment?
 Yes No

Type of employment desired?
(Specify hours)

Are you willing to work overtime?

When can you start?*


Have you previously applied for employment with this Company?

If Yes, when and where did you apply?

Have you ever been employed by this Company?

If Yes, provide dates of employment, location and reason for separation from employment:

If applicable, below list any other names by which you have been known by, which may be necessary to allow us to confirm your
work and educational record. For example, change of name, use of an assumed name, nickname, etc.


Education

High School Name (Address, City, State)

Course of Study/Major

Graduated?

Honors Received

College Name (Address, City, State)

Course of Study/Major

Graduated?

Honors Received

Graduate / Professional (Address, City, State)

Course of Study/Major

Graduated?

Honors Received

Trade / Correspondence (Address, City, State)

Course of Study/Major

Graduated?

Honors Received


Work Experience

Please list the names of your present and/or previous employers in chronological order with present or most recent employer
listed first. Provide information for at least the most recent ten (10) year period. Attach additional sheets if needed. If selfemployed,
supply firm name and business references. You may include any verifiable work performed on a volunteer basis,
internships, or military service. Your failure to completely respond to each inquiry may disqualify you for consideration from
employment. Do not answer "see resume."

Employer 1

Employer Name:

Employer Address:

Type of Business:

Buisness Phone:

Start Date Employed:

End Date Employed:

Supervisor's Name:

Job Duties:

May we contact?

If NO, why?

Wages Start:

Wages Final:

Reason for leaving?

What will this employer say was the reason your employment terminated?

Were you ever disciplined? If so, for what?

How much notice did you give when resigning? If none, explain.

Employer 2

Employer Name:

Employer Address:

Type of Business:

Buisness Phone:

Start Date Employed:

End Date Employed:

Supervisor's Name:

Job Duties:

May we contact?

If NO, why?

Wages Start:

Wages Final:

Reason for leaving?

What will this employer say was the reason your employment terminated?

Were you ever disciplined? If so, for what?

How much notice did you give when resigning? If none, explain.


Have you ever been terminated or asked to resign from any job?
If Yes, how many times?

Has your employment ever been terminated by mutual agreement?
If Yes, how many times?

Have you ever been given the choice to resign rather than be terminated?
If Yes, how many times?

If you answered Yes to any of the above three questions, please explain the circumstances of each occasion.


Work References

(Optional)

Please list the names of additional work-related references we may contact. Individuals with no prior work experience may list school or
volunteer-related references.

Name

Position

Company

Work Relationship

Phone

Name

Position

Company

Work Relationship

Phone

Personal References

(Optional)

Please list the names of personal references (not previous employers or relatives) who you know that we may contact.

Name

Occupation

Address

Phone

Years Know?

Name

Occupation

Address

Phone

Years Know?


Driving Information

(Optional)

Complete only if driving is an essential function of the job for which you are applying.

Do you have a current valid driver’s license?

If yes, License No.:

State

Exp. Date

If you do not have a driver’s license for the state in which you currently reside, why not?

Has your license ever been suspended or revoked?

If Yes, explain?

Do you have personal automobile insurance?

If No, explain?

Have you ever been denied personal automobile insurance or has it ever been terminated or suspended?

If Yes, explain?

If any, please list all moving traffic violations in the last five (5) years:

Offense

Date

Location

Comment

Offense

Date

Location

Comment


Application Verification

I understand and agree that if driving is a requirement of the job for which I am applying, my employment and/or continued employment is
contingent on possessing a valid driver's license for the state in which I reside and automobile liability insurance in an amount equal to the
minimum required by the state where I reside.

I understand that the Company may now have, or may establish, a drug-free workplace or drug and/or alcohol testing program consistent
with applicable federal, state, and local law. If the Company has such a program and I am offered a conditional offer of employment, I
understand that if a pre-employment (post-offer) drug and/or alcohol test is positive, the employment offer may be withdrawn. I agree to
work under the conditions requiring a drug-free workplace, consistent with applicable federal, state, and local law. I also understand that all
employees of the location, pursuant to the Company's policy and federal, state, and local law, may be subject to urinalysis and/or blood
screening or other medically recognized tests designed to detect the presence of alcohol or illegal or controlled drugs. If employed, I
understand that the taking of alcohol and/or drug tests is a condition of continual employment and I agree to undergo alcohol and drug
testing consistent with the Company's policies and applicable federal, state, and local law.

If employed by the Company, I understand and agree that the Company, to the extent permitted by federal, state, and local law, may
exercise its right, without prior warning or notice, to conduct investigations of property (including, but not limited to, files, lockers, desks,
vehicles, and computers) and, in certain circumstances, my personal property.

I understand and agree that as a condition of employment and to the extent permitted by federal, state, and local law, I may be required to
sign a confidentiality, restrictive covenant, and/or conflict of interest statement.

I certify that all the information on this application, my résumé, or any supporting documents I may present during any interview is and will
be complete and accurate to the best of my knowledge. I understand that any falsification, misrepresentation, or omission of any
information may result in disqualification from consideration for employment or, if employed, disciplinary action, up to and including
immediate dismissal.

REGARDLESS OF ANY PROVISION IN THIS APPLICATION, IF HIRED, THE COMPANY OR I MAY TERMINATE THE
EMPLOYMENT RELATIONSHIP AT ANY TIME, FOR ANY REASON, WITH OR WITHOUT CAUSE OR NOTICE. NOTHING IN
THIS APPLICATION OR IN ANY DOCUMENT OR STATEMENT, WRITTEN OR ORAL, SHALL LIMIT THE RIGHT TO
TERMINATE EMPLOYMENT AT-WILL. NO OFFICER, EMPLOYEE OR REPRESENTATIVE OF THE COMPANY IS
AUTHORIZED TO ENTER INTO AN AGREEMENT—EXPRESS OR IMPLIED—WITH ME OR ANY APPLICANT FOR
EMPLOYMENT FOR A SPECIFIED PERIOD OF TIME UNLESS SUCH AN AGREEMENT IS IN A WRITTEN CONTRACT
SIGNED BY THE PRESIDENT OF THE COMPANY.IF HIRED, I AGREE TO CONFORM TO THE RULES AND REGULATIONS OF
THE COMPANY, AND I UNDERSTAND THAT THE COMPANY HAS COMPLETE DISCRETION TO MODIFY SUCH RULES AND
REGULATIONS AT ANY TIME, EXCEPT THAT IT WILL NOT MODIFY ITS POLICY OF EMPLOYMENT AT-WILL.

I authorize the Company or its agents to confirm all statements contained in this application and/or résumé as it relates to the position I am
seeking to the extent permitted by federal, state, or local law. I agree to complete any requisite authorization forms for the background
investigation which may be permitted by federal, state and/or local law. If applicable and allowed by law, I will receive separate written
notification regarding the Company's intent to obtain "consumer reports."

I authorize and consent to, without reservation, any party or agency contacted by this employer to furnish the above-mentioned
information. I hereby release from liability the Company and its representative for seeking such information and all other persons,
corporations, or organizations furnishing such information. Further, if hired, I authorize the company to provide truthful information
concerning my employment to future employers and hold the company harmless for providing such information.

If hired by this Company, I understand that I will be required to provide genuine documentation establishing my identity and eligibility to be
legally employed in the United States by this Company. I also understand this Company employs only individuals who are legally eligible
to work in the United States.

THIS APPLICATION WILL BE CONSIDERED ACTIVE FOR A MAXIMUM OF SIXTY (60) DAYS. IF YOU WISH TO BE CONSIDERED
FOR EMPLOYMENT AFTER THAT TIME, YOU MUST REAPPLY.

I CERTIFY THAT ALL OF THE INFORMATION THAT I HAVE PROVIDED ON THIS APPLICATION IS TRUE, ACCURATE, AND
COMPLETE.

DO NOT SIGN UNTIL YOU HAVE READ ALL OF THE INFORMATION CONTAINED IN THE APPLICATION.

Applicant Signature

By checking this box, I agree to the terms of this application.*
 Yes, I Agree

Digital Signature - Enter full name.*

Date*

Questions or Comments:

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