Employment Opportunities - Toroid Corporation

Today's Date*

Name*

First Last

Phone*

Email

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Are You at Least 18 Years Old?*

Yes
No

Position Applying For?

Are You Employed Now?*

Yes
No

If 'Yes', may we contact your present employer?

Yes
No

Date Available to Start*

Please let us know what date you are available to start.

How did you hear about Toroid Corporation*

Toroid Employee Name (if applicable)

Please enter the name of the Toroid employee that referred you to us.

Education - High School*

Please select the last year completed.

Education - College/University/Trade School*

Please select the last year completed (if any).

Do you have any Soldering experience?*

Special Training/Job Related Skills

Please list any additional training or job related skills you might have that is not listed above.

Military Service?*

Yes
No

If 'Yes', what branch?

Army
Navy
Air Force
Marines

Work Experience #1*

Please tell us where you've previously worked and your job responsibilities.

Start Date - Work Experience #1*

End Date - Work Experience #1*

Work Experience #2

Please tell us where you've previously worked and your job responsibilities.

Start Date - Work Experience #2

End Date - Work Experience #2

Work Experience #3

Please tell us where you've previously worked and your job responsibilities.

Start Date - Experience #3

End Date - Work Experience #3

Reference #1

First Last

Reference #1 - Phone Number

Reference #2

First Last

Reference #2 - Phone Number

Reference #3

First Last

Reference #3 - Phone Number

Can you perform the duties of the job you're applying for?*

Yes
No

Are you willing to take a job duty evaluation if required?*

Yes
No

Will you abide by the Safety Rules of Toroid Corporation?*

Yes
No

Consent*

I agree to the privacy policy.

UNDER MARYLAND LAW AN EMPLOYER MAY NOT REQUIRE OR DEMAND ANY APPLICANT FOR EMPLOYMENT OR PROSPECTIVE EMPLOYMENT OR ANY EMPLOYEE TO SUBMIT TO OR TAKE A POLYGRAPH, LIE DETECTOR OR SIMILAR TEST OR EXAMINATION AS A CONDITION OF EMPLOYMENT OR CONTINUED EMPLOYMENT. ANY EMPLOYER WHO VIOLATES THIS PROVISION IS
GUILTY OF A MISDEMEANOR AND SUBJECT TO A FINE NOT TO EXCEED $100.

If you are to be hired by the company, you will be required to attest to your identity and employment eligibility, and
to present documents confirming your identity and employment eligibility. You cannot be hired if you cannot comply with these requirements.

AUTHORIZATION
I certify that the facts contained in this application (and accompanying resume, if any) are true and complete to the
best of my knowledge. I understand that any false statement, omission, or misrepresentation on this application is sufficient cause for refusal to hire, or dismissal if I have been employed, no matter when discovered by the Company.
I authorize the Company to thoroughly investigate all statements contained in my application or resume, and I
authorize my former employers and references to disclose information regarding my former employment, character
and general reputation to the Company, without giving me prior notice of such disclosure. In addition, I release the
Company, any former employers and all references listed above from any and all claims, demands or liabilities arising
out of or related to such investigation or disclosure. I understand and agree that nothing contained in this
application, or conveyed during any interview, is intended to create an employment contract. I further understand
and agree that if I am hired, my employment will be “at will” and without fixed term, and may be terminated at any
time, with or without cause and without prior notice, at the option of either myself or the Company. No promise
regarding employment has been made to me, and I understand that no such promise and guarantee is binding upon the Company unless made in writing.
If I am offered employment I agree to submit to a drug test before starting work. If employed, I also agree to submit
to a drug test at any time deemed appropriate by the Company and as permitted by law. I consent to such tests, and I request that the examining facility disclose to the Company the results of the examination, which results shall remain confidential and segregated from my personal life. I understand that my employment or continued employment, to the extent permitted by law, is contingent upon satisfactory drug test, and if I am hired a condition of my employment will be, I abide by the Company’s Drug and Alcohol Policy.
I understand that filling out this form does not indicate there is a position open and does not obligate the Company to hire. If hired, I agree to abide by all Company work rules, policies, and procedures. The Company retains the right
to revise its policies or procedures, in whole or in part, at any time.

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