Employment Application

Welcome! We appreciate your interest in working for R. J. Thomas Mfg. Co. Inc., a third generation family-owned company that specializes in our Pilot Rock brand of park, street and camp site products. We also perform considerable private-label manufacturing and custom product manufacturing.

Please complete this employment application. You will be able to skip certain sections if that information is included in your resume'. You will be able to attach your resume' and a cover letter (if you have one) at the end of this application.

Please Note: all fields marked with an asterisk (*) are required fields.

Personal Information

First Name

Middle Initial

Last Name

Address 1

Address 2

City

State/Province

ZIP/Postal Code

Home Phone

Mobile Phone

Preferred Contact Method

Please answer the following questions

Are you 18 years of age or older?

Are you legally able to work in the United States?

Have you ever been employed by RJ Thomas Mfg. Co., Inc?

If yes, provide approx. dates and position(s)

What position are you applying for?

What type of employment are you seeking?

When can you start?

What is your desired wage/salary?

Education

This information is included in my resume attached below. If you check this box, you do not need to enter the information in this section.

Do you have a High School Diploma?

High School Name

High School City

High School State/Province

Years completed

Did you graduate?

If not, do you have a GED?

College Name

College City

College State/Province

Years completed

Did you graduate?

Degree/Major(s) obtained

Other Education Name

Other Education City

Other Education State/Province

Course of Study

Degree/certifications obtained

Do you have any additional skills, certifications, or qualifications that you feel should be a consideration for the position(s) desired?

Employment History

This information is included in my resume attached below. If you check this box, you do not need to enter the information in this section.

Company Name

Type of Business

City

State/Province

ZIP/Postal Code

Job Title

Responsibilities

Dates Worked (From - To)

Reason for leaving

Ending wage

May we contact your current employer for a reference?

If so, please provide a Contact Name, position, phone/email

Previous Employer 1 Dates Worked (From - To)

Previous Employer 1 Company Name

Previous Employer 1 City/State

Previous Employer 1 Position/Type of Work

Previous Employer 1 Reason For Leaving

Previous Employer 1 Ending Wage

Previous Employer 2 Dates Worked (From - To)

Previous Employer 2 Company Name

Previous Employer 2 City/State

Previous Employer 2 Position/Type of Work

Previous Employer 2 Reason For Leaving

Previous Employer 2 Ending Wage

Previous Employer 3 Dates Worked (From - To)

Previous Employer 3 Company Name

Previous Employer 3 City/State

Previous Employer 3 Position/Type of Work

Previous Employer 3 Reason For Leaving

Previous Employer 3 Ending Wage

Please explain any gaps in employment

References

This information is included in my resume attached below. If you check this box, you do not need to enter the information in this section.

Please list 3 references that are familiar with your work history and qualifications. DO NOT include family.

Reference 1 Name

Reference 1 Occupation/Relationship

Reference 1 Years Known

Reference 1 Phone

Reference 2 Name

Reference 2 Occupation/Relationship

Reference 2 Years Known

Reference 2 Phone

Reference 3 Name

Reference 3 Occupation/Relationship

Reference 3 Years Known

Reference 3 Phone

Military Service

Are you a Veteran?

Which Branch?

Dates Served (From - To)

Cover Letter and Resume

Upload Resume

Upload Cover Letter

Additional Comments

Do you have any other skills or qualifications that you would like to mention?

Disclaimer/Certification Agreement/Signature

Please read and acknowledge by checking each box below.

I understand that any misrepresentation by me in this application will be sufficient cause for the cancelation of this application and/or separation from RJ Thomas Mfg. Co., Inc. services if I have accepted employment. Additionally, I understand that I am free to resign at any time and RJ Thomas Mfg. Co., Inc. equally reserves the right to terminate my employment at any time, with or without cause and without prior notice. I understand that no representative of RJ Thomas Mfg. has a right to make any assurance to the contrary.

I give RJ Thomas Mfg. the right to investigate all references, records, and additional information about me if job-related. I hereby release from liability RJ Thomas and its representatives for seeking such information and all other persons or organizations for furnishing such information. RJ Thomas Mfg. Co., Inc. is an Equal Opportunity Employer. RJ Thomas does not discriminate in employment and no question is used for limiting or excusing any applicant’s consideration for employment on a basis prohibited by local, state, or federal law.

I understand that a drug test may be required if an offer of employment is extended to me. I agree to submit to drug/alcohol testing to detect the use of illegal drugs before and during employment. I understand that drug testing may take place in accordance with Iowa law at any time the employer has probable cause to believe an employee’s faculties are impaired on the job.

Upon hire an applicant will be required to provide information for compliance with the Immigration Reform and Control Act.

I understand that by signing or typing my name in the signature block below and clicking the submit button I am verifying my understanding and agreement of the above.

Enter Your Name