Employment Application | Thiele Kaolin Company

Thiele Kaolin Company is an Equal Opportunity Employer and does not discriminate against any individual in any phase of employment in accordance with the requirements of local, state, and federal law. The Company provides reasonable accommodations to applicants or employees with a disability unless the accommodation would impose an undue hardship on the Company. Please inform the Company if you need an accommodation during the application process.

Personal Information

Date *

Location Applying for *

First *

Middle

Last *

Current Address

Street *

City *

State *

Zip *

Phone Number *

Alt. Phone Number

Email Address

Are you 18 years of age or older? *

Desired Employment Position

Available Start Date

Referred by

May we inquire of your present employer? *

Education

List your last two education items below, starting with your LAST ONE FIRST.

Education 1

School Name

School Location

Number of Years Attended

Degree Obtained

Subjects Studied

Education 2

School Name

School Location

Number of Years Attended

Degree Obtained

Subjects Studied

Education 3

School Name

School Location

Number of Years Attended

Degree Obtained

Subjects Studied

Education 4

School Name

School Location

Number of Years Attended

Degree Obtained

Subjects Studied

Subject of Special Study or Research Work

U.S. Military or Naval Service

Rank

Skills Aquired while in Service

Former Employers

List your last four employers below, starting with your LAST ONE FIRST.

Employer 1

From

Name

Address

Salary

Position

Reason for Leaving

Employer 2

From

Name

Address

Salary

Position

Reason for Leaving

Employer 3

From

Name

Address

Salary

Position

Reason for Leaving

Employer 4

From

Name

Address

Salary

Position

Reason for Leaving

References

List below THREE persons not related to you, whom you have known at least one year.

Reference 1

Name

Address

Phone

Business Name

Years Aquainted

Reference 2

Name

Address

Phone

Business Name

Years Aquainted

Reference 3

Name

Address

Phone

Business Name

Years Aquainted

In Case of Emergency Notify

Name

Address

Phone Number

Have you ever been convicted of a crime? *

If so, provide details regarding the date, nature, and circumstances of the conviction:

A conviction standing alone does not automatically disqualify applicants from employment with Thiele. Thiele will evaluate the specific facts and offense in each case, giving consideration only to those convictions that we believe are related and relevant to the particular position for which you are applying. Thiele’s consideration will include a review of the date of the conviction, the nature of the offense, and evidence of rehabilitation since the conviction. In addition, you are not required to disclose the existence of any arrest, criminal charge or conviction that has been dismissed or expunged from your record under the Georgia First Offender Law, O.C.G.A. § 42-8-60, et seq.

Production Job Applicant Pre-screening Checklist

Listed below are general production requirements. Please pick your present level of ability and willingness to perform.

Ability to work rotating shifts

N/A

Not Able

Some Level

High Level

Willing to wear earplugs

N/A

Not Able

Some Level

High Level

Willing to work weekends

N/A

Not Able

Some Level

High Level

Able to work outdoors in the elements

N/A

Not Able

Some Level

High Level

Willing to use safety equipment (i.e. hardhat, safety glasses)

N/A

Not Able

Some Level

High Level

Able to work overtime

N/A

Not Able

Some Level

High Level

Able to work independently

N/A

Not Able

Some Level

High Level

Able to use basic shop tools

N/A

Not Able

Some Level

High Level

Willing to work without close supervision

N/A

Not Able

Some Level

High Level

Able to climb ladders or high stairway

N/A

Not Able

Some Level

High Level

Able to read and understand instructions

N/A

Not Able

Some Level

High Level

Able to do basic arithmetic

N/A

Not Able

Some Level

High Level

Willing to work various jobs

N/A

Not Able

Some Level

High Level

Able to get to and from work

N/A

Not Able

Some Level

High Level

Willing to work as part of a team

N/A

Not Able

Some Level

High Level

Able to do a job requiring a high degree of physical endurance

N/A

Not Able

Some Level

High Level

Willing to work in a hot and humid working environment

N/A

Not Able

Some Level

High Level

Please Read Carefully

Applicant Certification and Agreement

I authorize Thiele Kaolin Company to conduct inquiries to companies, schools and individuals named in this application. I release Thiele Kaolin Company as well as these organizations and individuals from liability for the conduct of these inquiries including the furnishing of information. I certify that the information contained in this application is truthful and accurate. I understand and agree that any falsification, ommissions or misleading statements on this application or in my responses to questions asked during the interviewing or examination process will be grounds for not hiring me or immediate termination of employment if and whenever discovered. I also understand that the use of this application does not indicate that there are any positions open and does not in any way obligate the company on a contractual basis or otherwise. Further, if hired, I understand that I will be an employee at will and will be subject to dismissal at any time with or without cause.

Date *

Name *