Application for Employment

Please print accurate answers to all questions. This information will be treated confidentially.

We appreciate your interest in our company. THIS APPLICATION IS NOT AN EMPLOYMENT CONTRACT. This application is intended to evaluate suitability for employment. It is the policy of the company to provide equal employment opportunities to all qualified persons without discrimination on the basis of sex, race, color, religion, age, marital status, genetic information, national origin, citizenship, disability, veteran status, or any other status protected under local, state, and federal law. The company will comply with its obligation to provide reasonable accommodation to qualified individuals with disabilities. The company conducts pre-employment screening for certain jobs before an offer is made. If a job offer is made, employment may be contingent upon successful completion of a medical examination, including drug testing, which may include providing urine, blood, or other types of samples. This application will remain active for ninety (90) days.

Note: This form includes several fields that are required. Please enter NA if certain items are not applicable to your application.

BASIC INFORMATION

Last Name:

First Name:

Middle Name:

Address:

City:

State:

Zip:

Last Four Digits of SSN:

Primary Phone:

Secondary Phone:

Email:

How did you learn about us?

RECORD OF EDUCATION

Do you have a high school diploma or GED?

Yes
No

If yes, where did you obtain your diploma/GED?

If not, list highest grade completed:

Did you attend college, university, or vocational school?

Yes
No

If yes, where did you attend?

List all completed degrees and certifications:

REFERENCES (NOT RELATIVES)

Reference 1

Name:

Business:

Address:

Telephone:

Reference 2

Name:

Business:

Address:

Telephone:

Reference 3

Name:

Business:

Address:

Telephone:

PERSONAL INFORMATION

Are you at least 18 years of age? If under 18, must furnish a work permit.

Yes
No

Are you legally authorized to work in the United States? Completion of the Form I-9 will be required upon employment to document authorization to legally work in the United States. Yes
No

Have you been convicted of a felony (that has not otherwise been expunged from your record) in the past seven years? Yes
No

If YES, describe in full. A conviction will not necessarily bar employment. Fair consideration will be given to date of offense, seriousness, and nature of violation and rehabilitation.

Do you have any family business or social obligations that would prevent you from:

Working Consistently? Yes
No

Working Overtime? Yes
No

Traveling? Yes
No

List names(s) and/or relationship(s) of relatives currently working for the company.

Were you previously employed by this company or any other division of THOR? Yes
No

Please specify company(s):

Position(s) Desired:

Expected Pay:

Would You Work?

Full Time

Part Time

Seasonal

If you are offered and accept employment, what date could you report for work?

MARK THOSE WITH WHICH YOU HAVE EXPERIENCE

Towable RV Other (Specify)

INDUSTRIAL

MISCELLANEOUS

Metal

Roofing

Sidewalls/Shelling

Floors

Chassis Prep

Lamination

Final Finish

Graphics Tape

Milling

Inspection

Systems Check

Painting/Body Repair

Fiberglass

Routing

Shipping/Receiving

Forklift Operation

Packing

Electrical

Plumbing

Tape Measure

Read Engineering Prints

Read Production Orders

Group Leader

SAWS

Table

Chop

Radial Arm

Jig

Band

Other

TOOLS (electric, pneumatic, hand)

Nail Gun

Screw Gun

Staple Gun

Air Drill

SPECIAL SKILLS

Forklift Training

Forklift License

Valid CDL License

Valid Driver’s License

CNC Equipment

Automotive Diagnostic Equipment

Front End Alignment

Automotive Heating & A/C Certificate

Automotive Repair

MANAGEMENT

TQM

Teaching/Training

Received Supervisory Training

Supervisory Number of People Supervised:

ASSEMBLY

Mechanical

Wire Harness

Cabinets

WELDING

Tig

Mig Aluminum

Mig Steel

Plasma

Cutting Torch

Welding Certification

ADMINISTRATIVE

GENERAL

Typing/Keyboard WPM

Receptionist

Multi-Line Phones

Fax Machine

Filing

Ten Key/Touch

Data Entry

COMPUTER

Microsoft Word

Microsoft Excel

Microsoft Outlook

Microsoft Access

Microsoft Visio

Microsoft Power Point

MAS Accounting Software

Sharepoint Services

ERP Software

CAD Software

Programming Language

Internet/Intranet

Windows OS

Apple/Macintosh

OLAP Cube Processing

Internet File Transfer

REPORT WRITING

Crystal Reports Others:

ACCOUNTING

Accounts Payable

Accounts Receivable

Payroll

Financial Statements

Cost Accounting/B.O.M.

MANAGEMENT

Received Supervisory Training Supervisory Number of People Supervised:

OTHER

Sales/Marketing Training Product

MRP/MPRII

Other Relative Experience:

LIST BELOW ALL PRESENT AND PAST EMPLOYMENT, BEGINNING WITH YOUR MOST RECENT

Employer 1

Company Name:

Type of Business:

Address:

City:

State:

Zip:

From (Month/Year):

To (Month/Year):

Starting Salary:

Last Salary:

Name of Supervisor:

Telephone:

Describe in detail the work that you did: Reason for leaving:

May we contact the employer listed above? Yes
No

Employer 2

Company Name:

Type of Business:

Address:

City:

State:

Zip:

From (Month/Year):

To (Month/Year):

Starting Salary:

Last Salary:

Name of Supervisor:

Telephone:

Describe in detail the work that you did: Reason for Leaving:

May we contact the employer listed above? Yes
No

Employer 3

Company Name:

Type of Business:

Address:

City:

State:

Zip:

From (Month/Year):

To (Month/Year):

Starting Salary:

Last Salary:

Name of Supervisor:

Telephone:

Describe in detail the work that you did: Reason for Leaving:

May we contact the employer listed above? Yes
No

BACKGROUND RESEARCH RELEASE

Please read this section carefully and acknowledge your understanding by clicking the box below.

1. Consent to Conduct Background Investigation

As a condition of, and in consideration for the company’s consideration of my application for at-will employment, I give permission to the company to investigate my personal and employment history. I understand that this background investigation will include, but not be limited to, verification of all information on this application, as well as interviews with past employers. I further give permission to the company to conduct this investigation and to discuss the results of this investigation in connection with my application for employment.

2. Consent to Contact Past Employers

I give permission to the company to contact all employers listed in my application (except those specifically excluded) for references. I further give permission to all current or previous employers and/or managers or supervisors to discuss my relevant personal and employment history with the company. I further waive any rights I may have to receive a copy of any written statement provided by any of my former employers to the company. I further agree to indemnify all past employers for any liability they may incur because of their reliance upon this release.

3. Consent to Contact Government Agencies

I give permission to any agent, attorney, or representative of the company to receive a copy of any information obtained in the file of any federal, state, or local court, government agency, law enforcement agency, or investigator concerning or relating to me. I further consent to the release of such information and waive any right under state law concerning notification of the request for a release of such information. In the event a state law does not provide for prospective employers to have access to information, I hereby delegate the company as my agent for receipt of information. I understand that the scope of this investigation will be limited to criminal and/or civil records that relate to my honesty, integrity, and/or abilities.

4. Cooperation with Investigation

I agree to fully cooperate in the company’s background investigation and to sign any waivers or releases that may be necessary to obtain access to relevant information. In the event that any former employer of federal, state, or local government agency will not release reference information or criminal history information directly to the employer, I agree to personally request such information to the extent permitted by law.

5. Falsification Statement

I understand that any falsification or willful omission of fact made in my application for at-will employment or in connection with any background investigation may be sufficient grounds for rejection of my application, or, if discovered after an offer of employment, for immediate dismissal.

6. Employment “At Will”

In consideration of my employment, I agree to conform to the rules and regulations of the company, and my employment and compensation is “at will” in that they can be terminated with or without cause, and with or without notice, at any time, at the option of either the company or myself except as otherwise provided by law. I understand that no manager or representative of the company, other than the president of the company, has authority to enter into any agreement for employment for any specific period of time or to make any agreement or contract to the foregoing, and that any promises to the contrary will only be relied upon by me if they are in writing and signed by the president of the company.

I Agree with the Background Research Release Terms Above

READ CAREFULLY BEFORE SIGNING

1. I authorize the investigation of all statements contained in this application, resume, and any attachments. I release from all liability any persons or employers supplying such information. I also release the company from all liability that might result from making the investigation.

2. I certify that the facts and information set forth in this application are true and complete to the best of my knowledge. I understand that any falsification, misrepresentation, or omission of facts on the application, resume, and any attachments (or on any required document) will be cause for denial of employment or immediate termination of employment, regardless of when or how it was discovered.

3. I agree, if I am offered and accept a position, to conform to all existing and future company rules and regulations, and I understand that the company reserves the right to change wages, hours, and working conditions as deemed necessary. I ALSO UNDERSTAND THAT, IF HIRED, MY EMPLOYMENT WILL BE AT-WILL, WHICH MEANS THAT EITHER PARTY CAN END THE EMPLOYMENT RELATIONSHIP AT ANY TIME, WITH OR WITHOUT NOTICE, AND FOR ANY OR NO REASON.

4. I understand that any employment offer is contingent upon my completing a Form I-9 within three (3) working days of employment in order to comply with the Immigration Reform and Control Act of 1986.

5. I have read and reviewed the information provided in this application and the above statements. By signing this application for employment, I certify that all the information provided by me, including any resumes, test answers or attachments, is truthful and accurate.

6. I agree that any claim or lawsuit relating to or arising out of my service and/or employment, my potential service and/or employment, or my application for employment, with THOR Industries, Inc. or any of its subsidiaries must be filed no more than three hundred (300) days after the date of the employment action that is the subject of any such claim or lawsuit. While I understand that the statute of limitations for claims or lawsuits arising out of employment may be longer than three hundred (300) days, I agree to be bound by the three hundred (300) days period of limitations set forth herein, and I EXPRESSLY AGREE TO WAIVE ANY STATUTE OF LIMITATIONS TO THE CONTRARY. Should a court determine in some future lawsuit that this provision allows an unreasonably short period of time to commence a lawsuit, the court shall enforce this provision as far as possible and shall declare the lawsuit barred unless it was brought within the minimum reasonable time within which the suit should have been commenced. I understand that if I become an employee of THOR Industries, Inc., or any of its subsidiaries, at any time in the future, this application for employment will become a part of my official employment record. I further acknowledge that THOR Industries, Inc. and/or its subsidiaries will be relying on the information contained in this application in any hiring decisions and that I am bound by the terms contained herein.

E-Signature of Applicant

By clicking the checkbox above you are electronically signing your application and agreeing to all terms listed within.

Date:

Application for Employment

BASIC INFORMATION

RECORD OF EDUCATION

REFERENCES (NOT RELATIVES)

Reference 1

Reference 2

Reference 3

PERSONAL INFORMATION

MARK THOSE WITH WHICH YOU HAVE EXPERIENCE

INDUSTRIAL

MISCELLANEOUS

SAWS

TOOLS (electric, pneumatic, hand)

SPECIAL SKILLS

MANAGEMENT

ASSEMBLY

WELDING

ADMINISTRATIVE

GENERAL

COMPUTER

REPORT WRITING

ACCOUNTING

MANAGEMENT

OTHER

LIST BELOW ALL PRESENT AND PAST EMPLOYMENT, BEGINNING WITH YOUR MOST RECENT

Employer 1

Employer 2

Employer 3

BACKGROUND RESEARCH RELEASE

1. Consent to Conduct Background Investigation

2. Consent to Contact Past Employers

3. Consent to Contact Government Agencies

4. Cooperation with Investigation

5. Falsification Statement

6. Employment “At Will”

**READ CAREFULLY BEFORE SIGNING**

***THIS COMPANY IS AN AT-WILL, EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER***

READ CAREFULLY BEFORE SIGNING

THIS COMPANY IS AN AT-WILL, EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER