TORA TEAM MEMBER APPLICATION

CHOOSE LOCATION TO APPLY

Name

First NameLast Name

D.O.B

Date

Present Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Home Number

Please enter a valid phone number.

Cellphone Number

Please enter a valid phone number.

Email Address

example@example.com

Do you have friends or relatives working at TORA?

YesNo

Do you have reliable transportation to work?

Yes (my own vehicle)NoYes (someone else's vehicle)

If you are younger than 18 years old, how old are you?

Are you able to stand for 6 hours without assistance?

YesNo

Are you able to lift 50 pounds without assistance?

YesNo

Are you legally authorized to work in the US?

YesNo

Have you ever been convicted of a felony?

YesNo

If "yes" to the above question, please indicate the crime, date of conviction, nature of circumstances, state in which offense occurred, and sentence (if any).

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Please select one

Full-timePart-time

Desired Hourly Wage

Date available to begin employment:

Date

1.) Please include: Name and Address of Employer, Dates Employed, Phone No., Supervisor, Earnings, Reason for Leaving

2.) Please include: Name and Address of Employer, Dates Employed, Phone No., Supervisor, Earnings, Reason for Leaving

High School - Name, Location (City, State) Graduate? Y/N, Degree/Major Studies

College - Name, Location (City, State) Graduate? Y/N, Degree/Major Studies

Vocational or Trade School - Name, Location (City, State) Graduate? Y/N, Degree/Major Studies

U.S. Military Service Branch, Date Entered, Discharged? Reserve Status

1.) Reference Name and Address, Phone No., Relationship, Years Known

2.) Reference Name and Address, Phone No., Relationship, Years Known

3.) Reference Name and Address, Phone No., Relationship, Years Known

PLEASE READ THE FOLLOWING STATEMENTS CAREFULLY AND SIGN

I understand that completion of this application does not indicate that there are any positions currently open and does not obligate the company to hire me. I certify that all of the answers given in this application are true and complete to the best of my knowledge and that I have personally completed this application. I understand that providing false or misleading information or omitting permanent information in my application or a job interview shall be grounds for rejection of this application or for immediate discharge if I am employed. I understand that if I am employed, my employment will be for no definite period of time. I understand that my employment may be terminated at will with or without cause, and with or without notice, at the option of either the company or me. I authorize all persons or businesses contacted by or on behalf of the company about me or my application to disclose any and all performance, reviews, reports, and other documents and information related to my background, work history, and qualifications without giving me prior notice of such disclosure. I also authorize the person’s name herein as references and others of whom the company may inquire about my background to provide the company with any pertinent information they may have regarding me. By signing below, I fully release the company, my former employers and other persons, and businesses from any and all claims, demands or liabilities arising out of or in any way related to such references or disclosures.

Today's Date

Date

Applicant Signature

Tora, LLC supports a diverse and drug-free workforce. (EOC) Tora, LLC is an equal opportunity employer and considers all applicants without regard to race, color, religion, nation origin, ancestry, citizenship, sex, pregnancy, age, physical or mental disability, service in the uniformed services, genetic information, and or any other protected status classification or factor, in accordance with the requirements of all federal, state and local laws.

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TORA TEAM MEMBER APPLICATION

PLEASE TELL US ABOUT YOURSELF

AVAILABILITY

PREVIOUS EMPLOYMENT HISTORY

EDUCATION

REFRENCES