Application for Employment Personal Information Name (Last name first) Email Address Present Address   Apt. No.  City   State    Zip  Permanent Address   Apt. No.  City   State    Zip  Phone No. Emergency No. Contact Person Relationship Are you 18 years or older? Yes No Do you hold a current driver's license? Yes No D/L #   Exp. Date  State?   Type?  Desired Employment Position Applied For Date you can start   Salary Desired  Are you employed now? Yes No May we contact present employer? Yes No Referred by Name of last supervisor Reason for leaving Ever worked for TTMC before? Yes No Where?   When?  Ever applied to TTMC before? Yes No Where?   When? Can you travel or relocate, if required? Yes No Can you provide proof of citizenship or immigration status on employment? Yes No Do you have relatives working for TTMC? Yes No Education Name and Location of Grammar School Years attend   Year graduated  Degree/Major or Subjects Studied Name and Location of High School Years attend   Year graduate  Degree/Major or Subjects Studied Name and Location of College School Years attend   Year graduated  Degree/Major or Subjects Studied Name and Location of Trade School Years attend   Year graduate  Degree/Major or Subjects Studied General Special Study Special Training Special Skills Professional certificates currently held Employment History Employer Name Starting Date   Leaving Date  Address City   State    Zip  Job title Starting Salary   Ending Salary  May we contact your supervisor? Yes No Name of Supervisor Title   Phone  Description of work Reason for leaving Employer Name Starting Date   Leaving Date  Address City   State    Zip  Job title Starting Salary   Ending Salary  May we contact your supervisor? Yes No Name of Supervisor Title   Phone  Description of work Reason for leaving Employer Name Starting Date   Leaving Date  Address City   State    Zip  Job title Starting Salary   Ending Salary  May we contact your supervisor? Yes No Name of Supervisor Title   Phone  Description of work Reason for leaving Employer Name Starting Date   Leaving Date  Address City   State    Zip  Job title Starting Salary   Ending Salary  May we contact your supervisor? Yes No Name of Supervisor Title   Phone  Description of work Reason for leaving References Name Address Phone No.   Business  Name Address Phone No.   Business  Name Address Phone No.   Business  Name Address Phone No.   Business  Millitary Record Branch of Service Rank   Years Served  Date of Discharge   Type of Discharge  Branch of Service Rank   Years Served  Date of Discharge   Type of Discharge  Branch of Service Rank   Years Served  Date of Discharge   Type of Discharge  Have you ever been convicted of a felony? Yes No If yes, explain (will not necessarily exclude you from consideration) What is your primary language? What other languages do you speak? What other languages do you read? What other languages do you write? Verification and Authorization I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, omissions or falsified statements on this application shall be grounds for dismissal. I understand that this application is valid for one year from the date of receipt. I authorize investigation of all statements contained herein and the references and employers listed to give The Turnaround Management Company any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information. I understand that the work I perform for The Turnaround Management Company is temporary and is due to the time constraints of the project assigned. I further understand that no representative of the company has the authority to enter any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative. I understand that, if I am employed by The Turnaround Management Company, only The Turnaround Management Company or I can terminate my employment. I Agree   Date: