TW&Co. Incorporated

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APPLICATION FOR EMPLOYMENT

General Information

Please provide us with the following information to better serve you:

First Name:
Last Name:
Address:
City:
State:
County:
Zip:
Home Phone:
Cell Phone:
Position Applying For: (Applicable state license is required to be considered for an Armed Guard position)
Location 1:
Location 2:
Location 3:
Salary Requirement ($):
Date of Application:
Date Available to Work:
Type of Employment:	FT PT On-Call
Are You Available to Work Shift Work?	Yes No
Days / Hours Available:
Referral Source: (Check one)	Advertisement Employee Relative Walk-In Employment Agency
Are you legally eligible for employment in this country? (Proof of U.S. Citizenship or immigration status required upon employment)	Yes No
Can you with or without reasonable accomodation perform the essential functions of this job?	Yes No
Have you ever applied to TW & Company, Inc. before? (If yes, please give date)	Yes No
Have you ever worked for TW & Company, Inc. before? (If yes, please give date)	Yes No
Have you been convicted of a felony in the past seven (7) years? (Such conviction may be relevant if job-related, but does not bar you from employment - if yes, please explain)	Yes No
For armed guard applicants, do you have a state license?	Yes No

Employment History

List your last three (3) employers, assignments, or volunteer activities, starting with the most recent, including military experience. Explain any gaps in employment in the comments section below.

Employer 1
Employer:
Address:
City:
State:
Zip:
Phone:
Job Title:
Supervisor / Title:
May we contact for reference?	Yes No
Salary ($):
Employed From:	to
Reason for Leaving:
Summary of Responsibilities / Duties:

Employer 2
Employer:
Address:
City:
State:
Zip:
Phone:
Job Title:
Supervisor / Title:
May we contact for reference?	Yes No
Salary ($):
Employed From:	to
Reason for Leaving:
Summary of Responsibilities / Duties:

Employer 3
Employer:
Address:
City:
State:
Zip:
Phone:
Job Title:
Supervisor / Title:
May we contact for reference?	Yes No
Salary ($):
Employed From:	to
Reason for Leaving:
Summary of Responsibilities / Duties:

Summary of Special Skills and Qualifications:
Have you received any job-related training in the United States Military?	Yes No

Applicant's Authorization

I hereby authorize the above individual, company, or institution to furnish TW & Company, Inc. with any information it may have concerning me which is on record or otherwise, and do hereby release the above individual, company, or institution and all individuals connected therewith, including TW & Company, Inc. from any and all liability whatsoever that might otherwise be incurred in furnishing such information.

Signature of Applicant:
Date:

Educational Background

List the last three (3) schools attended, starting with the most recent. For each, indicate the number of years you completed, the degree or diploma earned, if any, the grade point average you earned, and your major and minor fields of study.

School	# of Years Completed	Degree or Diploma	GPA	Major	Minor

Personal Business References

List the name and telephone number of three business / work or personal references who are NOT related to you and you have known for a minimum of 5 years.

Name	Telephone Number	Relationship	Years Known

Other Information

Please provide any additional information you would like us to consider

Affirmative Action Information Form

The federal government under Executive Order 11246 requires the corporation to report sex and race/ethnic origin of applicants for employment. Submission of information is voluntary, and failure to provide it will not subject you to any adverse treatment. Your cooperation is appreciated.

First Name:

Last Name:

Middle Initial:

Date of Application:

Position Applying For:

Indicate Gender:

Male
Female
I choose not to disclose

Indicate Ethnic Group:

Hispanic or Latino
Not Hispanic or Latino
I choose not to disclose

Indicate your Race:

	White (Not Hispanic or Latin)
	Black or African American (Not Hispanic or Latin)
	Asian (Not Hispanic or Latin)
	Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino)
	American Indian or Alaskan Native (Not Hispanic or Latino)
	Two or more Races (Not Hispanic or Latino)
	I choose not to disclose

Revised EEO-1 Ethnicity and Race Categories

Descriptions

Hispanic or Latino

A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin regardless of race.

White (Not Hispanic or Latino)

A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.

Black or African-American (Not Hispanic or Latino)

A person having origins in any of the black racial groups of Africa.

Asian (Not Hispanic or Latino)

A person with origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.

Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino)

A person having origins in any of the peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

American Indian or Alaskan Native
(Not Hispanic or Latino)

A person having origins in any of the original peoples of North and South America (including Central America), and who maintain tribal affiliation or community attachment.

Two or More Races (Not Hispanic or Latino)

All persons who identify with more than one of the above five races.

TW & Company, Inc. is an equal opportunity corporation and does not discriminate on the basis of race, color, sex, national origin, religion, age, disability or veteran status in admission or access to, or treatment or employment in, its programs and activities. Individuals who may have inquiries regarding the corporation’s policy and procedures should contact Judieth Welch, Director of Human Resources at 301-552-9450.

*PLEASE READ CAREFULLY BEFORE SIGNING*
I hereby certify that all of the information provided by me in this application (or any other accompanying or required documents) is correct, accurate and complete to the best of my knowledge. I understand that the falsification, misrepresentation or omission of any facts in said documents will be cause for denial of employment or immediate termination of employment regardless of the timing or circumstances of discovery.
I understand that submission of an application does not guarantee employment. I further understand that, should an offer of employment be extended by TW & Company, Inc. (hereinafter referred to as "TW") that such employment with TW is at will, for no specified duration and may be terminated by either TW or myself at any time, with or without cause or notice. Failure to complete the application in its entirety, may result in the delay and/or the termination of the application process. I understand that none of the documents, policies, procedures, actions, statements of TW or its representatives used during the employment process is deemed a contract of employment real or implied. I understand that no representative of TW except the President or COO has the authority to enter into any agreement guaranteeing any conditions of employment or any agreement contrary to the foregoing statements and that any such agreements must be made in writing and signed by the President or COO of TW.
In consideration for employment with TW, if employed, I agree to conform to the rules, regulations, policies and procedures of TW at all times and understand that such obedience is a condition of employment. I understand that due to the nature of TW business, attendance and punctuality are considered essential requirements of every job at TW and that poor attendance or tardiness will result in disciplinary action.
I understand that if offered a position with TW, I may be required to submit to a pre-employment medical examination, drug screening and background check as a condition of employment. I understand that unsatisfactory results from, refusal to cooperate with, or any attempt to affect the results of these pre-employments tests and checks will result in withdrawal of any employment offer or termination of employment if already employed.
I hereby authorize any and all schools, former employers, references, courts and any others who have information about me to provide such information to TW and/or any of its representatives, agents or vendors and I release all parties involved from any and all liability for any and all damage that may result from providing such information.
I understand that this application is considered current for three months. If I wish to be considered for employment after this period I must fill out and submit a new application.

Signature of Applicant:
Date:

We are an Equal Opportunity and Affirmative Action Employer.
Prospective employees will receive consideration without discrimination on the basis of race, creed, color, religion, sex, age, national origin, sexual orientation, or disability.

Benefits

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