Application


Please fill out this application completely before submitting
Required Fields are Indicated in Red

Personal Information:

Last Name:

First Name:

Middle Name:

E-Mail Address:


Present Address:

Street:

City:

State:

Zip Code:

How Long?

Telephone:


Permanent Address:

Street:

City:

State:

Zip Code:

How Long?

Telephone:


Other Personal Information You Wish To Provide:


Are you 18 years or older? Yes No
Are you presently employed? Yes No
Have you previously been employed by Total Interior Systems America (TISA), Excell, or Fia? Yes No
Have you been employed by any temporary agency working inside the TISA, Excell, or Fia Plant? Yes No

Position Information:

Position Desired:

Shift: 1st 2nd
Date Available for Work:

Satisfactory Monthly Earnings:


Education:

High School
Name:

Location:

Diploma:

GPA:


College
Name:

Location:

Degree:

Major:

GPA:


Graduate/Other
Name:

Location:

Degree:

Major:

GPA:


School Activities, Honors, Awards, and Offices Held:


Are you continuing your studies? Yes No
If yes, where?


Military:

Military Experience US Armed Forces? Yes No
Branch of Service:

Date Entered:

Date Discharged:

Time on Active Duty:

Final Rank or Rating:

Draft Classification:

Member Active Reserve:

Primary Job in The Military:

Special Schools Attended:


Skills:

Factory Positions:

List factory machinery or equipment and factory skills in which you are experienced:


Office and Clerical Positions:
Type: Yes No       WPM:
Short Hand: Yes No       WPM:
List other office equipment skills in which you are experienced:


References:

Reference 1:
Name:

Address:

City, State, Zip:

Phone Number:

Occupation:

Years Known:


Reference 2:
Name:

Address:

City, State, Zip:

Phone Number:

Occupation:

Years Known:


Reference 3:
Name:

Address:

City, State, Zip:

Phone Number:

Occupation:

Years Known:


Employment History:

Most Recent Employer:
Name:

Address:

City, State, Zip:

From (M/Y):

To (M/Y):

Supervisor:

Job Title:

Describe Major Duties:

Reason for Leaving:


Employer:
Name:

Address:

City, State, Zip:

From (M/Y):

To (M/Y):

Supervisor:

Job Title:

Describe Major Duties:

Reason for Leaving:


Employer:
Name:

Address:

City, State, Zip:

From (M/Y):

To (M/Y):

Supervisor:

Job Title:

Describe Major Duties:

Reason for Leaving:


Miscellaneous:

If currently employed, may we contact your present employer(s)?
Yes No
Have you been convicted of a felony in the past 10 years?
Yes No
If yes, what class of felony did you receive?


In Case of Emergency, Notify:

Name:

Relationship:

Phone Number: