Home Page - IHI Job Application

* Indicates a Required Field.
*Legal First Name:
Middle Name:
*Last Name:
Email:
Birth Date:
*Social Security Number:
*Your Address, Street & Number:
*Your City:
*Your Zip Code:

Date Available to Start:
Referral Source, Choose:
If Employment Agency or Other, Please Specify:
Have You Previously Applied at IHI?:
List any friends or relatives employed at IHI, explain relationship:
Which Position Are You Applying For:
Career Goal:
Rank Your Prefernces For Your Desired Shifts, 1 Being The Most Desired:
Day Shift Evening Shift Night Shift

Can You Read Mechanical Drawings?: Check If Yes
Can You Read Schematics?: Check If Yes
List Any Factory/Office Machines You Can Operate:
General Computer Skills 1-9:
Check Where Proficient:
MS Word | MS Excel | MS Visio | MS SharePoint | MS Access | MS Visual Studio
Databases/SQL | Auto CAD | Inventor | Solid Works | Revu BlueBeam
List Any Other Software Proficiencies:
Can You Read/Write any Foreign Languages? If So, Which Ones and How Proficiently?:
List Hobbies and Community Activities, Note any Leadership Responsibilities:

Are You a Smoker?
Are You a U.S. Citizen?
Do You Have a High School Equivalency Diploma? Check if Yes.
Highest School Grade Completed?:
Number of Years of Post-High School Education?:
Name and Location of Educational Institution:
Degree Received:
Major/Specialty:
Dates Attended:
List School Activities, Including Athletics:

Do You Have a Driver's License? Check if Yes.
If Yes, Driver's License Number:
State Issued:
Expiration Date:
What is Your Means of Transportation to Work?:
Have You Had Any Car Accidents During the Past Three Years? If So, How Many?:
Have You Had Any Moving Violations During the Past Three Years? If So, How Many?:

Are You a Veteran of the United States Military Service? Check if Yes. If Yes, Which Branch?
If Yes, Date Entered: Date Discharged:

Work Experience: Most Recent First, May Include Volunteer and Military Experience.
1. Employer:
Phone Number: Supervisor:
Address:
From Month/Year: To Month/Year: Job Title: Last Rate of Pay: $
Duties:
Reason for Leaving:
May We Contact this Employer? Check if Yes:

2. Employer:
Phone Number: Supervisor:
Address:
From Month/Year: To Month/Year: Job Title: Last Rate of Pay: $
Duties:
Reason for Leaving:
May We Contact this Employer? Check if Yes:

3. Employer:
Phone Number: Supervisor:
Address:
From Month/Year: To Month/Year: Job Title: Last Rate of Pay: $
Duties:
Reason for Leaving:
May We Contact this Employer?:

Recent Professional References:
1. Name: Occupation: Number of Years Known:
Full Address:
Phone Number:

2. Name: Occupation: Number of Years Known:
Full Address:
Phone Number:

3. Name: Occupation: Number of Years Known:
Full Address:
Phone Number:

Agreement:
The answers to the foregoing questions are true and complete. I understand that if a job offer is made, the offer is conidtional until my suitability for the position; the offer is determined by a medical examination performed by a Company physician. I authorize the Company to conduct any lawful investigation it deems necessary of my application or myself. I also authorize my former employers or schools to provide any job or school performance data the Company may request.
Neither the acceptance of this application nor the subsequent entry into any type of employment relationship, either in the position applied for or any other position, and regardless of the contents of employee handbooks, personnel manuals, benefit plans, policy statements, and the like as they may exist from time to time shall serve to create an actual or implied contract of employment with IHI or to confer any right to remain an employee of IHI, or otherwise to change in any respect the employment-at-will relationship between IHI and the undersigned. I further understand that the employment-at-will relationship means that, both the undersigned and IHI may end the employment relationship at any time without specified notice or reason.
I understand that IHI is committed to the principle of equal opportunity in education and employment. IHI does not discriminate on the basis of race, color, national origin, sex, pregnancy, age, disability, creed, religion, sexual orientation, genetic information, gender identity, gender expression, veteran status, political affiliation, or political philosophy.
If employed, I agree to abide by all the rules of his Company. I hereby authorize the release of job performance information to other employers should I later leave the employ of this Company.

*Digital Signature: