Job Application Little Tikes Job application If you are a human and are seeing this field, please leave it blank. Fields marked with an * are required Note: We perform hair test drug screenings. DO NOT COMPLETE THIS APPLICATION UNLESS YOU CHECK THE BOX BELOW! Drug Screen * Check this box to indicate you are aware that we perform HAIR TEST DRUG SCREENINGS. This test can detect the presence of substances consumed 90 days prior to testing. Start Application Note for check boxes: A checked box indicates (YES) A unchecked box indicates (NO) How many eggs in a dozen? (Prove you are not a Spam robot!) * Select a Job to Apply * Injection Mold Process Technician Blow Mold Technician Sr. Maintenance Technician Sr. Injection Mold Process Tech Maintenance Technician Assembler Roto Mold Helper First Name * Last Name * Email Contact Phone # * Current Address Section How long have you lived at current address * Less than 1 Year 1 - 5 Years More than 5 Years Current Address 1 * Current City * State * Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip / Post Code * Job Information After employment can you submit verification of your right to work in the U.S.? * Are you at least 18 years of age? * Pay rate expected (hourly) Do you want to work FULL TIME? Will you work Shifts? Will you work overtime? Will you be able to perform the functions of the position, with or without reasonable accommodation? * Have you ever been employed by us? * Yes No Have you ever work for us as a temp? * Yes No Do you have relatives that work for us? * Yes No Employment History Section Start with present or most recent job held. Include military service if relevant. You may also include voluntary experience. NOTE REGARDING MILITARY SERVICE: A dishonorable discharge is not an absolute bar to employment. Other factors will affect a final decision. Do not include information regarding service in the military of a foreign country. Last Employer Name Last Employer Phone Last Employer Contact Last Employer Date Left Last Employer Date Started Last Employer Pay Rate (per hour) Last Employer Reason for Leaving Last Employer Describe Position and Responsibilities Previous Employment Experience Have you entered into an agreement with anyone that may affect your ability to work for Little Tikes? * Yes No Are you Currently Employed * Yes No May we contact your present employer If currently employed, why do you want to change jobs? Education Section In the following section select the highest education level you attained. Then list any additional information or skills learned that would be useful in the job you are applying to. Select the option which best describes your education? * No High School Some High School High School Graduate Some College Associates (2yr) Degree College (4yr) Degree Post Graduate Degree Education - Describe your education or learned skills that could help you with this job. Optionally copy and paste a text version of your resume (1000 character limit) References Section Please list the following information for your references Company Name Title Phone # References THIS APPLICATION IS NOT COMPLETE UNTIL SIGNED, AND ALL STATEMENTS BELOW HAVE BEEN READ AND INITIALED I understand that this application is not intended to create, nor should it be construed to create, an express or implied contract of employment for any specified period. If hired,I will be employed at-will; I understand that this means that either I am or the Company is free to terminate the employment relation- ship at any time with or without cause or prior notice. I understand that no representative of the Company other than the CEO has any authority to enter into an agreement for employment for any specified period of time or in any way to modify the at-will nature of the employment relationship. Initial 1 I certify that all of the information furnished on this application and during the application process is true, complete and correct to the best of my knowledge. I understand that any misrepresentation or omission of facts called for will result in refusal to hire me or, if I am hired, will result in my dismissal at any time regardless of when the false answer or omissions are discovered. Initial 2 As a condition of my employment, I hereby agree that if I am offered employment, I will submit to any required medical evaluation and drug test at the expense of the Company. I understand that the purpose of any medical examination is solely to determine whether I am able to perform the essential functions of the position offered, with or without any reasonable accommodation. Initial 3 I understand that if I am offered employment, the Company will own the results and proceeds of work done for and in the capacity as an employee of the Company, and that I may be required to sign a non-solicitation and non-disclosure agreement as a condition of employment. I further understand that, at a minimum, such agreement will prohibit the unathorized use and disclosure by me of certain information that I have acquired during my employment. Initial 4 I also understand that as a condition of employment, I may be required to enter into an arbitration agreement with the Company, whereby disputes regarding my employment will be resolved by arbitration and not in court. Initial 5 I understand that if I am considered for a drivingposition, I may be subjectto all DOT regulations as they may apply to the position, including those regulations regarding physical examinations, and drug and alcohol testing procedures. Initial 6 I understand that as a condition of my employment, there may be limitations on my ability to accept outside employment even of a short term or freelance nature. Initial 7 By submitting this application you attest that all statements made and answers given are true. To be considered for employment you will be required to either sign a copy of this form or fill out another application.