TEDA TPCO America Corporation

I certify that I have fully and accurately answered all questions and have given all information requested on this Additional Employment Information Sheet and the previous application for employment you submitted, if applicable, and I understand that any wrong or incomplete information on the forms may disqualify me for further consideration that all such information is subject to verification by the Company, and hereby give my consent to the Company to investigate my background and qualifications using any means, sources, and outside investigators at its disposal. I agree to undergo any type of drug and/or alcohol testing that the Company may require at any time. Finally, I understand that submission of this Additional Employment Information Sheet and the previous application for employment, if applicable, does not necessarily mean that I will be hired, and that if I am hired, my employment will be “At Will,” and either I or the Company may terminate my employment at any time, with or without notice or reason.

I Have Read & Agree Signature Name Date

Last Name	First Name	Middle Name
Address (Number, Street, City, State, ZIP Code)	Email	Telephone
Referred By

High School or GED Program	Years Completed	Did You Graduate? YesNo	GED
College Attended and Location	Years Completed	Did You Graduate? YesNo	Degree
Trade/Business/Correspondence School & Location	Years Completed	Did You Graduate? YesNo	Degree
Licenses/Certifications	Years Completed	Expiration Date	Degree

Typing	Years of Experience	Words Per Minute	Software Used
Spreadsheets	Years of Experience	Words Per Minute	Software Used
Word Processing	Years of Experience	Words Per Minute	Software Used

Name of Employer	Address (Number, Street, City, State, ZIP Code)	Phone
Type of Business	Department	Your Position
Duties	Name and Position of Immediate Supervisor	Date Employed (Day, Month, Year)
Date Left (Day, Month, Year)	Starting Salary	Final Salary
Reason for Leaving

Name of Employer	Address (Number, Street, City, State, ZIP Code)	Phone
Type of Business	Department	Your Position
Duties	Name and Position of Immediate Supervisor	Date Employed (Day, Month, Year)
Date Left (Day, Month, Year)	Starting Salary	Final Salary
Reason for Leaving

Employee Application

Employment Desired

Personal Information

Education

General

Office/Computer Skills

Employment History (List Present or Most Recent Positions First)

Other Experience

Additional Employment Information

Professional References:

Name	Company Name	Position	Phone Number	Email Address
Name	Company Name	Position	Phone Number	Email Address	Name	Company Name	Position	Phone Number	Email Address