ThermOmegaTech-SHSU Internship Application

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1 ThermOmegaTech-SHSU Internship Application FALL 2018 Equal access to programs, services and employment is available to all persons. Those applicants requiring reasonable accommodation to the application and/or interview process should notify a ThermOmegaTech, Inc. Representative. ThermOmegaTech, Inc. For over 30 years, ThermOmegaTech, Inc. has been the world leader in the design and manufacture of self-actuating temperature control technology. ThermOmegaTech, Inc. serves a multitude of industries and, as a result, creates solutions for a wide-range of applications. ThermOmegaTech, Inc. is a privately held organization with over 37,000+ sq. ft. manufacturing and office facility headquartered near Philadelphia, PA. We have been ISO 9001 certified for over a decade and our products are distributed and used worldwide. Internship Program ThermOmegaTech, Inc. may provide internship positions to the students in the Department of Engineering Technology at Sam Houston State University in the fields of Engineering Design, Manufacturing, and Electronics Technology (a major/a minor). ThermOmegaTech, Inc. may provide financial support for your housing and local transportation between your residence and workplace. Engineering Technology Department may reimburse full airfare for a round trip between Houston, TX and Philadelphia, PA for qualified Engineering Technology internship students at ThermOmegaTech. APPLICANT INFORMATION First Name Middle Name Last Name Street Address City, State Zip Code Phone Number Address: Age 18 or over? Yes

2 EDUCATION SAM HOUSTON STATE UNIVERSITY Overall GPA Major GPA Major Minor Expected Graduation Date OTHER COLLEGE(S) / TRADE SCHOOL(S), IF APPLICABLE COLLEGE / TRADE SCHOOL #1 (Most Recent) Name of School, City, State Dates of Attendance Overall GPA Credit Hours Completed (#) Did you graduate? Yes Additional Comments COLLEGE / TRADE SCHOOL #2 Name of School, City, State Dates of Attendance Overall GPA Credit Hours Completed (#) Did you graduate? Yes Additional Comments

3 COLLEGE / TRADE SCHOOL #3 Name of School, City, State Dates of Attendance Overall GPA Credit Hours Completed (#) Did you graduate? Yes Additional Comments Do you have any relevant certifications, licenses, or are you a part of any relevant organizations? Please explain. EXPERIENCE List information on your last three employers, including any military experience. EMPLOYER #1 (Most Recent) Name of Previous Employer Dates Employed Location Job Title Brief Description of Your Role EMPLOYER #2 Name of Previous Employer Dates Employed Location Job Title Brief Description of Your Role

4 EMPLOYER #3 Name of Previous Employer Dates Employed Location Job Title Brief Description of Your Role PERFORMANCE / JOB-RELATED FUNCTIONS Are you able to perform the essential functions of the job for which you are applying for? Yes Additional Comments, if necessary Is there any reason why you would not be able to fully conform to all attendance requirements? (40 hours / week, Monday - Friday, minimum 8 weeks) Additional comments, if necessary I understand that a drug test and/or background check may be required prior to acceptance into the internship. Do you know any special skills (AutoCAD/SolidWorks; High, etc.) or languages (conversational, fluent, etc.)? Yes Yes

5 INTERNSHIP INFORMATION Please research ThermOmegaTech, Inc. thoroughly prior to completing this section. te: Preferences will be taken into consideration, but it is not guaranteed that your preference(s) is where you will be assigned / what you will receive. You can find detail information of ThermOmegaTech, Inc. at their website ( Please fill in your preference in our industries and describe the reasons.

6 Are you willing to travel outside of the greater- Houston area (including potentially out of state)? Please check all that apply. Yes, I am willing to travel occasionally. Yes, I am willing to travel full-time. Yes, I am willing to relocate for the fall. Unsure (please explain below) Additional Comments, if necessary: What courses related to our business you will have completed by Aug. 2018? (List of course no. & title) If you had the opportunity to extend your internship to last longer than the minimum 8-week program, would you be interested? Yes Unsure Additional Comments, if necessary

7 ESSAY QUESTION Instructions: Please answer the question below (minimum 100 words, maximum 300 words). Question: What do you expect to gain from participation in this internship?

8 CERTIFICATION OF INFORMATION PROVIDED I certify that all information I have provided in order to apply for and secure work with ThermOmegaTech, Inc. is true, complete and correct. I expressly authorize, without reservation, ThermOmegaTech, Inc., its representative, employees or agents to contact and obtain information from all references (personal and professional), employees, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume or job interview. I hereby waive any and all rights and claims I may have regarding ThermOmegaTech, Inc., its agents, employees or representatives, for seeking, gathering and using truthful and nondefamatory information, in a lawful manner, in the employment process and all other persons, corporations or organizations for furnishing such information about me. I understand that ThermOmegaTech, Inc. does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or eliminating any applicant from consideration for employment on any basis prohibited by applicable local, state or federal law. If I am hired, I understand that I am free to resign at any time, with or without cause and with or without prior notice, and ThermOmegaTech, Inc. reserves the same right to terminate any employment at any time, with or without cause and with or without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or duration. I understand that no supervisor or representative of ThermOmegaTech, Inc. is authorized to make any assurances to the contrary and that no implied oral or written agreements contrary to the foregoing express language are valid unless they are in writing and signed by ThermOmegaTech, Inc. s representative. I also understand that if I am offered a position, it will be contingent upon me providing proof of identity and legal authorization to work in the United States and that federal immigration laws require me to complete an I-9 Form in this regard. I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to (i) eliminate me from further consideration for employment, or (ii) may result in my immediate discharge from the employer s service, whenever it is discovered. DO NOT INITIAL UNTIL YOU HAVE READ THE ABOVE APPLICANT STATEMENT. I certify that I have read, fully understand and accept all terms of the foregoing Applicant Statement. Applicant Initials Date