Employment Application Δ
Tosa Tool LLC is an Equal Opportunity Employer. Please complete all sections; You may also email your résumé to dan@tosatool.com; it does not replace this form. Accommodation for the application process is available on request.
Overtime when orders require?
Are you 18 years of age or older?
Are you legally authorized to work in the United States?
Will you now or in the future require visa sponsorship?
Reliable transportation to Stoughton for your shifts?
JOB REQUIREMENTS & SAFETY
Can you perform the essential functions of the position, with or without reasonable accommodation?
Essential functions include standing/walking most of a shift; lifting and carrying up to 50 lb (heavier with a hoist or help); wearing safety glasses, safety-toe shoes, and hearing protection; working around operating CNC machinery, coolants, and noise; and following written safety, lockout, and quality procedures. Job descriptions available on request.
Can you lift and carry up to 50 lb, with or without reasonable accommodation?
If driving is part of the job: valid driver's license?
Do you have a valid Wisconsin driver's license?
Have you been convicted of a felony or misdemeanor, or do you have any criminal charge currently pending?
If yes, describe (offense, date, location, outcome):
A conviction or pending charge will not automatically bar employment. Under Wisconsin law (Wis. Stat. §§111.321, 111.335) Tosa Tool considers a conviction or pending charge only if its circumstances are substantially related to the duties of the job, case by case. Do not list arrests that did not lead to conviction (other than pending charges), expunged records, or juvenile adjudications.
SHOP, SHIPPING & OFFICE SKILLS Rate each skill: N = none · S = some/trained · P = proficient · T = can teach
Shop, shipping & office skills
Certifications (forklift, NIMS, OSHA-10, etc.) & dates
Other qualifications such as special skills, abilities or honors that should be considered
Types of computers, software, and other equipment you are qualified to operate or repair
Professional licenses, certifications or registrations
Additional skills, including supervision skills, other languages or information regarding the career/occupation you wish to bring to the employer's attention
WORK HISTORY Most recent first (attach a résumé or separate sheet for more)
Work history 1 — Main duties / machines used
Work history 1 — May we contact?
Work history 2 — Main duties / machines used
Work history 2 — May we contact?
Work history 3 — Main duties / machines used
Work history 3 — May we contact?
Summarize other employment related to this job
Gaps in employment? Optional explanation (school, military, family care, etc. are fine)
EDUCATION, TRAINING & APPRENTICESHIP
REFERENCES 3 professional (supervisors, coworkers, instructors)
Anything else you would like us to know?
Optional: briefly describe a part, setup, or shipping problem you solved
AT-WILL EMPLOYMENT & EQUAL OPPORTUNITY
If hired, employment with Tosa Tool LLC is at will : either you or the Company may end the employment relationship at any time, with or without cause or notice. Nothing in this application, any interview, or any Company document creates a contract of employment for any period; only the President, in a signed writing, may make such an agreement.
Equal Employment Opportunity. Tosa Tool LLC does not discriminate on the basis of age, race, color, creed or religion, sex (including pregnancy), sexual orientation, gender identity, national origin, ancestry, disability, genetic information, marital status, military service or veteran status, arrest record, conviction record (except where substantially related to the job as permitted by law), use or nonuse of lawful products off the employer's premises during nonworking hours, or any other status protected by federal or Wisconsin law. If you need an accommodation to apply or interview, contact 608-721-8665 or dan@tosatool.com.
AUTHORIZATION TO CHECK REFERENCES & EMPLOYMENT HISTORY
I authorize Tosa Tool LLC to contact my former employers (except any I marked "No"), schools, and listed references to verify the information in this application, and I authorize them to provide that information. Any consumer report or criminal background check performed by an outside agency will be requested only after I receive a separate written disclosure and sign a separate authorization as required by the Fair Credit Reporting Act. Any post-offer drug test or physical will be conducted only as described in a conditional offer and as permitted by law.
I certify that the information on this application and any attachments is true and complete to the best of my knowledge. I understand that false statements or material omissions may result in my application being rejected or, if hired, in discipline up to discharge. I understand that if hired I must provide documents verifying my identity and work authorization (Form I-9) within three business days of starting work. I have read and understand the at-will statement above.
Submit Application