Application for Employment

To apply for a position at Pololu, please fill out the following form entirely. Required fields are marked with *.

*Position Applied For:
 
*First Name:
Middle Name:
*Last Name:
*Phone Number:
*E-mail Address:
*Street Address Line 1:
Street Address Line 2:
*City:
*State:
*Zip:
 
*Are you eligible to work in the United States?
*Are you 18 years old or older?
*Have you ever been convicted of a crime (felony or misdemeanor) other than minor traffic violations?
If yes, please explain number of convictions, nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation:
 
Availability
*Monday:
*Tuesday:
*Wednesday:
*Thursday:
*Friday:
*Saturday:
*Sunday:
*What date are you available to start work?
*What is your means of transportation to work?
 
Employment History
 
Present or Last Employment
*Employer (or "none"):
Address:
Supervisor:
Supervisor's Phone:
Supervisor's Email:
Start Date:
End Date:
Starting Position:
Final Position:
Starting wage/salary:
Final wage/salary:
Please list the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company:
Reason for leaving (please be specific):
May we contact your present employer?
If not, why not?
 
Previous Employment
Employer:
Address:
Supervisor:
Supervisor's Phone:
Supervisor's Email:
Start Date:
End Date:
Starting Position:
Final Position:
Starting wage/salary:
Final wage/salary:
Please list the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company:
Reason for leaving (please be specific):
 
Previous Employment
Employer:
Address:
Supervisor:
Supervisor's Phone:
Supervisor's Email:
Start Date:
End Date:
Starting Position:
Final Position:
Starting wage/salary:
Final wage/salary:
Please list the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company:
Reason for leaving (please be specific):
 
Education: High School
*Name of School:
*Location:
GPA:
*Did you graduate?
If not, did you get a GED?
Extracurricular activities:
 
Colleges, Business or Trade Schools, Professional Schools:
Name of School:
Location:
Major/Area of Study:
GPA:
Did you graduate?
Degree, diploma, or certificate received:
Extracurricular activities:
 
Name of School:
Location:
Major/Area of Study:
GPA:
Did you graduate?
Degree, diploma, or certificate received:
Extracurricular activities:
 
Name of School:
Location:
Major/Area of Study:
GPA:
Did you graduate?
Degree, diploma, or certificate received:
Extracurricular activities:
 
Standardized Test Scores:
Date taken:
Test:
Score:
Percentile:
 
Date taken:
Test:
Score:
Percentile:
 
Date taken:
Test:
Score:
Percentile:
 
Date taken:
Test:
Score:
Percentile:
 
Date taken:
Test:
Score:
Percentile:
 
References (not family or employers)
*Name:
*Connection to applicant (neighbor, teacher, etc.):
*Phone:
Email:
 
Name:
Connection to applicant:
Phone:
Email:
 
Name:
Connection to applicant:
Phone:
Email:
 
Optional essay questions:
 
Why do you want to work at Pololu?
What have you created/made that you are proud of? (examples: built a deck, wrote a poem, etc.)
How do you approach self-improvement?
Who is John Galt?
 
*Did you complete this application yourself?
If not, who helped you?
 
How did you hear about this job opening?

 

An application form sometimes makes it difficult for an individual to adequately summarize a complete background. Please include a resume and a cover letter including any additional information necessary to describe your full qualifications for the specific position for which you are applying. You may email this additional information to jobs@pololu.com or fax it to us at 702-262-6894.

If scheduled for an interview, you will be required to sign a printout of your application with the following certifications and releases:

Interview Video Recording Consent

I consent to my interview being video recorded and to that recording becoming a part of my employment application for use as Pololu Corporation deems appropriate. I understand that the recording may be retained as part of my employee record if I am hired.

Application Certification and Reference Check Release Form

I authorize Pololu Corporation to conduct a reference check with my present and/or previous employer(s), and with any educational institution, organization, business, or individual that I have listed on my employment application, resume, or mentioned in job interviews, and obtain from them any relevant information about my job qualifications, including my performance, experience, skills, credentials, and other factors affecting my suitability for employment.

In addition, I consent to the release of any information about my performance, experience, education, credentials, abilities, or work-related characteristics or traits held or known by other organizations and individuals, including present and/or previous employer(s), schools and educational institutions, professional or business associates, friends, and acquaintances that Pololu Corporation might contact in the course of conducting a reference check or background investigation of my suitability for employment. I understand that reference information may include, but not be limited to, oral and written information about my employment performance, professional demeanor and character, rehire potential, dates of employment, salary, and employment history.

In exchange for Pololu Corporation's consideration of my employment application, I agree not to file or pursue any complaints, claims, or legal actions of any kind against Pololu Corporation or any of its employees or agents arising out of their efforts to obtain work-related information about me. I also agree not to file or pursue any complaints, claims, or legal actions of any kind against any business, educational institution, other organization, or individual that provides work-related information about me to Pololu Corporation or any of its employees or agents in accordance with the terms and intent of this release.

I certify that information contained in this application is true and complete. I understand that false information, misrepresentation of facts, and omissions may be grounds for not hiring me or for immediate termination of employment at any point in the future if I am hired. I authorize the verification of any or all information listed above.

After filling out the form entirely and emailing us any additional information, please click the button below to submit your application.