Position(s) Applied For
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Referral Source
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Gresser Employee
Friend
Relative
Employment Agency
Job Fair
Other
Name
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First Name
Last Name
Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone Number
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(###)
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Email (Optional/Preferred)
Social Security Number
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Date of Birth (optional)
MM
DD
YYYY
Are you a Citizen of the United States?
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If not, do you possess an Alien Registration Card?
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Are you available to work?
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Do you have any Friends or Relatives currently working for Gresser Co.?
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If yes, list name(s):
Are you?
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Do you posses a valid Driver's License?
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If yes, which State:
MN
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Are you on Lay-Off and subject to recall?
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Can you travel if the job requires it?
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Have you ever been bonded?
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If yes, for what position(s)?
Are you a member of a local union?
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Are you a Veteran or currently enlisted in the military?
If yes, which branch of military service and what was your military rank?
List trade or professional organizations of which you are a member, including offices held:
Former or Current Employer #1
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone Number
(###)
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Start Date
MM
DD
YYYY
End Date
MM
DD
YYYY
Job Title
Supervisor
Select One
Reason for Leaving
Description of work performed
Former or Current Employer #2
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone Number
(###)
###
####
Start Date
MM
DD
YYYY
End Date
MM
DD
YYYY
Job Title
Supervisor
Select One
Reason for Leaving
Description of Work Performed
If you need additional space for former employers please enter the relevant information below:
Give a name, address, and phone number for three references not related to you:
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Level of Education
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Describe any specialized training, apprenticeship, skills, or extra curricular activities:
AGREEMENT (Signature of Applicant)
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I certify that the answers given herein are true and complete to the best of my knowledge.
I understand that a complete criminal and civil check may be conducted.
I authorize you to make such investigations and inquiries of driving record, my personal, employment, financial, or medical history and other related matters as may be necessary in arriving at an employment decision. I hereby release employers, schools, or persons from all liability in responding to inquiries in connection with my application.
In the event of employment, I understand that false and misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the company.
To opt. out of this electronic signature, please download the application PDF from the link above and send a completed version to the email link or physical address listed. Otherwise, type your name below to accept these terms
First Name
Last Name
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I accept that the digital signature above is authentic and legally binding
Date of digital signature:
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MM
DD
YYYY
Check this box if you wish to receive copies of information obtained in any investigation
