Garaman, Inc. Job Application

Personal Information

Name:

 

Mailing Address:

 

City:

 

State:

 

Zip:

 

Country:

 

 

 

Home Phone:

 

Email:

 

Employment Interests & Qualifications

Have you ever applied for employment with us?         

 Yes

 No

 

If Yes: Month & Year:

 

 

 

 

Location:

 

 

 

 

 

 

 

 

Are you legally eligible for employment in the United States?

 Yes

 No

Position(s) Applying For:

Please list skills relevant to the position(s) requested:

Job desired:

 Year Round - Start Date:

 

 

 

 Seasonal:

 

 

 

Earliest date available:

 

 

 

Latest date available:

 

 

 

 

 

 

Wage desired:

$/hr

 

 

Hours desired:

 Full Time

 Part Time

Will you work overtime if asked?

 Yes

 No

Are you willing to work any hours?

 Yes

 No

 

If no, what hours will you be unable to work?

 

 

 

Are you willing to work split shifts?

 Yes

 No

 

If no, why not?

 

 

 

 

 

Do you need housing?

 

 Yes

 No

 

Individuals must be at least 18 years of age to live in our housing. Do you meet this requirement?

 

 

 

 Yes

 No

 

 

 

 

 

Education

Name of High School:

 

Name of College:

 

Degree:

 

 

Major:

 

 

Other Education:

Reference #1

Most recent position held::

 

Dates employed:

 

 

Reason for Leaving:

 

 

 

 

Company:

 

Contact Person:

 

City:

 

State:

 

Zip:

 

 

 

Reference # 2

Previous position held:

 

Dates employed:

 

 

Reason for Leaving:

 

 

 

 

Company:

 

Contact Person:

 

City:

 

State:

 

Zip:

 

 

 

Reference # 3

Previous position held:

 

Dates employed:

 

 

Reason for Leaving:

 

 

 

 

Company:

 

Contact Person:

 

City:

 

State:

 

Zip:

 

 

 

Have you ever been convicted of and/or pled no contest to a felony?

 Yes

 No

 

If yes, please note details of the conviction:

 

( A conviction is not an automatic bar to employment)

 

 

 

Are you over 18 years of age?

 Yes

 No

Are you a U.S. Citizen?

 Yes

 No

IMPORTANT: Will you need any special time off (more than two days) during the summer? Examples of this include weddings, family reunions, vacations, etc.

 Yes

 No

 

If yes, please give complete details and dates:

 

 

Authorization / Acknowledgment

I certify the facts noted on this application are true and complete to the best of my knowledge. I understand that any falsified statement on this application, or omission of fact either on this application or during the hiring process, may result in my application being rejected or, in my employment being terminated.

I understand that, if hired, my employment is at-will, and that my employment and compensation can be terminated with or without cause, and with or without notice at any time.

If hired, I will abide by the policies and procedures of Garaman, Inc.

Today’s Date:

 

 

Type your full name here to authorize:

 

 

 

 

 

 

 

Please be patient. Press the “Submit” button only once.