Application for Employment – Gregory Design & Manufacturing

Name *

First

Last

Current Address *

City and State *

Email *

Telephone Number *

Are you at least 18 years of age? *

Yes
No

Are you eligible to work in the United States? *

Yes
No

Do you have reliable transportation? *

Yes
No

What date are you available to start? *

Position applied for *

Salary desired (please be specific)

Shift desired

Are you able to work overtime? *

Yes
No

What days/times are you available for work?

Employment desired *

Full time only
Part time only
Full or Part time

Are you a high school graduate? *

Yes
No

Type of school (high school, trade school, etc)

Name of School

Location (complete mailing address)

Number of years completed

Major & Degree

Skills & Qualifications (licenses, training, awards, etc)

Reference 1 (other than relatives/previous employer)

Position and Company

Address

Phone number

Reference 2 (other than relatives/previous employer)

Position and Company

Address

Phone number

Summary of qualifications

Applications can sometimes make it difficult to adequately summarize a complete background. Use this space above to summarize any additional information necessary to describe your full qualifications for the specific job in which you are applying.

Have you ever been in the Armed Forces? *

Yes
No

Are you currently a member of the National Guard? *

Yes
No

Work experience

Please list past 5 years experience beginning with your most recent employer. If self employed please give firm name. Please list: employer name, address, city, state, zip code, phone number and reason for leaving. Please list job duties, employment dates, pay or salary, skills learned or used, advancements or promotions while you worked for the company.

I understand that (1) Gregory Manufacturing has a drug and alchol policy that provides for pre-employment testing as well as testing after employment; (2) consent to and compliance with such policy is a condition of my employment; and (3) continued employment is based on the successful passing of testing under such policy. *

I agree with the above policy

I further understand that my employment with Gregory Manufacturing shall be probationary for a period of ninety (90) days, and further that at any time during the probationary period or thereafter, my employment relation with the company is terminable at will, for any reason by either party. *

I agree with the above policy

Gregory Design & Manufacturing is an Equal Opportunity Employer. All openings will be filled based on the qualifications without regard to race, creed, color, sex, age, national origin, sponsor, marital status, disability, or any other protected classification under applicable law, or status as a disabled veteran or as a veteran of the Vietnam Era. *

I understand the above policy

Thank you for completing this application form and for your interest in our business.

Please enter your name here: *

Enter your name as a digital signature of your employment application with Gregory Design & Manufacturing