G&W Employment Application Step 1 of 616%The employer will not discriminate against any employee or applicant for employment because of age (as defined by applicable law), religion, sex, race, color, national origin, veteran status, because of handicap, or any other reason as protected by federal and state law. Answers to application questions will be utilized for applicable job-related information only.APPLICANT CERTIFICATION*This application will remain on active file for sixty (60 days). If I am hired within this period, this form will be transferred to my individual personnel file.If I am not hired within sixty (60 days) this application is no longer active and I will need to reapply for employment if I wish to be considered for a position after that timeAny misrepresentation or falsification of information or significant omissions will be cause for rejection of my application or for subsequent discipline up to an including my dismissal from employment if discovered at a later date.After an offer of employment has been extended, I may be required to submit to a physical examination. This may include a drug screen, in order to determine my physical ability to perform my job duties with or without accommodationMy employment may be contingent upon the result of this examination and drug screen. If the results of the physical examination indicate that I cannot perform the job for which an offer has been extended and/or if the drug screen results are positive, this will be grounds for disqualifying me or terminating my offer of employmentIf my application for employment is accepted, the effective date of employment shall be the time I actually begin to work. If I am employed, I agree to comply with and be bound to the safety and health rules and regulations, and the standards of the conduct of my employerMy employment is not guaranteed for any term, and my employment may be terminated by my employer or myself at any time and for any reason. No management official is authorized to make any oral assurance or promise of continued employment.All information (including information on any accompanying resume) is subject to verification. As an applicant for employment, I have read and agree with the information above.HiddenApplication SubmissionNot SelectedAssemblerCNC Laser OperatorGrinderMaterial HandlerPress Brake OperatorWelderApplicant Name* First Last Email* Present Address* Street Address City State / Province / Region ZIP / Postal Code Do you have a previous address?* Yes NoPrior Address* Street Address City State / Province / Region ZIP / Postal Code Are you related to any employee of G&W Products?* Yes NoIf yes, what is the name of the employee?* First Last What is the relationship?*Are you at least 18 years old?* Yes NoIf no, do you have a work permit?* Yes NoDate on which you can start work if hired?* MM slash DD slash YYYY Have you previously applied for employment with this company?* Yes NoIf yes, what location?*If yes, when did you apply?* MM slash DD slash YYYY Are you presently on layoff or leave of absence from any other company?* Yes NoDo you have any agreements with another employer that might affect your employment here?* Yes NoIf yes, please explain:*WORK AVAILABILITYPlease indicate the time you are available to work below:SUNDAY*From:To:MONDAY*From:To:TUESDAY*From:To:WEDNESDAY*From:To:THURSDAY*From:To:FRIDAY*From:To:SATURDAY*From:To:Are you currently in school?* Yes NoIf yes, when do yo expect your schedule to change again?*WORK HISTORYGive past employment record as completely as possible starting with the latest employer:Previous work experience?* Yes NoCurrent / Previous Employer:*Location* Street Address City State / Province / Region ZIP / Postal Code From:* MM slash DD slash YYYY To:* MM slash DD slash YYYY Pick One:* Full-Time Part-Time SeasonalDetails:*Salary/Monthly Earnings?Name of Supervisor?Details:*Nature of Work?Reason for Leaving?Do you have a 2nd additional employer?* Yes NoPrevious Employer:*Location* Street Address City State / Province / Region ZIP / Postal Code From:* MM slash DD slash YYYY To:* MM slash DD slash YYYY Pick One:* Full-Time Part-Time SeasonalDetails:*Salary/Monthly Earnings?Name of Supervisor?Details:*Nature of Work?Reason for Leaving?Do you have a 3rd additional employer?* Yes NoPrevious Employer:*Location* Street Address City State / Province / Region ZIP / Postal Code From:* MM slash DD slash YYYY To:* MM slash DD slash YYYY Pick One:* Full-Time Part-Time SeasonalDetails:*Salary/Monthly Earnings?Name of Supervisor?Details:*Nature of Work?Reason for Leaving?Do you have a 4th additional employer?* Yes NoPrevious Employer:*Location* Street Address City State / Province / Region ZIP / Postal Code From:* MM slash DD slash YYYY To:* MM slash DD slash YYYY Pick One:* Full-Time Part-Time SeasonalDetails:*Salary/Monthly Earnings?Name of Supervisor?Details:*Nature of Work?Reason for Leaving?Do you have a 5th additional employer?* Yes NoPrevious Employer:*Location* Street Address City State / Province / Region ZIP / Postal Code From:* MM slash DD slash YYYY To:* MM slash DD slash YYYY Pick One:* Full-Time Part-Time SeasonalDetails:*Salary/Monthly Earnings?Name of Supervisor?Details:*Nature of Work?Reason for Leaving?EDUCATIONElementary School*City, StateGrade CompletedHigh School*City, StateGrade CompletedDid you graduate?* Yes NoCollege Education?* Yes NoCollege*City, StateGrade CompletedCollege Details*DegreeGPAMajor(s)Did you graduate?* Yes NoAdditional College Education?* Yes NoCollege*City, StateGrade CompletedCollege Details*DegreeGPAMajor(s)Did you graduate?* Yes NoAny other job-related schooling, licenses, certifications, etc?* Yes NoOther education, training, etc. (up to 5)*City, StateInstitution NameCert / TrainingExpiration Date REFERENCESList at least two (2) responsible adults ho have knowledge of your work ethic, experience, and ability (Do not include relatives, former or present employers, or fellow employees):Reference 1Name* First Last Phone*Address* City State / Province / Region ZIP / Postal Code Details*OccupationRelationship to youReference 2Name* First Last Phone*Address* City State / Province / Region ZIP / Postal Code Details*OccupationRelationship to youWORK PREFERENCESWhat type of employment do you want? Full-TIme Part-TIme SeasonalWhat shifts do you prefer? First Second ThirdWhat is you minimum salary requirement?*What past work experience do you feel is most applicable to this position?*IMPORTANTI authorize you to contact and I authorize any present or former employer, education institution, law enforcement agency, financial institution, or other persons who have personal knowledge about me, to furnish any and all information in their possession regarding me, in connection with any decision concerning my employment. Further, I hereby release from liability and hold harmless all persons and corporations supplying this information. A photocopy of this authorization is as valid as the original.Applicant Name* First Last Signature*Signature Date* MM slash DD slash YYYY Upload Files Here (resume, additional work history, etc.)* Drop files here or Select filesAccepted file types: jpg, png, pdf, Max. file size: 32 MB, Max. files: 4. 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