Employment Opportunities G&W Products Inc.

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- If I am not hired within sixty (60 days) this application is no longer active and I will need to reapply for employment if I wish to be considered for a position after that time
- Any 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 accommodation
- My 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 employment
- If 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 employer
- My 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.
Application Submission
Applicant Name*
First Last
Email*
Present Address*
Street Address City State / Province / Region ZIP / Postal Code
Do you have a previous address?*
- Yes
- No
Prior Address*
Street Address City State / Province / Region ZIP / Postal Code
Are you related to any employee of G&W Products?*
- Yes
- No
If yes, what is the name of the employee?*
First Last
What is the relationship?*
Are you at least 18 years old?*
- Yes
- No
If no, do you have a work permit?*
- Yes
- No
Date on which you can start work if hired?*
Date Format: MM slash DD slash YYYY
Have you previously applied for employment with this company?*
- Yes
- No
If yes, what location?*
If yes, when did you apply?*
Date Format: MM slash DD slash YYYY
Are you presently on layoff or leave of absence form any other company?*
- Yes
- No
Do you have any agreements with another employer that might affect your employment here?*
- Yes
- No
If yes, please explain:*

WORK AVAILABILITY
Please 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
- No
If yes, when do yo expect your schedule to change again?*

WORK HISTORY
Give past employment record as completely as possible starting with the latest employer:
Previous work experience?*
- Yes
- No
Current / Previous Employer:*
Location*
Street Address City State / Province / Region ZIP / Postal Code
From:*
Date Format: MM slash DD slash YYYY
To:*
Date Format: MM slash DD slash YYYY
Pick One:*
- Full-Time
- Part-Time
- Seasonal
Details:*
Salary/Monthly Earnings? Name of Supervisor?
Details:*
Nature of Work? Reason for Leaving?
Do you have a 2nd additional employer?*
- Yes
- No
Previous Employer:*
Location*
Street Address City State / Province / Region ZIP / Postal Code
From:*
Date Format: MM slash DD slash YYYY
To:*
Date Format: MM slash DD slash YYYY
Pick One:*
- Full-Time
- Part-Time
- Seasonal
Details:*
Salary/Monthly Earnings? Name of Supervisor?
Details:*
Nature of Work? Reason for Leaving?
Do you have a 3rd additional employer?*
- Yes
- No
Previous Employer:*
Location*
Street Address City State / Province / Region ZIP / Postal Code
From:*
Date Format: MM slash DD slash YYYY
To:*
Date Format: MM slash DD slash YYYY
Pick One:*
- Full-Time
- Part-Time
- Seasonal
Details:*
Salary/Monthly Earnings? Name of Supervisor?
Details:*
Nature of Work? Reason for Leaving?
Do you have a 4th additional employer?*
- Yes
- No
Previous Employer:*
Location*
Street Address City State / Province / Region ZIP / Postal Code
From:*
Date Format: MM slash DD slash YYYY
To:*
Date Format: MM slash DD slash YYYY
Pick One:*
- Full-Time
- Part-Time
- Seasonal
Details:*
Salary/Monthly Earnings? Name of Supervisor?
Details:*
Nature of Work? Reason for Leaving?
Do you have a 5th additional employer?*
- Yes
- No
Previous Employer:*
Location*
Street Address City State / Province / Region ZIP / Postal Code
From:*
Date Format: MM slash DD slash YYYY
To:*
Date Format: MM slash DD slash YYYY
Pick One:*
- Full-Time
- Part-Time
- Seasonal
Details:*
Salary/Monthly Earnings? Name of Supervisor?
Details:*
Nature of Work? Reason for Leaving?

EDUCATION
Elementary School*
City, State Grade Completed
High School*
City, State Grade Completed
Did you graduate?*
- Yes
- No
College Education?*
- Yes
- No
College*
City, State Grade Completed
College Details*
Degree GPA Major(s)
Did you graduate?*
- Yes
- No
Additional College Education?*
- Yes
- No
College*
City, State Grade Completed
College Details*
Degree GPA Major(s)
Did you graduate?*
- Yes
- No
Any other job-related schooling, licenses, certifications, etc?*
- Yes
- No

Other education, training, etc. (up to 5)*

City, State	Institution Name	Cert / Training	Expiration Date

REFERENCES
List 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 1
Name*
First Last
Phone*
Address*
City State / Province / Region ZIP / Postal Code
Details*
Occupation Relationship to you
Reference 2
Name*
First Last
Phone*
Address*
City State / Province / Region ZIP / Postal Code
Details*
Occupation Relationship to you

WORK PREFERENCES
What type of employment do you want?
- Full-TIme
- Part-TIme
- Seasonal
What shifts do you prefer?
- First
- Second
- Third
What is you minimum salary requirement?*
What past work experience do you feel is most applicable to this position?*
IMPORTANT
I 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*
Date Format: MM slash DD slash YYYY
Upload Files Here (resume, additional work history, etc.)*
Drop files here or
Accepted file types: jpg, png, pdf.
Comments
This field is for validation purposes and should be left unchanged.

G&W Employment Application

Step 1 of 6

WORK AVAILABILITY

Please indicate the time you are available to work below:

WORK HISTORY

Give past employment record as completely as possible starting with the latest employer:

EDUCATION

REFERENCES

List 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 1

Reference 2

WORK PREFERENCES

IMPORTANT