Please completely fill out this application. Failure to complete all sections may disqualify you from consideration for employment.
000-000-0000 or (000) 000-0000
Date Started
Date Finished
*You need not disclose a conviction a) that was judicially expunged or sealed b) for a marijuana-related offense over 2 years old c) if you completed a pre or post trial diversion program or d) for a misdemeanor for which probation was successfully completed (or discharged) and the case was judicially dismissed. A conviction will not necessarily be a bar to employment.
List the two individuals who will act as personal references. Do not list family members.
Please read carefully, initial each paragraph, and sign below. I certify that the statements I have made on this application are true and correct. I understand that any misrepresentations made in this application will be sufficient cause for denial of employment with or discharge from GR8 Plate. I understand that nothing contained in this application, or the granting of an interview, is intended to be a contract of employment. I also understand that employment with GR8 Plate is "at-will" and that either of us may terminate the relationship at any time, for any reason, with or without cause. I certify that if employed by GR8 Plate, I will abide by all company rules and regulations. I authorize GR8 Plate to investigate my background to determine my suitability for employment and use of any information lawfully obtained for any employment-related purpose permitted by law. This investigation may include checking with the schools and employers I have identified, reviewing criminal conviction and driving records, and verifying any other relevant information about me. I release and waive any claims I may have against and indemnify The Company and any of the schools, former employers and other persons or entities for any loss or injury I may sustain as a result of any disclosure made related to this application. The use, possession, or being under the influence of illegal drugs or alcohol while on Company time is prohibited and will result in disciplinary action, up to and including termination of employment. I hereby agree to any lawful drug or integrity testing or post-offer medical examination that may be required as a condition of employment and understand that refusal to submit to such testing during the course of my employment may result in disciplinary action, up to and including discharge. I authorize any physician, hospital, laboratory or collection site to release to GR8 Plate the results of any test or examination or other information which may be necessary to determine my ability to perform the duties of a job for which I am being considered, prior to employment or in the future during my employment with GR8 Plate.
Date (Required)
