Job Application Form

Full Name*

First NameMiddle InitialLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

E-mail

Phone Number*

Area CodePhone Number

Available start date:*

MonthDayYear

Please list the position you are applying for:*

Do you have a valid driver's license?*

YesNo

Are you authorized to work and remain in the United States?*

YesNo

Are you over the age of 18?*

YesNo

Do you have a valid drivers license?*

YesNo

Are you able to lift 50+ pounds?*

YesNo

Do you have reliable transportation to/from work?*

YesNo

Were you ever discharged or forced to resign from any position?*

YesNo

If Yes, Explain:

Have you served in the U.S. Armed Forces?*

YesNo

If Yes, Branch:

Date Entered Active Duty:

Date Released Active Duty:

Have you ever been convicted of any violation of the law? (Exclude traffic violations) A conviction will not necessarily disqualify an applicant from the position sought.*

YesNo

If Yes, Explain:

Joe Granato, Inc. performs a background checks on current employees, upon hiring, does Joe Granato, Inc. have your permission to search the following areas: (please select each box you allow permission)

Identity VerificationDriving RecordsCriminal RecordsSpecialized Data

Are you a High School Graduate?*

YesNo

High School Equivalency (GED)?*

YesNo

Are you presently attending school?*

YesNo

Type of Education

Please list highest level of education completed.

Name of Institution

Field of Study

Type of Degree

Did you Graduate?

YesNo

Do you have additional education to enter?

YesNo

Additional Type of Education

Name of Institution

Field of Study

Type of Degree

Did you Graduate?

YesNo

Type

Serial Number

Date Issued

Expiration Date

MonthDayYear

Typing Words Per Minute:

10 Key Speed:

Word Processing:

YesNo

Equipment Operated:

Please list types of equipment operated such as fork lift, pallet jack, etc.

Background Experiences:

Please list background experiences such as professional associations, hobbies, interests, and civic involvement.

Other:

Name of Employer:

Job Title:

Phone Number

Area CodePhone Number

Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Supervisor:

Date started

MonthDayYear

Date ended

MonthDayYear

Ending Salary Per Month:

Reason for Leaving:

Description of Duties:

Do you have an additional employer to enter?

YesNo

Name of Employer:

Job Title:

Phone Number

Area CodePhone Number

Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Supervisor:

Date started

MonthDayYear

Date ended

MonthDayYear

Ending Salary Per Month:

Reason for Leaving:

Description of Duties:

Inquiry may be made of your current and former employers/schools you attended.

May we contact your present employer?

YesNo

May we contact your former employers?

YesNo

Full Name

First NameLast Name

Phone Number

Area CodePhone Number

Business or Occupation

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Full Name

First NameLast Name

Phone Number

Area CodePhone Number

Business or Occupation

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Full Name

First NameLast Name

Phone Number

Area CodePhone Number

Business or Occupation

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

How did you learn about this position?

Upload File

Upload a File

Signature*

I authorize investigation of all statements contained on this application except where I have requested on this form that no investigation to be made.

I understand that misrepresentation or omission of facts called for is cause for dismissal and that my employment is substantially dependent on truthful answers to the foregoing inquiries.

I understand that nothing contained in this employment application or in the granting of an interview is intended to nor does it create an employment contract between the company and myself for either employment or the providing of any benefit. In the event that an employment relationship is established.

I understand that I have the right to terminate my employment at any time for any reason or no reason, and the Company retains the same right regarding the discontinuation of my employment.

I understand that Joe Granato Inc. utilizes the E-Verify system to authenticate required documentation, which must be provided within three days of the hire date.

All applications will be discarded from the job pool after a 60 day period.

Date

Application for Employment

Education:

Professional License or Certificate, If Required

Skills

Employment History

Personal References