Gat Creek Online Job Application Form

Gat Creek Application for Employment

Gat Creek is an Equal Opportunity Employer and does not discriminate on the basis of gender, age, race, color, religion, national origin, mental or physical disability, genetic information or marital or veteran status. No application will be rejected as a result of disability that, with reasonable accommodations, does not prevent performance of the essential job duties.
Gat Creek Contact Information:

Address: 5270 Valley Road, Berkeley Springs WV, 25411

Phone Number: 304-258-2343

E-mail: jobs@gatcreek.com
Applying For:*

Full TimePart Time
Interested In:*

WoodshopFinishingShippingDelivery/DriverCustomer ServiceMaintenanceHousekeepingOther
1. Personal Information
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Primary Phone Number*
Secondary Phone Number
E-mail*
example@example.com
Social Security Number (Last 4 Digits)*
Last 4 of SSN
2. Work experience

Provide your employment history. All jobs within the past ten years must be listed; starting with your most recent job. Unless you indicate to the contrary, we assume we have your permission to contact these employers.
How many past work experiences would you like to list?*

123No prior work experience to list.
(1) Employer*
Supervisor's Name
Address of Former Employment (1)

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number of Former Employment (1)
Dates of Employment (1): (specific day does not matter)
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Hours Per Week
Job Title & Responsibilities / Equipment Operated:*
Reason For Leaving:*
(2) Employer*
Supervisor's Name
Address of Former Employment (2)

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number of Former Employment (2)
Dates of Employment (2): (specific day does not matter)
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Hours Per Week
Job Title & Responsibilities / Equipment Operated:*
Reason For Leaving:*
(3) Employer*
Supervisor's Name
Address of Former Employment (3)

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number of Former Employment (3)
Dates of Employment (3): (specific day does not matter)
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Hours Per Week
Job Title & Responsibilities / Equipment Operated:*
Reason For Leaving:*
(4) Employer
Supervisor's Name
Address of Former Employment (4)

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number of Former Employment (4)
Dates of Employment (4): (specific day does not matter)
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Hours Per Week
Job Title & Responsibilities / Equipment Operated:
Reason For Leaving:
(5) Employer
Supervisor's Name
Address of Former Employment (5)

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number of Former Employment (5)
Dates of Employment (5): (specific day does not matter)
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Hours Per Week
Job Title & Responsibilities / Equipment Operated:
Reason For Leaving:
3. Education and Skills

Please list all High Schools, Colleges, Universities and Vocational or Trade Schools you have attended:
Name of School*
Ex. Berkeley Springs High School
Grade Completed or Degree*
Ex. High School Diploma
Name of School
Grade Completed or Degree
4. Employment Preferences
Earliest Possible Start Date*

MonthDayYear
Date
Are you legally eligible to be employed in the United States? (Proof of identity and eligibility will be required upon employment)*

YesNo
Are you under the age of 18 years?*

YesNo
Have you ever worked under another name?*

YesNo
Are you a US Veteran?*

YesNo
Have you previously been employed by Tom Seely Furniture or Gat Creek?*

YesNo
Have you ever been convicted, pled guilty, no contest, or forfeited bond or bail for any crime other than traffic violations?*

YesNo
If Yes, please explain:*
(Note that conviction of a crime is not an automatic bar to employment. All circumstances will be considered.)
5. Additional Information
How did you learn of our job opportunities?*

ReferralJob FairFacebookNewspaper AdGat Creek's Career SiteHiring SignOther
Upload Resume

Only upload your resume in this field.
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Any Other Documents to Upload

You can share certificates, diplomas, cover letters etc. You may add up to 3 files here, if needed. Please label all files to be easily understood.
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6. Please Read Carefully Before Signing

If hired, I will abide by the rules and policies of Gat Creek. I understand that my employment and compensation can be terminated at any time, with or without cause, and with or without notice, at the option of Gat Creek or myself. I understand that the CEO is the only person who will ever have the authority to create any other terms of employment and/or to enter into any employment contract and that all such contracts must be in writing and signed by both parties. However, I also understand that unless otherwise stated in an employment contract, the Company may change, withdraw and interpret other policies (including wages, hours and working conditions) as it deems appropriate. I authorize my current and previous employers (except as noted) to give any and all information regarding my employment, and I release Gat Creek and my previous supervisors and employers from any and all liability and from any damage that may result from the release of such information. I understand and acknowledge that I may be required to submit to a physical examination, including drug test. Additionally, I hereby authorize the release of the results of such an examination to Gat Creek for their use in evaluating my suitability for employment. Further, I release the examining facility and Gat Creek from any and all liability and from any damage that may result from the release of such information. I certify that I have answered this application truthfully and have not withheld any information relative to my application. I understand that any falsification, misrepresentation, or omission, as well as any misleading statements on the application or supporting documents, generally will result in denial of employment or immediate termination.
Signature*

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Today's Date upon Submission*

MonthDayYear
Date
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