GFC Concrete Coatings Application Form 03212024

PERSONAL Information
Position(s) Applied For*
Date of Application*

MonthDayYear
Date
Name:*

First NameMiddle NameLast Name
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone*

Area CodePhone Number
E-mail Address:*
Are you legally eligible to work in the United States? (Proof of eligibility will be required upon offer of employment)*
Are you over 18 years of age?*
How did you hear about us?
If Current Employee, Client, or Other, please specify
State
What salary/rate of pay do you expect to receive if you are employed?
What date are you available to start?*

MonthDayYear
Date

EDUCATION History
High School
Name & Location
Years Attended
Subjects Studied
Graduated?
College/Trade
Name & Location
Years Attended
Subjects Studied
Graduated?
College/Trade
Name & Location
Years Attended
Subjects Studied
Graduated?
Please list any academic honors, scholarships, offices held and special skills we should know about.

EMPLOYMENT History

Please begin with your most recent employer. Do not exclude any employment. Upload a file below if necessary.
If currently employed, may we contact your present employer?*
Current or Most Recent Employer:
Company Name
Supervisors Name & Title

NameTitle
Address
Street Address
Address
City, State, Zip
Phone Number

Area CodePhone Number
Position and Responsibilities
Reason for leaving and explanation
Dates of Employment

FromTo
Rate of Pay

Start End
Employer:
Company Name
Supervisors Name & Title

NameTitle
Address
Street Address
Address
City, State, Zip
Phone Number

Area CodePhone Number
Position and Responsibilities
Reason for leaving and explanation
Dates of Employment

FromTo
Rate of Pay

Start End
Employer
Company Name
Supervisors Name & Title

NameTitle
Address
Street Address
Address
City, State, Zip
Phone Number

Area CodePhone Number
Position and Responsibilities
Reason for leaving and explanation
Dates of Employment

FromTo
Rate of Pay

Start End
Please provide any other information that you feel will help us in considering your application for employment.
Upload Additional Employment History, if Necessary

Browse Files

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REFERENCES

Please list three persons, who are not related to you or previous supervisors, that you have known at least 1 year, who can provide professional references.
Reference 1
Name:

First NameLast Name
Phone Number

Area CodePhone Number
Years Known:
Select One
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Relationship/Occupation
Reference 2
Name:

First NameLast Name
Phone Number

Area CodePhone Number
Years Known:
Select One
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Relationship/Occupation
Reference 3
Name:

First NameLast Name
Phone Number

Area CodePhone Number
Years Known:
Select One
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Relationship/Occupation
Have you been convicted of a felony within the last 7 years?*
Note: Conviction will not necessarily disqualify an applicant from employment.
*PLEASE READ CAREFULLY BEFORE SIGNING*

I hereby certify that all of the information provided by me in this application (or any other accompanying or required documents) is correct, accurate and complete to the best of my knowledge. I understand that the falsification, misrepresentation or omission of any facts in said documents will be cause for denial of employment or immediate termination of employment regardless of the timing or circumstances of discovery.

I understand that submission of an application does not guarantee employment. I further understand that, should an offer of employment be extended by GFC Concrete Coatings, that such employment with GFC Concrete Coatings is at will, for no specified duration and may be terminated by either GFC Concrete Coatings or myself at any time, with or without cause or notice. I understand that none of the documents, policies, procedures, actions, statements of GFC Concrete Coatings or its representatives used during the employment process is deemed a contract of employment real or implied. I understand that no representative of GFC Concrete Coatings except the owners has the authority to enter into any agreement guaranteeing any conditions of employment or any agreement contrary to the foregoing statements and that any such agreements must be made in writing and signed by the owner of GFC Concrete Coatings.

I herby authorize GFC Concrete Coatings to contact any and all former employers, personal references, and private or public agencies named in this application to obtain any job related information they may have regarding my employment and/or character. I hereby release all parties and persons connected with any such request for information from all claims, liabilities and damages for any reason arising out of the furnishing of such information.

I understand that this application is considered current for three months. If I wish to be considered for employment after this period I must fill out and submit a new application.

BY SIGNING BELOW I ACKNOWLEDGE THAT I HAVE READ, UNDERSTOOD AND AGREE TO THE ABOVE STATEMENTS.
Online Signature*
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PERSONAL Information

EDUCATION History

EMPLOYMENT History

REFERENCES

Reference 1

Reference 2

Reference 3