Godfrey's Job Application
Name
*
First Name
Last Name
Phone Number
*
Email
example@example.com
Are you 18 years or older?
*
Yes
No
Please verify that you are human
*
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Present Address
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Desired Employment
Desired Position
*
Part time / Full time
*
Part time
Full time
Date you can start
*
-
Month
-
Day
Year
Date
Who referred you to apply?
Are you employed now?
*
Yes
No
Have you been previously employed by us?
*
Yes
No
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Education
Did you graduate from high school?
*
Yes
No
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Education
If you did not graduate from high school, did you earn a GED?
*
Yes
No
If yes, when?
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Education (cont.)
Did you complete any college, trade, business, or correspondence school?
*
Yes
No
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College Education
Name and location of college
*
Years attended
*
Did you graduate?
*
Yes
No
Subjects studied
*
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General
Have you been convicted of a crime within the last 5 years? (Exclude traffic violations.)
*
Yes
No
If Yes, explain (Will not necessarily exclude you from consideration.)
Have you been convicted of a felony? (Exclude traffic violations.)
*
Yes
No
If Yes, explain (Will not necessarily exclude you from consideration.)
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Work Experience
Resume Upload (Optional)
Browse Files
Drag and drop files here
Choose a file
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of
Name of present or previous employer
*
Company Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Name of supervisor
*
Description of work
*
Reason for leaving
*
Starting salary
*
Ending salary
*
Starting & ending date
*
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References (1 of 2)
Below, give the names of a person you are not related to who you have known for at least two years.
First and last name
First Name
Last Name
Phone Number
Business
Years acquainted
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References (2 of 2)
Below, give the name a person you are not related to who you have known for at least two years.
First and last name
First Name
Last Name
Phone Number
Business
Years acquainted
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Authorization
I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise and release the company from all liability for any damage that may result from utilization of such information. I authorize a criminal record investigation. I also understand that any conviction of any crime of moral turpitude will void any offer of employment and the offer will be withdrawn. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for a specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative. Submission of this online application for employment is understood to be my signature acknowledging all of the above, on the date the submission was made.
I agree to the above statement
*
Yes
Submit
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