Application for Employment
Please complete the form below to apply for a position with us.
Full Name
*
First Name
Middle Initial
Last Name
Email Address
example@example.com
Phone Number
*
Format: (000) 000-0000.
Current Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Position Applied
*
Available Start Date
*
/
Month
/
Day
Year
What type of employment are you seeking?
*
Please Select
Full Time
Part Time
Temporary
Summer
After reviewing the job description for the position to which you have applied are you able to perform the essential job functions with or without reasonable accommodation?
*
Yes
No
Have you ever been previously employed by Gem State Paper?
*
Yes
No
If yes, give dates employed and reason for leaving:
0/300
EMPLOYMENT HISTORY
Most Recent Employer
Name of Current / Most Recent Employer
Employer Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Employer Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Type of Business
Street Address Line 2
City
State / Province
Postal / Zip Code
Supervisor’s Name and Title
Street Address Line 2
City
State / Province
Postal / Zip Code
If applicable, what was your reason for leaving?
Street Address Line 2
City
State / Province
Postal / Zip Code
Employed From:
-
Month
-
Day
Year
Date
May we contact your current/prior employer?
Yes
No
List the Jobs you Held, Duties you Preformed, Skills used or Learned, Advancements or Promotions:
0/600
Next Previous Employer
Name of Current / Most Recent Employer
Employer Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Employer Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Type of Business
Street Address Line 2
City
State / Province
Postal / Zip Code
Supervisor’s Name and Title
Street Address Line 2
City
State / Province
Postal / Zip Code
If applicable, what was your reason for leaving?
Street Address Line 2
City
State / Province
Postal / Zip Code
Employed From:
-
Month
-
Day
Year
Date
May we contact your current/prior employer?
Yes
No
List the Jobs you Held, Duties you Preformed, Skills used or Learned, Advancements or Promotions:
0/600
Next Previous Employer
Name of Current / Most Recent Employer
Employer Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Employer Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Type of Business
Street Address Line 2
City
State / Province
Postal / Zip Code
Supervisor’s Name and Title
Street Address Line 2
City
State / Province
Postal / Zip Code
If applicable, what was your reason for leaving?
Street Address Line 2
City
State / Province
Postal / Zip Code
Employed From:
-
Month
-
Day
Year
Date
May we contact your current/prior employer?
Yes
No
List the Jobs you Held, Duties you Preformed, Skills used or Learned, Advancements or Promotions:
0/600
Have you ever been convicted entered a plea of no contest or received a withheld judgment for any criminal offense (misdemeanor or felony)?
*
Yes (A conviction will not necessarily disqualify an applicant)
No
If "Yes," please explain:
0/300
Are you over the age of 18?
*
Yes
No
Are you authorized to work in the United States? (Federal Law requires proof of identity and employment authorization for all new employees)
*
Yes
No
Have you ever been Terminated from Employment?
*
Yes
No
For driving jobs only: Do you have a valid driving license?
*
Yes
No
License #
State Issued
List any relatives currently or previously employed:
0/300
Education
EDUCATION
High School/GED Completed
*
Yes
No
College (Check the last year completed)
1
2
3
4
College name
College major subject
OTHER - Name of education (Business, Vocational, Military)
OTHER - Focus of education
Gem State Paper & Supply is a Drug Free Workplace. All individuals must submit to a controlled substance/alcohol test prior to employment. Employment at Gem State Paper & Supply is at-will, and either the employee or the company may end the employment relationship at any time and for any reason, as permitted by law.
CERTIFICATION
This Employment Application is used to notify me that the nature and scope of an investigation, if one is conducted, could include such general identification information as residence verification, and as applicable, information concerning my employment, education,general reputation, character, and that such information may be developed through personal interviews with third parties. Only jobrelated information developed from such a report will be considered in evaluating my employment application or continued employment. I hereby authorize these persons, companies, organizations, or corporations to answer all questions or release anyinformation regarding the items listed in this paragraph. I hereby release them from any liability and hold them harmless from any claim for releasing any truthful information within their knowledge and/or records. I authorize the Company to release to any person, firm, entity or organization with which I may seek employment in the future, any truthful information concerning my work experience with the Company. I hereby release and hold the Company harmless from any claim for releasing any truthful information within its knowledge and/or records. I understand that any job offer that may be extended to me will be contingent upon the successful completion of a drug and alcohol test. I certify that the answers given by me to the foregoing questions and during any interviews are true and correct without material omissions, and understand that, if employed, omissions and/or false statements on this application or during any interviews may result in dismissal. I understand and acknowledge that, if hired, my employment is for no definite periodand either the Employer or I may terminate our relationship at will at any time, without notice or any reason, and that this employment application does not constitute an employment contract. I have had an opportunity to have my questions about this statement's content answered and understand its terms.
Signature
Date
-
Month
-
Day
Year
Date
Apply
Apply
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