Application for Employment

Application for Employment

Applicants will be required to pass a pre-employment drug screen.
Personal Information
Full Name (Prefix, First, Middle, Last)*

First NameMiddle NameLast Name
Present Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email Address*
example@example.com
YesNo
YesNo
Position Information
Position applied for*
Salary desired (please be specific)
Shift desired
YesNo
Full time onlyPart time onlyFull or Part time
When are you available for work?
Summary of qualifications*
Work experience (Start with your most recent company, listing the start and end date. )*
References

Please list two or more references other than relatives or previous employers.
References*
Education
Education History
Additional Information
YesNo
YesNo
Terms of Use
By submitting this application, you acknowledge and agree to the following:
- Gregory Manufacturing has a drug and alcohol policy, including pre-employment and random testing.
- Employment is probationary for 90 days and is at-will, meaning either party can terminate employment at any time.
- Gregory Manufacturing is an Equal Opportunity Employer and does not discriminate based on race, color, religion, sex, national origin, age, disability, or any other protected status.
Final Section
Signature of applicant*

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Date*

MonthDayYear
Date
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