Apply | GBM Staffing

Name | Nombre

First

Middle

Last

Address | Direccion

Address Line 1

Address Line 2

City

State

Zip Code

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Cell Phone | Cellular

Can we send text messages to this number? / Podemos enviar textos a este numero?

Email | Correo Electronico

Are you over 18 years of age? / Eres mayo de 18 años?

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Date of Birth | Fecha de Nacimiento?

Social Security Number | Number de Seguro Social?

Do you have reliable transportation | Tiene transporte confiable?

Available to start | Cuando Puedes Iniciar?

Are you authorized to work in the Unisted States | Está autorizado a trabajar en los Estados Unidos?

If asked. Will you submit to a background check and subtance abuse test? | Si se le pregunta. ¿Se someterá a una verificación de antecedentes y una prueba de abuso de sustancias?

How were you referred to GBM Staffing? | Como se entero de GBM Staffing?

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In case of an Emergency Contact name | En caso de una emergencia nombre de contacto

Emergency Contact Number? | Numero de contacto de Emergencia?

Relationship? | Relacion?

Secondary Emergency Conctact number? | Número de contacto de emergencia secundario?

Education | Educacion

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Did you graduate from Highschool or get your GED?

Did you graduate from college? | Te gradustes de la Universidad?

Employment History | Historial de Empleo

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Employer 1 | Empleador?

Employer 2 | Empleador 2

How long did you work for this Employer? Cuánto tiempo trabajó para este empleador?

How long did you work this employer? | Cuánto tiempo trabajó para este empleador?

Job Duties | Que hacia en este trabajo?

Business or Personal References (one is required) | Referencias comerciales o personales

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Name

Ocupation

Phone number / Numero

How long Known? Cuánto tiempo se conocen?

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Name

Ocupation

Phone number / Numero

How long Known? Cuánto tiempo se conocen?

Skills / Habilidades

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Office & Administrative | Oficina

Light Industrial | Industria Ligera

Professional | Profesional

Skill Trade

Notification & Agreement | PLEASE READ THE FOLLOWING STATEMENTS CAREFULLY BEFORE SIGNING THIS APPLICATION. ONLY THOSE APPLICATIONS THAT ARE SIGNED ARE CONSIDERED VALID. YOUR APPLICATION WILL BE GIVEN EVERY CONSIDERATION, BUT ITS RECEIPT DOES NOT IMPLY YOU WILL BE EMPLOYED. PLEASE READ BEFORE SIGNING:

I certify that all answers and statements I have made on this application (and any other accompanying or required documents) are true and complete without omissions. I understand that any falsification, misrepresentation or omission of fact on this application (or any other accompanying or required documents) will be cause for denial of employment or immediate termination of employment, regardless of when or how discovered.

I understand that my employment may be subject to the satisfactory results of any examination required by the company, including a possible test to detect drug usage and hereby submit to said testing. I agree to conform to all rules and regulations of the company as they presently exist or are later modified. I agree that, if hired, my employment and compensation can be terminated with or without cause, and with or without notice at any time, at either the company or myself.

I understand that nothing contained in this employment application or in the granting of an interview is intended to create a contract between GBM Staffing LLC and myself for employment for any specified period of time, or to assure me of any future position, benefits, or terms and conditions of employment.

I consent to having the company contact anyone that it deems appropriate to investigate, including a criminal background check, or verify any information I have given, or to discuss my background, past performance, or suitability for employment. I further consent to being discussed by any person so contacted and I waive all rights to bring any action for defamation, invasion of privacy, or any similar cause against anyone contacted as a result of what he or she may say about me.

Signature