EMPLOYMENT APPLICATION


    Required fields are marked with an *. Your application will not be submitted without these fields being completed
    PERSONAL INFORMATION
    » *Name:
    » *Social Security Number: (###-##-####)
    » *Current Address:
    » *City:
    » *State :
    » *Zip :
    » Email :
    » *Phone : (###-###-####)
    » *Best time to contact you at home: (indicate am or pm)
    » Have you ever worked at Gordy TigerMarts before?
    If so, when :
    »Have you ever applied at Gordy TigerMarts before?
    If so, when :
    » Are you currently employed?
    »Can present employer be contacted?
    »Do you have reliable transportation:
    »Were you referred by a Gordy employee:
    If so, whom :
    » Do any of your family or friends work here?
    » *For what position are you applying?
    » *Desired Starting pay: $ per
    » *How many hours per week do you want to work?
    » *During what times are you available to work?
    »Are you willing to work Nights?      Yes  No
    Overtime?  Yes  No
    Weekends? Yes  No
    Holidays?    Yes  No  
    » *When can you begin work?
    » Are you prevented from lawfully becoming employed in this country because if visa or immigration issues?
    » If not can you provide required proof of eligibility to work?
    »Are you at least 18 years old?
    SKILLS AND EXPERIENCE
    Please list any special qualifications, training, education, skills, or experience that you feel warrant consideration by the company:
    Please list any business equipment operating abilities you have which might be useful on the job for which you are applying:
    EDUCATION
    » *Highest elementary or high school grade completed?
    » Did you graduate from high school?
    Name and location of college, university, Business or trade school? 1.  
    2. 
    Full-time or Part-time 1.  
    2. 
    Major Field of study 1.  
    2. 
    Degrees Conferred? Title.  
    Title. 
    Hours Credit 1.  
    2. 
    Please describe any specialized training, skills and extracurricular activities:
    EMPLOYMENT HISTORY ( please list your last three employers. Begin with the most recent employer.
    1.» Company:
    » Phone Number:
    » Address:
    » City:
    » State:
    » Zip Code:
    » Dates of Employment:       From To
    » Salary:Beginning Ending
    » Job Title: Supervisor's name and Title
    Type of Job   
    Job Description and responsibilities:
    Were you Fired   
    Give reason for leaving:
    If we contacted this employer, would you expect them to say they would rehire you for the position you last held there?:
    Explain:
     
    2.» Company:
    » Phone Number:
    » Address:
    » City:
    » State:
    » Zip Code:
    » Dates of Employment:       From To
    » Salary:Beginning Ending
    » Job Title: Supervisor's name and Title
    Type of Job   
    Job Description and responsibilities:
    Were you Fired   
    Give reason for leaving:
    If we contacted this employer, would you expect them to say they would rehire you for the position you last held there?:
    Explain:
     
    3.» Company:
    » Phone Number:
    » Address:
    » City:
    » State:
    » Zip Code:
    » Dates of Employment:       From To
    » Salary:Beginning Ending
    » Job Title: Supervisor's name and Title
    Type of Job   
    Job Description and responsibilities:
    Were you Fired   
    Give reason for leaving:
    If we contacted this employer, would you expect them to say they would rehire you for the position you last held there?:
    Explain:
    Other Qualifications - Summarize special job related skills or qualifications acquired from previous employment or experiences :
    LEGAL
    » Have you ever been convicted of a crime other than a routine traffic violation: Yes  |   No
    If Yes, date of Conviction:
    Please Explain:
     
    REFERENCES - Please provide at least 3 including name and phone number:
    SIGNATURE
    Under Maryland Law, An employer may not require or demand, as a condition of employment or continued employment, that an individual submit to or take a lie detector or similar test. An employer who violates this law is guilty of a misdemeanor and subject to a fine not exceeding $100.00.

    By signing this application for employment, I certify that I have read and understand all parts of it and certify that I have truthfully and completely answered all questions. I understand that falsification of any of the information given herein or on any other employment form is grounds for immediate termination, regardless of when such falsification may be discovered.
    I authorize Gordy TigerMarts and its representatives to investigate my education, employment experience, criminal conviction records, and all other aspects of my background relevant to my proposed employment, including all statements made by me in my application for employment. I understand Gordy may contact the appropriate credit bureau to obtain an investigative consumer report providing information about my character; I understand I may request (in writing from the Personnel Department) a complete and accurate disclosure of information concerning the nature and scope of this report. I also release Gordy and its representatives, as well as any person to whom such inquiry is directed, from any liability arising directly or indirectly from such investigations.
    Further, I understand my employment may be terminated at any time, with or without cause, at the option of either Gordy or myself. I understand that no employee or representative of Gordy has any authority to make any agreement, which is contrary to the foregoing. If accepted for employment, I agree to comply with all company policies and procedures and with all rules and regulations made known at the time of employment or any other time thereafter, and to perform all duties assigned to me to the best of my ability.
    BY TYPING MY NAME IN THE BOX BELOW, I AM SIGNIFYING THAT MY TYPED NAME REPRESENTS MY ACTUAL SIGNATURE.
    » *Signature:
    Type name as you would sign it
      » Date:
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