Online Application For Employment
Pre-Employment Questionnaire
EQUAL OPPORTUNITY EMPLOYER

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Personal Information

First Name   
Last Name   
Phone    
Email    

Present Address
City State Zip

Permanent Address
City State Zip

Were you referred by anyone?
Have you ever been convicted of a felony? Yes No

Education History

Highest level of education completed.
Name & Location of school
Years attended
Did you graduate? Yes No
Subjects Studied

General Information

Which Location do you want to work at?
Where at?
How many hours a week would you work?
What time of day would you work? Days Nights Flexible
Salary Desired
Are you employed? Yes No If so, may we inquire of your present employer? Yes No
Have you ever worked at Grinders Above & Beyond before? Yes No
If so, which location? When?

Subjects of special study/research work or special training/skills?
US military or naval service and ranks?

Former Employers (List below last three employers, starting with last one first)

1.
Dates (Starting-Ending)
Previous Employer
Address
Phone Number
Position
Decription
Salary
Reason for leaving?
2.
Dates (Starting-Ending)
Previous Employer
Address
Phone Number
Position
Decription
Salary
Reason for leaving?
3.
Dates (Starting-Ending)
Previous Employer
Address
Phone Number
Position
Decription
Salary
Reason for leaving?

References (Give below the names of three persons not related to you, whom you have known at least one year)

Name
Address
Business
Years Known

Name
Address
Business
Years Known

Name
Address
Business
Years Known

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 references and employers listed above to give you 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 damages that may result from utilization of such information.

            I also understand and agree that no representative of the company has any authority to enter into and agreement for employment for any 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.  This waiver does not permit the release or use of disability-relate or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws.”

EMPLOYMENT AT WILL – Employees of Grinders Above & Beyond are at-will employees, and employment may be terminated at any time, and for any or no reason, by the Company. No representative of the Company has the authority to enter into any agreement for employment for any specific time or to make any agreement contrary to established Company policies or practices, unless it is in writing and signed by the CEO of Grinders & Such, Inc.

You must read and agree to the authorization section of this pre-employment questionnaire before clicking the submit button. By clicking submit you agree.