GT Key Company - Electrical - Lighting - Cabling

Employment Application

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*Full Name
*Address
*City
State
*Zip
*Phone
*Email Address
Position Applied For

Date Available

Desired Salary

*Last 4 of SSN

Are you a citizen of the United States

Yes
No

If No, are you available to work in the US?

Yes
No

Have you ever worked for GT Key before?

Yes
No

If so, when?

Have you ever been convicted of a felony?

Yes
No

If Yes, Explain

Education

High School Address

From To Did you Graduate? Yes No | Degree

College Address

From To Did you Graduate? Yes No | Degree

Other Address

From To Did you Graduate? Yes No | Degree

References

1. Reference Full Name Relationship
Company Phone Number
Complete Address

2. Reference Full Name Relationship
Company Phone Number
Complete Address

3. Reference Full Name Relationship
Company Phone Number
Complete Address

Previous Employment

Company: Phone: Address:
Supervisor: Job Title:
Starting Salary: Ending Salary:

Responsibilities:

From: To:
Reason for Leaving:
May we contact this supervisor for a reference?

Yes No

Company: Phone: Address:
Supervisor: Job Title:
Starting Salary: Ending Salary:

Responsibilities:

From: To:
Reason for Leaving:
May we contact this supervisor for a reference?

Yes No

Company: Phone: Address:
Supervisor: Job Title:
Starting Salary: Ending Salary:

Responsibilities:

From: To:
Reason for Leaving:
May we contact this supervisor for a reference?

Yes No

Military Service (click to expand)

Branch:
From: To:
Rank at Discharge:
Type of Discharge:
If other than honorable, explain:

Additional Info (click to expand)

Please let us know any skills, certifications, or information that will help us in placing you in a position

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.