Employment at Gyro Time

I. Personal Information
First Name: *
Middle Name:
Last Name: *
Home Telephone: *
Address: *
Business Telephone:
City: *
State: *
Zip Code: *
Cell Phone #:
Return E-mail Address: *
When will you be available to begin work?: *
Have you ever applied for employment with us? Yes No
If yes:  Month & Year
Location
 
Referred By:
Relationship:
Are you eligible for employment in the United States?
Yes No  
Salary / Wage Expected: *
Have you ever been convicted of a felony? Yes No
If yes, please explain:
Special Training Or Skills (languages, machine operation, etc)
 
II. Desired Position & Location
Position Desired: *

Location Desired: *




 
III. Availability
Day Time(s) Available *
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
How will you be getting to work?
Personal Auto Ride from someone else
Public Transportation Walk
Other  
 
Full Time Part Time Graveyard
 
Check here if you are a full time student
 
IV. Education
HIGH SCHOOL Name Of School: Location Of School:
Degree Or Diploma: Course(s) Of Study:
Years Completed: Did You Graduate? Yes No
COLLEGE Name Of School: Location Of School:
Degree Or Diploma: Course(s) Of Study:
Years Completed: Did You Graduate? Yes No
BUSINESS /
TRADE /
TECHNICAL 		Name Of School: Location Of School:
Degree Or Diploma: Course(s) Of Study:
Years Completed: Did You Graduate? Yes No
 
V. Employment History
Please give accurate, complete full and part-time employment record. Start with your present or most recent employer.
Most Recent Employer
Company Name:
Telephone (xxx) xxx-xxxx
Company Address:
Employed From     To
-
Name Of Supervisor:
Starting Pay           Ending Pay
-
Job Title & Description Of Work:
Reason For Leaving:
May we contact this employer? Yes No
 
Second Most Recent Employer
Company Name:
Telephone (xxx) xxx-xxxx
Company Address:
Employed From     To
-
Name Of Supervisor:
Starting Pay           Ending Pay
-
Job Title & Description Of Work:
Reason For Leaving:
May we contact this employer? Yes No
 
Third Most Recent Employer
Company Name:
Telephone (xxx) xxx-xxxx
Company Address:
Employed From     To
-
Name Of Supervisor:
Starting Pay           Ending Pay
-
Job Title & Description Of Work:
Reason For Leaving:
May we contact this employer? Yes No
 
VI. Signature
By submitting this application, I affirm that the information that I have provided in this Application for Employment is true, correct and complete. I understand that if employed, any misstatement or omission of fact on this application may result in dismissal.

I understand that acceptance of an offer of employment does not create a contractual obligation upon the employer to continue to employ me in the future.