Application For Employment [An Equal Opportunity Employer] Personal InformationDate of Application* MM slash DD slash YYYY Position applying for*- Please Select -Part Time Facilities AssistantDetailing Service ManagerMetal Restoration TechnicianFront Office ManagerOffice ManagerStorage & Transport Support TechnicianAutomobile DetailerHard Surface – Operations ManagerBoat DetailerHard Surface Technician – Day ShiftHard Surface Technician – Night ShiftPart Time (or) Full Time Facilities Warehouse AssistantStorage & Transport ManagerName* First Middle Last Gender* Male Female Driver’s license number* State*StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificDate of Birth:* MM slash DD slash YYYY Cell Phone*Email* Address* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code How Long Have You Lived At Your Current Address?* If you are under 18, we require a work permit, can you furnish one?* N/A Yes Have you ever worked for GK’s Custom Polishing, Inc. before?* Yes No If yes, please explain*Date available to start work* MM slash DD slash YYYY If offered a position, how much notice do you need to offer your current employer? Application StatementI certify that all the information I have provided in order to apply for and secure employment with GK’s Custom Polishing, Inc. is true, complete and correct. I understand that my falsification, omission, or misstatement of information on this application or at any time during the application process, may result in refusal to hire or if hired, termination. I authorize investigation of all statements contained herein and the references listed above to give GK’s Custom Polishing, Inc. any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing the same to you. This application does not constitute an agreement or contract for employment for any specific period or duration. I understand that if I am hired, I will be required to provide proof of identity and legal authority to work in the United States. Employment with GK’s Custom Polishing, Inc. is entered into voluntarily. All employment is at will, meaning that both the employee and GK’s may terminate the employment relationship at any time, for any reason with or without cause or notice. I certify that I have read, fully understand and accept all terms of the foregoing Application Statement. I agree to allow GK’s Custom Polishing, Inc. to perform a background check. Disclosure Under the Fair Credit Reporting Act and Consent to Procurement of Consumer Report For Employment PurposesThe undersigned hereby authorizes GK’s Custom Polishing, Inc., or its insurance agency Arthur J. Gallagher Risk Management Services, Inc., or its assigns, to obtain copies of consumer reports, including motor vehicle reports, pertaining to me for employment purposes and for use in rating and/or underwriting insurance for which the above named employer may apply, and any renewal thereof. I understand that in obtaining such consumer reports, a consumer reporting agency may be used, and I do hereby authorize such use.Driver Name:* First Middle Last Date of Birth:* MM slash DD slash YYYY Last 4 Digits of Social Security Number* Driver’s license number* State Licensed (if other than Ohio):*StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificElectronic Signature*By signing, you agree with the above statements. Date* MM slash DD slash YYYY Employment HistoryProvide the following information of your past three (3) employers, assignments or volunteer activities, starting with most recent.1. Employer Start Date MM slash DD slash YYYY End Date MM slash DD slash YYYY Are you still employed with this company? Yes No Address Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code PhoneStarting/final job titles Starting/final salary Summarize job responsibilitiesSupervisor May we contact for reference? Yes No Resigned With notice Without notice Eligible for Re-Hire? Yes No N/A Why You LeftWere You Terminated? Yes No If Yes, Explain2. Employer Start Date MM slash DD slash YYYY End Date MM slash DD slash YYYY Are you still employed with this company? Yes No Address Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code PhoneStarting/final job titles Starting/final salary Summarize job responsibilitiesSupervisor May we contact for reference? Yes No Resigned With notice Without notice Elligable for Re-Hire? Yes No N/A Why You LeftWere You Terminated? Yes No If Yes, Explain3. Employer Start Date MM slash DD slash YYYY End Date MM slash DD slash YYYY Are you still employed with this company? Yes No Address Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code PhoneStarting/final job titles Starting/final salary Summarize job responsibilitiesSupervisor May we contact for reference? Yes No Resigned With notice Without notice Elligable for Re-Hire? Yes No N/A Why You LeftWere You Terminated? Yes No If Yes, ExplainWill you receive a satisfactory reference from your current and all previous employers? Yes No EducationHigh School Location Years Completed 0-1 2 3 4 5+ List Degree or Diploma Course of Study College Location Years Completed 0-1 2 3 4 5+ List Degree or Diploma Course of Study Other Location Years Completed 0-1 2 3 4 5+ List Degree or Diploma Course of Study Skills and QualificationsSummarize any training, skills, licenses, and/or certificates that may qualify you as being able to perform job-related functions in position for which you are applying. ReferencesPlease include three (3) references that are not related to you.1. Name PhoneRelationship Number of Years Known 2. Name PhoneRelationship Number of Years Known 3. Name PhoneRelationship Number of Years Known CAPTCHAPhoneThis field is for validation purposes and should be left unchanged. GET A QUOTE Looking for quality care for Natural Stone, Tile & Grout, Autos, Boats, Motorcycles, Jet Skis, RVs and more?