Employment - G2 Inc.

Position Applying For

Name(Required)

First Last

Date

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone(Required)

Alternate Phone

I am at least 18 years old(Required)

Yes

Are you able to perform the functions of the position you are applying for with or without accommodations(Required)

With

Without

I am legally eligible for employment in the US(Required)

Yes

Field Positions will require travel I am able to:

Full Time

Part Time

Temp

Do you have Reliable Transportation(Required)

Yes

Do you have difficulties working with heights?(Required)

Yes

I am seeking(Required)

Full Time

Part Time

Temp

I Currently have the following(Required)

Drivers License

CDL

Welding Certificate

NCCCO

Chauffer's License

Double/Triple Trailer

Have you been convicted of a crime in the last seven years(Required)

Yes

Are you on any prescription drugs that may alter your ability?(Required)

Yes

If yes, please explain(Required)

I am able to report to work ____ days after hire notification.(Required)

Employment History(Required)

List most recent employment first. Be sure all of your experience or employers related to this job are listed. Noe more than 10 years history is required. Include Employer Name, Address, Position, title, duties, skills, dates of employment, Pay Supervisor Phone and Reason for leaving.

Education(Required)

Please include High School, College/University, Business/Technical, Additional. Include Institution Name Year completed Field of Study and Graduate or degree.

Are you a veteran? If so Duty/specialized training

Other qualifications, (such as heavy equipment, aerial lifts, fork lift, scissor lift, sky trak experience) G2 should take into consideration:(Required)

Professional Licenses, certification or registrations help applicable to the position applying for:

Please indicate why you chose to apply to G2:(Required)

References Please list three job-related references (supervisors, foreman) Please indicate below if you know or have worked with a G2 employee.

Include Name Contact/Phone and Occupation

Certification by Applicant(Required)

Checkmark indicates consent

I certify the answers given in this application are true and correct to the best of my knowledge. I authorize any inquiry into the statements made in this application as necessary in reaching an employment decision. I understand false or misleading information given in this application and during pre-employment interview-including a failure to disclose requested information- my result in my discharge.

I understand periodic unannounced drug screenings will be performed and failure to participate and pass these tests will result in my immediate discharge.

I understand any employment relations with G@, Inc is "at-will", which means the employee may resign at any time and the employer may discharge the employee at any time, with or without cause. I also understand that this "at-will" employment relationship may not be changed by any oral statement or behavior unless the change is specifically acknowledged in writing.

Background Check(Required)

Checkmark indicates consent

I understand consumer reports may be obtained as part of G2 Erectors' Inc evaluation of my job. The reports may be procured by the Oliver-VanDyk Insurance Agency, Inc. and may include my driving record, an assessment of my insurability under the company's insurance coverages or other consumer reports. By signing this disclosure , I hereby authorize the companyh to procure such reports and additional reports about me from time to time, as it deems appropriate, to evaluate ,y insurability for employment or for other permissible purposes.

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