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An Equal Opportunity Employer

Application for Employment

Applicants for employment shall be afforded equal opportunity in all aspects of employment without regard to race, color, religion, political affiliation, national origin, disability, marital status, gender or age.

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As a means of accommodation to persons with specific disabilities that prevent them from completing this application, confidential assistance in filling out this application may be obtained by calling the agency to which you are applying. 

Date of Birth
Month
Day
Year

(Date of Birth required for background checking)

Full Legal Name

Address

Multi-line address

DRIVER’S LICENSE INFORMATION

Tell us how you found out about this position!

Education

Check highest grade completed
1
2
3
4
5
6
7
8
9
10
11
12
If you did not complete high school, do you have a GED?
Yes
No
Check number of years of post high school education
1
2
3
4
5
6

Please list the name and location of each institution as well as hours, degree received, major or specialty, minor, and dates attended.

Please include license type, number, issuing board, address on ID, and whether the licenses is currently valid.

REFERENCES (Professional or Educational References Preferred)

List names, addresses and relationships of three persons not related to you who know your qualifications:

May we contact the references listed?
Yes
No

MISCELLANEOUS

Check which job status you will accept:
Full Time
Part Time
Check which employment status you will accept:
Salary
Hourly
Are you willing to accept employment which requires you to travel?
No
Yes
If yes:
During the day only
Occasionally overnight
Frequently overnight
For purposes of compliance with The Immigration Reform and Control Act, are you legally eligible for employment in the US?
Yes
No

Under the Immigration Reform and Control Act of 1986, you will be required to fill out a certification that you are eligible to be employed and verifying your identity. Further, you will be required to provide documentation to that effect should you be employed.

Are you willing to provide your own transportation if necessary for your employment?
Yes
No

If yes be advised you may not drive your vehicle for any company business without suitable insurance coverage

Are you a veteran who received an honorable discharge and has (i) provided more than 180 consecutive days of full-time active-duty in the armed forces of the United States or reserve components thereof, including the National Guard, or (ii) has a service-connected disability rating fixed by the United States Veterans Affairs?

Are you a veteran
Yes
No
If yes, did you serve during the Vietnam Conflict (2/28/61 – 3/7/75)?
Yes
No
Have you ever been convicted for any violation(s) of law, including moving traffic violations?
Yes
No
Do you authorize GESTRA Engineering to complete a background check by checking government terrorist watch lists, checking state and county criminal history records, and state motor vehicle records?
Yes
No

Be advised you have the right to confirm the accuracy of information determined during a background check. We expect to keep records for at least 6 months. We will only release this information to a third party if legally bound to do so.

When will you be available to start work?
Month
Day
Year

PRE EMPLOYMENT DRUG SCREENING & Pre-placement Physical Please note offers are contingent upon ability to pass a pre-employment drug screening that is funded by GESTRA. A pre-placement physical may be required.

CERTIFICATION – Each application requires current date and original signature. I hereby certify that all information provided on this application and possible attachments is true and accurate.

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

EXPERIENCE- Starting with the most recent, please upload your resume describing ALL paid, military, and applicable voluntary experience. Highlight your knowledge, skills and abilities which best demonstrate your qualifications for this position. You may list significantly different jobs within the same organization as separate items.

May we contact your present supervisor?
Yes
No
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