Date
First Name
Last Name
Middle Initial
Current Street Address
City
State
Zip Code
Permanent Address (if different from current address)
Cell Phone
Home Phone
Email
Desired Position Applying For
Availability
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
How did you hear about GTM Wholesale Liquidators, Inc. and this job opening?
If Yes, When?
If yes, state name(s) and relationship:
(We may refuse to hire relatives of present employees if doing so could result in actual or potential problems in supervision, security, safety, or morale, or if doing so could create conflicts of interest.)
Name
Relationship
Name
Relationship
(Note: We comply with the ADA and consider reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. Hire may be subject to passing a medical examination, skill and agility tests.)
School Type
High School
College
Graduate School
Vocational
Healthcare Training
Other
School Name/Address
Years Completed
Diploma/Degree Earned
School Type
High School
College
Graduate School
Vocational
Healthcare Training
Other
School Name/Address
Years Completed
Diploma/Degree Earned
School Type
High School
College
Graduate School
Vocational
Healthcare Training
Other
School Name/Address
Years Completed
Diploma/Degree Earned
Most Recent Employer Name/Address
List all present and past employment (last five years is sufficient) starting with your most recent employer here. Account for all periods of unemployment. You must complete this section even if attaching a resume.
Employer Phone Number
Type of Business
Job Title
Dates of Employment (mm/yy)
Primary Duties
Supervisor/Title
Reason for Leaving
Employer Name/Address
Employer Phone Number
Type of Business
Job Title
Dates of Employment (mm/yy)
Primary Duties
Supervisor/Title
Reason for Leaving
Employer Name/Address
Employer Phone Number
Type of Business
Job Title
Dates of Employment (mm/yy)
Primary Duties
Supervisor/Title
Reason for Leaving
Reference 1 - First Name
List three persons who are not related to you and have knowledge of your work performance within the last three years.
Last Name
Phone Number
Email
Occupation
Number of Years Aquainted
Reference 2 - First Name
Last Name
Phone Number
Email
Occupation
Number of Years Aquainted
Reference 3 - First Name
Last Name
Phone Number
Email
Occupation
Number of Years Aquainted
Attach Resume (Optional)
I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment, and that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that my omission or misstatement of material fact on this application or on any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery. Initial Below v
I hereby authorize GTM Wholesale Liquidators, Inc to thoroughly investigate my references, work record, education and other matters related to my suitability for employment and, further, authorize the references I have listed to disclose to the company any and all letters, reports and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release the Company, my former employers and all other persons, corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure.Initial Below v
I understand that nothing contained in the application, or conveyed during any interview which may be granted or during my employment, if hired, is intended to create an employment contract between me and the Company. In addition, I understand and agree that if I am employed, my employment is for no definite or determinable period and may be terminated at any time, with or without prior notice, at the option of either myself for the Company, and that no promises representations contrary to the foregoing are binding on the Company unless made in writing and signed by me and the Company’s designated representative.Initial Below v
In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.Initial Below v
This application will be considered active for a maximum of sixty (60) days. If you wish to be considered
for employment after that time, you must reapply.
Date
Applicant's Signature Type Signature Below v
If the applicant is a minor, the foregoing release and consent must be signed by the applicant’s parent or legal
guardian. Signature by the applicant’s parent or legal guardian constitutes acknowledgement by the applicant and the parent or legal guardian that GTM Wholesale Liquidators, Inc., to the extent permitted by federal, state, and
local law, can test the applicant for illegal or controlled substances, conduct inspections of property without
notice, and communicate test results to GTM Wholesale Liquidators, Inc. personnel who need to know, and to the
applicant and the applicant’s legal guardian.
Date
Parent/Legal Guardian Signature Type Signature Below v
Parent/Legal Guardian Name
Date
Witness Signature Type Signature Below v
Witness Name
Send