Job Application Form

"*" indicates required fields

General Information

Name*
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Address*
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Are you a U.S. citizen or approved to work in the United States?*
Do you have the documentation to prove this?*

Past Work Experience

Please begin by listing your current or most recent employment from today’s date and dating back through your past three places of employment.
Address*
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Name of Immediate Supervisor*
May we contact this individual as a reference?*
Address*
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Name of Immediate Supervisor*
May we contact this individual as a reference?*
Address*
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Name of Immediate Supervisor*
May we contact this individual as a reference?*

Education

High School
Name
Location (City, State)
Year Graduated
Degree Earned
 
College/University
Name
Location (City, State)
Year Graduated
Degree Earned
 
Vocational School/Specialized Training
Name
Location (City, State)
Year Graduated
Degree Earned
 
Please list any extracurricular activities or awards/accolades you received while attending any of the aforementioned institutions.
List any job related or non-work related certificates or certifications that are valid.
Please provide a list of awards/achievements that you are most proud of, not limited to workplace/career settings. Please relate aspects of these accomplishments to how they will help you complete tasks or projects here at GH Mechanical, LLC. ie.: Completed 25th in local Spartan Race. This shows I have endurance, stamina, and determination which are valuable and necessary traits to possess on the job site.
This is a section for GH Mechanical, LLC as a company to better know our potential employees and their interests/hobbies. This is not a required section to fill out. However we do recommend it as a tool that will better help us to connect with our employees.

Consent Form

I hereby understand that the information collected on this form, any notes taken at the interview, and any further information collected about myself throughout other stages of the recruitment process will be used for the purposes of recruitment and selection of position, within GH Mechanical, LLC.

The information collected through this process may be disclosed to and shared with third party agents who are contracted to perform services for GH Mechanical, LLC and security or government organizations as required.

I acknowledge that I have the right to access and update my personal information if it is inaccurate.

The choice of non-consent to providing this information to GH Mechanical, LLC will result in an inconclusive decision regarding prospective employment.

I acknowledge the above, and provide my consent to GH Mechanical, LLC to obtain, collect, use, and disclose personal information in the manner described above.

I hereby declare that all the information given on this form and attached resume, signed and dated by me, is true and complete to the best of my knowledge. I understand that providing any false or misleading information is an offense under Pennsylvania law and may lead to my employment being reviewed and/or terminated.

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