Employment-Form-Production

We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, or any other legally protected status.

Personal Information

Full Name

Street Address

City

State

Zip Code

Phone Number

Email Address

Confirm Email Address

Is it ok to text you?

Yes No

Are you 18 yrs of age or older?

Yes No

Are you legally able to work in the US?

Yes No

Have you worked for Gerkin in the past?

Yes No

If yes, what year?

Employment Desired

Job Title

Start Date

Wage Desired

Are you applying for:

1st Shift: 6:30 a.m. - 5:00 p.m. 2nd Shift: 3:30 p.m. - 2:00 a.m. Full Time Part Time

Overtime is mandatory and based on business need.

Employment History

(List employers, starting with the current or most recent. Explain all gaps in time of employment.)

Employer 1

Company Name

Address

Job Title

Phone Number

Start Date

End Date

Rate of Pay

Detailed Job Duties

Reasons for Leaving

May we contact this employer?

Yes No

Employer 2

Company Name

Address

Job Title

Phone Number

Start Date

End Date

Rate of Pay

Detailed Job Duties

Reasons for Leaving

May we contact this employer?

Yes No

Employer 3

Company Name

Address

Job Title

Phone Number

Start Date

End Date

Rate of Pay

Detailed Job Duties

Reasons for Leaving

May we contact this employer?

Yes No

Other Training or Skills

Employee Referral

Upload Resume

Gerkin Windows & Doors has a policy to achieve a drug-free work force and to provide a work place that is free from the use of illegal drugs and controlled substance abuse. All prospective employees are required to complete a pre-employment drug screen and background check prior to employment with Gerkin Windows & Doors. Gerkin also participates in E-Verify and is an Equal Opportunity Employer.

To Be Read & Acknowledge By Applicant

This certifies that this application was completed by me, and that all entries are true and complete to the best of my knowledge. I authorize you to make such investigations and inquiries of my personal, employment, and other related matters as may be necessary in arriving at an employment decision. I hereby release employers, schools, or persons from all liability in responding to inquiries in connection with my application, In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge.

I Agree/Acknowledge