Careers

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Please fill in application below.

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EMPLOYMENT APPLICATION

TO THE APPLICANT: This Employment Application form must be completed in full and signed before it will receive consideration for future employment with Ginsey Industries, Inc. Applications are retained in an active file for a total of 6 months. Should you wish to receive employment consideration after that period of time it will be necessary for you to complete a new application form. You may attach a resume to this completed form.

Ginsey Industries, Inc. is an equal employment opportunity employer, and as such, it is our policy to comply with all applicable state and federal laws prohibiting discrimination in employment based on race, age, color, sex, religion, national origin, disability or other protected classification.

Application Information:

First Name

Middle Initial

Last Name

Social Security Number

Phone Number

Email Address

Street

City

State

Zip

If hired by Ginsey, can you provide proof that you are eligible to work in the United States?

Are you age 18 or older?

Do you have a valid driver’s license?

Have you ever applied to or worked for Ginsey Industries, Inc. before?

If "Yes", When?

In case of an emergency please notify

Relationship

Home Phone

Work Phone

Cell Phone

Have you been convicted of a felony in the past 10 years?

If "Yes", please describe

(A conviction will not automatically disqualify you for a particular job. The type and seriousness of the crime, the frequency of violations and the date of the conviction will all be considered, along with your entire work and education history.)

Employment-Related Information:

Position applying for

Date you can start

Are you able to work weekends and/or overtime, if required?

If you are interested in working shift work, what shift are you available?

Education and Training:

Select the highest level of Education completed

List any other education, training, special skills or certificates/licenses that you have acquired which are related to this job.

List any machines or equipment you are qualified to operate or experienced in operating.

Former Employment:

(List your last three employers, starting with your present or most recent employer.)

Employer 1 (current):

Employer

Start Date

End Date

Address

City, State, Zip

Phone

Job Title

Start Salary

End Salary

Manager

Reason for Leaving

Work Performed

Employer 2:

Employer

Start Date

End Date

Address

City, State, Zip

Phone

Job Title

Start Salary

End Salary

Manager

Reason for Leaving

Work Performed

Employer 3:

Employer

Start Date

End Date

Address

City, State, Zip

Phone

Job Title

Start Salary

End Salary

Manager

Reason for Leaving

Work Performed

May we contact your current employer?

References:

Give names, addresses and telephone numbers of three references (not relatives or former employers.)

Reference 1:

Name

Address

Phone

Reference 2:

Name

Address

Phone

Reference 3:

Name

Address

Phone

I acknowledge that the information I have provided is true to the best of my knowledge, and I authorize investigation of this information as may be necessary. Any misrepresentation or falsification of information, or significant omission, will be cause for rejection of my application, or for subsequent discipline up to and including termination of employment if discovered at a later date.

I understand that I will be required to submit to a pre-employment drug screening analysis. The results of such analysis may be grounds for disqualifying me or terminating my employment.

If employed, I understand that I will be an employee “at will” and that either Ginsey Industries, Inc. or I may terminate my employment relationship at any time, with or without cause, for any reason that does not violate the law.

Signature

Date