Growling Bear Co. (Inc.)

Design • Build • General Contractors

Online Employment Application

Only complete applications will be considered. Please answer all questions.

Personal

Full Name:

Email Address:

Street Address:

City:

State:

Zip Code:

Phone Number:

DOB: (MM/DD/YYYY)

Have you ever applied for employment with us? Yes No

If Yes, when? (MM/YYYY)

Position Desired: Full-Time Part-Time

When will you be able to begin work?

Expected Pay:

Do you have a valid drivers license? Yes No

Education

College:

Name and location of school:

Course of study:

No. of years completed:

Did you graduate? Yes No

Degree or diploma:

High School:

Name and location of school:

Course of study:

No. of years completed:

Did you graduate? Yes No

Degree or diploma:

Other:

Name and location of school:

Course of study:

No. of years completed:

Did you graduate? Yes No

Degree or diploma:

Special Skills

Other Special Skills, (languages, machine operation) and Membership in Professional or Civic Organizations. (Exclude those which may disclose your race, color, religion and national origin).

Employment:

Most Recent Employer (#1):

Company Name:

Telephone:

Address:

Employed From (MM/YYYY): To

Supervisor:

Weekly Pay Start: $ End: $

Job Title:

Description of work:

Reason for leaving:

List Another Employer:

We may contact the employers listed above unless you indicate those you do not want us to contact.
Do not contact:

1. Reason:

Legal

The following information requested is needed for a legally permissible reason, including and without limitation, national security considerations, a legitimate occupational qualification, or business necessity. The Civil Rights Act of 1964 prohibits discrimination in employment because of race, color, religion, sex or national origin. Federal law also prohibits discrimination on the basis of age with respect to certain individuals. The law of most states also prohibits some or all of the above types of discrimination as well as some additional types, such as discrimination based upon ancestry, martial status, physical or mental handicap or disability.

Have you ever been convicted of a crime in the past ten years, excluding misdemeanors and summary offences, which has not been annulled, expunged or sealed by court? Yes No

If Yes, describe in full below:

Are you a United States citizen? Yes No

Have you received Workman's Compensation or Disabled income payments? Yes No

If Yes, describe below:

What type of personal transportation do you have?

Submit

The information provided in this Application for Employment is true, correct and complete. If employed, any misstatement of omission of fact on this application may result in my dismissal. I understand that acceptance of an offer of employment does not create a contractual obligation upon the employer to continue to employ me in the future. If you decide to engage, an investigative consumer reporting agency will report on my credit and personal history, and I authorize you to do so. If a report is obtained you must provide, at my request, the name and address of the agency so I may obtain from them the nature and substance of the information contained in the report.

By entering my initials, I confirm that I have read and agree to the above terms in submitting this Application for Employment.

AFTER PRESSING "SUBMIT" PLEASE BE PATIENT. YOU ARE TRANSMITTING A LOT OF DATA. DO NOT PRESS "SUBMIT" MORE THAN ONCE. YOUR APPLICATION MAY TAKE SEVERAL MINUTES TO PROCESS.