McGriff Industries

Online Application for Employment

An Equal Opportunity Employer

All statements made by applicants for employment on this application form will be checked for accuracy.  We offer equal employment opportunities to all persons without regard to race, color, religion, age, marital or veteran's status, sex, national origin, disability, or any other legally protected status. 

 
  Position(s) Applied For:       
  Date: Yrs Exp:
  Name: Address:
  Phone: Cell Phone:
  City/State/Zip: Birth Date:
  E-Mail: SS#:
  How long have you lived at this address?  Years Months
     
  If at present address for less than one year, please give previous address.  
  Street Apt #
  City State
  Zip    
     
  Are you over the age of 18? Yes No
  If No, employment is subject to verification that you are of minimum legal age.
  Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status? Yes No
  Can you produce documented proof of your eligibility for employment in the United States?  Yes No
  How soon could you report to work?
  What type of work are you interested in?
  Rate of pay expected:
  What days, if part-time?        Sun   Mon   Tue   Wed   Thur  Fri   Sat
  What hours, if part-time?        From am   pm         To         am   pm
 
     
  ELEMENTARY SCHOOL  
  Name and Location 
  Did you graduate? Yes No
  Grade level completed?
     
  HIGH SCHOOL  
  Name and Location 
  Did you graduate? Yes No
  Grade level completed?
  Type of Diploma
  Do you have a GED? Yes No
     
  COLLEGE  
  College: Name and Location 
  Did you graduate? Yes No
Year graduated?
Years to complete?
  Type of Degree or Award received?    
     
  EMPLOYMENT HISTORY  
  Have you applied for a job with us before? Yes No
  Have you ever worked for us before? Yes No
  If yes, provide Company Name.    
  Year of Employment
  How did you come to apply?
  If referred by individual, please provide name:
  Have you ever been bonded?? Yes No
  Have you ever been refused a bond? Yes No
  If so, state date, court, and place where offence occurred:
  Have you ever served in the U.S. Armed Forces? Yes No
  If yes, which branch? 
  Date entered  
  Date Discharged
  Have you ever been convicted of a violation of the law except a minor traffic violation?  Yes No
  If so, state date, court, and place where offence occurred:
  Have you ever been discharged or requested to resign from a position?  Yes No
  Are you currently employed?  Yes No
  If yes, may we contact your present employer?  Yes No
  Why do you desire to make a change?
  Have you ever held a position of trust (handling money or confidential material)?  Yes No
  If yes, please explain:
  Do you have any reason to believe that you would have difficulty meeting this company's work schedules? Yes No
  If your position requires; are you willing to travel? Yes No
  Are you interested in career work? Yes No
   
  Work History Please list at least the previous 3 years history
  Present Employer: Phone
  Job Title: Address:
  City, ST: Supervisor:
  Start Date: Ending Date:
  Starting Pay: Ending Pay:
  Reason for leaving Job Description:
 
  Past Employer: Phone
  Job Title: Address:
  City, ST: Supervisor:
  Start Date: Ending Date:
  Starting Pay: Ending Pay:
  Reason for leaving Job Description:
 
  Past Employer: Phone
  Job Title: Address:
  City, ST: Supervisor:
  Start Date: Ending Date:
  Starting Pay: Ending Pay:
  Reason for leaving Job Description:
 
  Past Employer: Phone
  Job Title: Address:
  City, ST: Supervisor:
  Start Date: Ending Date:
  Starting Pay: Ending Pay:
  Reason for leaving Job Description:
 
 

Job Applicant's Agreement and Certification

"By submitting this application I certify that the information given by me in this application is true in all respects, and I agree that if the information given is found to be false in any way,it shall be considered sufficient cause for denial of employment or discharge.  I authorize the use of any information in this application to verify my statements, and I authorize past employers, all references, and any other persons to answer all questions asked concerning my ability, character, reputation, and previous employment record.  I release all such persons from any liability or damages on account of having furnished such information."

"I understand that nothing contained in this employment application or in the granting of an interview is intended to create an employment contract between the company and myself for either employment or for the providing of any benefit.  No promises regarding employment have been made to me, and I understand that no such promise or guarantee is binding upon the company unless made in writing.  If an employment relationship is established, I understand that I may have the right to terminate my employment at any time and that the company retains the same right."

"I agree to submit to a physical examination whenever requested, and I understand my becoming employed and / or my continued employment are subject to the results of any physical examination related to my job duties in accordance with company policies and procedures."

"I understand that if employed, policies and rules which are issued are not conditions of employment and that the employer may revise policies or procedures in whole or in part at any time."

"I understand that this application will be kept on active file for 60 days from the date completed, after which time I would have to reapply in accordance with established company procedures."

 

 
 
 

 

If you are having trouble with this form.
Print and Fax this sheet to 256-734-4832, or call (800) 950-9034, ext. 391 for a packet to be mailed. We look forward to receiving your information.