Fax Your Completed Form To: Golden Gait Trailers 1-704-392-9544

APPLICATION FOR EMPLOYMENT


1. PERSONAL INFORMATION:(Complete all applicable information)

Last Name_____________________

First Name_____________________

MI___

Street Address:_____________________

City:_____________________

State:___

Zip:___

Home Phone:_____________________

Cell Phone:_____________________

Email: __________________________
Are you 18 years or older? ___ Yes ___ No
Position Applied for________________________________ Hourly Pay Expectations _________
Are you willing to work: ___ Full Time ___ Part Time ___ Temporary ___ Weekends ___ Evenings ___ Nights
Number of hours work per week: ___ 10-15 ___ 16-20 ___ 21-25 ___ 26-30 ___ 31-35 ___ 36-40
Have you worked for GGT? ___ Yes ___ No



Have you ever worked for another trailer company or company in a related position? ___ Yes ___ No
Position ________________________ Company ________________________

City/State ________________________ From: ________ to ________

Are you legally authorized to work the United States? ___ Yes ___ No
Have you ever plead "guilty" or "no contest" to a crime or been convicted ? ___ Yes ___ No
If Yes, give date and details


Note: Answering yes to the above question does not automatically disqualify you for employment.
Do you have a valid driver's license ? ___ Yes ___ No License Number:_____________ State:_______
Has your license ever been revoked ? ___ Yes ___ No Reason:______________________________________
Have you ever been convicted of a DUI or DWI ? ___ Yes ___ No Explain:______________________________________
When can you start employment at GGT ? ______________________________________
List three (3) business/work references not related to you and not employed at GGT.
1. Name: __________________________________________ Position: _________________
Phone: _________________
Company Name: ___________________________________________________________
2. Name: __________________________________________ Position: _________________
Phone: _________________
Company Name: ___________________________________________________________
3. Name: __________________________________________ Position: _________________
Phone: _________________
Company Name: ___________________________________________________________
How did you hear about GGT: ___ Ad ___ Current Employee ___ Former Employee ___ Walk in Other_____________

EMPLOYMENT HISTORY:(List below last three employers, starting with the most recent one first)
Name of Company: ________________________ Salary: _________________ From: _______ to _______
Present or Last Position: _____________________________ Reason for Leaving: _____________________________
Describe your duties: __________________________________________________________________________
Manager: _____________________________________ Phone: _____________________________

Name of Company: ________________________ Salary: _________________ From: _______ to _______
Present or Last Position: _____________________________ Reason for Leaving: _____________________________
Manager: _____________________________________ Phone: _____________________________

Name of Company: ________________________ Salary: _________________ From: _______ to _______
Present or Last Position: _____________________________ Reason for Leaving: _____________________________
Manager: _____________________________________ Phone: _____________________________

What is the highest grade completed in school: ___ High School ___ Technical School ___ 1-2 Years College

___ Associates Degree ___ Bachelor's Degree
Other (describe) ___________
Are you currently in school ___ Yes ___ No
Do you have experience in:
___ Sales ___ Customer Service ___ Switchboard/Receptionist ___ Trailer Industry _____ Finances/Accounting
___ Loans ___ Production ___ Welding ___ Painting _____ Electrical _____ Detailing _____ Work in cold/heat
Is there any reason why you cannot get to work on time each day as scheduled ? ___ Yes ___ No
Explain: ____________________________________________________________________________________________________

I understand that if I am hired, my employment will be for no definite peroid of time. I further understand that I may terminate my employment at any time and the company has the right to do so at any time.

I understand that the company reserves the right to require me to submit to a drug test at any time before or during my employment.

I authorize the company to investigate all statements contained in this application for employment as may be necessary in arriving at an employment decision. I authorize the company to check my driving record, criminal record, credit history, and other background information, including information on my character and reputation.

I further understand that the company may contact my former employers and I authorize those employers to disclose all records of my employment with them.

I certify that all information I have provided in this application is true and correct. I understand that should I be hired and this information is found to be false or misleading, I will be discharged. I understand, also, that should I be hired that I will be required to abide by all rules and regulations of the employer.


Applicants Signature _______________________________


Date _____________


Interviewer _____________________________________


Date _____________


All applications will remain active for no more than 30 days.
Golden Gait Trailers LLC. is an Equal Opportunity Employer