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An Equal Opportunity Employer

EMPLOYMENT APPLICATION

Applications will remain active for 1 year only.

Today’s Date E-mail Address Name Last First Middle

POSITION DESIRED Hours Available for Work

Street Address

FULL TIME Rate of Pay Desired

PART TIME

City State Zip

ARE YOU OF LEGAL AGE TO SERVE YES

ALCOHOLIC BEVERAGES IN THIS STATE? NO

Home Phone Cell Phone Work Phone

ARE YOU ELIGIBLE TO RECEIVE ANY AND YES

ALL PERMITS/LICENSES REQUIRED BY LAW? NO

PREVIOUS EMPLOYMENT HISTORY

LIST YOUR POSITIONS OF THE PAST TEN YEARS. LIST MOST RECENT EMPLOYER FIRST. USE ADDITIONAL SHEET IF NEEDED Employer (Most Recent)

Employer

ADDRESS CITY STATE PHONE

ADDRESS CITY STATE PHONE

Dates Employed

From To

Dates Employed

From To

Positions Held Rate of Pay

Positions Held Rate of Pay

Duties

Duties

Reason for Leaving Voluntary Involuntary

Reason for Leaving Voluntary Involuntary

Employer (Most Recent)

Employer

ADDRESS CITY STATE PHONE

Phone

ADDRESS CITY STATE PHONE

Dates Employed

From To

Dates Employed

From To

Positions Held Rate of Pay

Positions Held Rate of Pay

Duties

Duties

Reason for Leaving Voluntary Involuntary

Reason for Leaving Voluntary Involuntary

Prior to

employment, a

mandatory drug test

is required.

WHAT SOURCE REFERRED YOU TO GAL-TEX? HAVE YOU EVER WORKED FOR GAL-TEX? Yes No

IF YES WHERE FROM TO REASON FOR LEAVING LIST NAMES AND POSITIONS OF ANY RELATIVES EMPLOYED AT THIS LOCATION MISCELLANEOUS

EDUCATION

CIRCLE HIGHEST GRADE 1 2 3 4 5 6 7 8 9 10 11 12 COLLEGE 1 2 3 4 DEGREE/LICENSE HELD NAME OF LAST SCHOOL ATTENDED OTHER TRAINING/TRADE SCHOOL WHAT LANGUAGES OTHER THAN ENGLISH DO YOU SPEAK FLUENTLY? UNITED STATES MILITARY SERVICE

MILITARY EXPERIENCE YES NO SKILLS SELECTIVE SERVICE CLASS OR RESERVE STATUS LIST THE NAME, ADDRESS, TELEPHONE NUMBER AND RELATIONSHIP OF THREE INDIVIDUALS WHO WILL ACT AS PROFESSIONAL REFERENCES: 1 2 3 Public Law 91-508 requires that we advise you that a routine inquiry may be made during our initial or subsequent processing of your application which will provide applicable information concerning character, general reputation, personal characteristics and mode of living. Upon written request, additional information regarding inquiry, if one is made, will be provided. Federal Law prohibits the company from hiring any person unless he/she presents documents, which establishes his/her identity and eligibility to work in the United States. Therefore, the company will require that each new hire present such documents as a condition of employment. Gal-Tex is an equal opportunity employer and does not discriminate in hiring or employment, in accordance with the requirements of all applicable federal, state, and local laws, on the basis of race, color, religion, sex, pregnancy, national origin, age, disability, veteran status/military status, genetic status, sexual orientation, gender identity, or any other characteristic protected under federal, state, or local law.” I understand that Gal-Tex is in no way obligated to provide employment and that I am in no way obligated to accept employment. I understand that my employment is terminable-at-will, that I am not being employed for any specific time, and that this application is not, and is not intended, to be a contract for continued employment.

The use, possession, or being under the influence of illegal drugs or alcohol on the job is prohibited and will result in disciplinary action, up to and including termination of employment. I hereby agree to submit to any lawful drug testing that may be required as a condition of employment and understand that refusal to submit to such testing during the course of my employment may result in disciplinary action, up to and including discharge I certify that any misrepresentations made in this application will be sufficient cause for cancellation of this application and/or for my separation from Gal-Tex. I certify that if employed, I will abide by all company rules and regulations. I certify that the above statements have been read by me and that the statements I have made on this application are true and correct. Date Signature Please indicate the time and days you are available to work: Saturday Sunday Monday Tuesday Wednesday Thursday Friday Are you available to work Holidays? __Yes __No Do you have Hotel Related Experience __ Yes No When are you available to start work ?

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