GPDS — Contact 1

Position Desired / Experience

Date

YYYY

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Are you 18 years of age or older?

Yes

Are you either a US citizen or an alien authorized to work in the US?

Yes

Have you ever worked or attended school under another name?

Yes

If so, what name?

EDUCATION

High School Attended

Graduated?

Yes

College or University Attended?

Graduated?

Yes

Post Graduate / Course of Study?

Graduated?

Yes

Other education, training, or skills?

WORK EXPERIENCE

Employer #1

Your Most Recent Job

Address and Phone

Position Held

Description of Duties

Years Worked

Example: 2010–2015

Reason(s) for Leaving?

Employer #2

Where you were two jobs ago

Address and Phone

Position Held

Description of Duties

Years Worked

Example: 2010–2015

REFERENCES

Reference #1

First Name

Last Name

Phone

(###)

###

####

Years Known

Reference #2

First Name

Last Name

Phone

(###)

###

####

Years Known

PERSONAL DATA

The following information is REQUIRED for your application to be considered. Your answers will not necessarily disqualify you from consideration except for affirmation responses to currently being on any type of county, state, or federal pretrial or probation.

Have you ever been convicted of a felony or misdemeanor or do you currently have a felony or misdemeanor charge pending? Convictions include a plea of guilty nolo contendere (no contest) and/or a finding of guilty by a judge or a jury or a conviction that has been judicially dismissed or ordered sealed including 'expungement' granted pursuant to Penal Code section 1203.4.

Yes

If "Yes", then list all convictions and the year

Have you ever been dismissed or asked to resign from any position?

Yes

If "Yes", please explain

ACCOMMODATIONS

GPDS does not discriminate on the basis of race, color, national origin, age, religion, political affiliation, gender, mental or physical disability, sex orientation, or any other basis protected by federal, state or local law, ordinance or regulation, in its education program(s) or employment. No individual shall be denied employment solely because of any impairment which is unrelated to the ability to engage in activities involved in the position(s) or program for which application been made. If you need a reasonable accommodation to participate in the hiring process, GPDS will provide you with one upon notice.

AUTHORIZATION AND ACKNOWLEDGEMENTS

I affirm that the information I have provided in this application is true to the best of my knowledge, information and belief, and I have not knowingly withheld any information requested. I understand that withholding or misstating any information requested in this application is grounds for rejection of my application, and that providing false or misleading information in this application is grounds for discharge. I authorize GPDS. to verify my references, record of employment, education record, and any other information I have provided. Unless otherwise noted, I authorize the references I have listed to disclose any infmmation related to my work record and my professional experiences with them, without giving me prior notice of such disclosure. In addition, I release GPDS, my former employers, and all other persons and entities, from any and all claims, demands or liabilities arising out of or in any way related to such inquiry or disclosure.

Signature

By typing your name and submitting this application for employment, your are signifying that all the information you provided in the application is true and correct to the best of your knowledge.

Date

YYYY

Please upload your most current resume.

To upload your resume, click HERE

Thank you for submitting your application and CV to us! Someone from GPDS Human Resources will be in touch with you in the next 3 business days. We look forward to speaking with you!

Apply Now.