Employment Application Form Explore rewarding jobs and join our skilled restoration team. Employment Application Form "*" indicates required fields Step 1 of 7 14% URLThis field is for validation purposes and should be left unchanged.General Information It is our policy to comply with all applicable state and federal laws prohibiting discrimination in employment based on race, age, color, sex, religion, national origin, disability or other protected classifications. Please carefully read and answer all questions. You will not be considered for employment if you fail to completely answer all the questions on this application. You may attach a résumé, but all questions must be answered.Name* First Middle Last Date of Birth* MM slash DD slash YYYY Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Email* Phone*Date Available* MM slash DD slash YYYY Social Security Number*Desired Salary*Which position(s) are you applying for?*Are you a citizen of the United States?* Yes No If no, are you authorized to work in the U.S.? Yes No Have you ever worked for Global Restoration Services before?* Yes No If yes, when?Have you ever been convicted of a felony?* Yes No Not Sure If yes to previous question, please explain:Did you ever serve in the U.S. Military?* Yes No Add Files Drop files here or Select files Max. file size: 1 GB. Education List all that applyHigh SchoolDid you graduate?* Yes No DiplomaCollegeDid you graduate?* Yes No Other: Name & LocationCertification & Year Obtained References Please list (3) separate professional references Professional Reference #1Name* First Last RelationshipCompanyPhoneProfessional Reference #2Name* First Last RelationshipCompanyPhoneProfessional Reference #3Name* First Last RelationshipCompanyPhoneWould you like to upload a resume?* Yes No ResumeMax. file size: 1 GB. Previous Employment Company #1Name*PhoneAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Job TitleStarting & Ending SalaryResponsibilitiesStart to End Date & Reason for leavingCompany #2Name*PhoneAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Job TitleStarting & Ending SalaryResponsibilitiesStart to End Date & Reason for leavingCompany #3Name*PhoneAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Job TitleStarting & Ending SalaryResponsibilitiesStart to End Date & Reason for leaving Military ServiceBranchStart Date MM slash DD slash YYYY End Date MM slash DD slash YYYY Rank at DischargeType of DischargeIf other than honorable, please explain DISCLAIMER & SIGNATURE I certify that the facts set forth in this Application for Employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements, omissions or misrepresentations may result in my dismissal. I authorize the Employer to make an investigation of any of the facts set forth in this application and release the Employer from any liability. The employer may contact any listed references on this application.Signature* Criminal Background Check AuthorizationName* First Last Other Names Used First Last Current Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Social Security #Date of Birth* MM slash DD slash YYYY Driver's License #Date of Issue MM slash DD slash YYYY Signature*Date* MM slash DD slash YYYY