Great Bay Distributors Online Application for Employment (Rev 01/2006)
Please review our Online Privacy Policy before continuing.
Privacy policy page will open in a new window.

Candidates will be required to pass a pre‑employment drug test. Great Bay Distributors is an equal opportunity employer, complying will all laws prohibiting discrimination due to race, color, religion, sex, national origin, age, handicap, disability, marital and veteran status ‑ all applications are welcome.  Great Bay will also take all necessary steps to reasonably accommodate individuals who have a handicap, disability, or bona fide religious belief. Please answer all questions.  Resumes are not accepted in lieu of completion of this application.  Applications are only valid for 30 days.
(All Fields Required)

You may use the <TAB> key to move to the next field. Please fill out completely and accurately.

Last Name:  Middle Init:
First name:  SS#:
    Can you provide your ss# upon request?
Street Address: City:
State:  Zip:
Telephone:   Email Address:
Where did you hear about the Position?
Only U.S. citizens or aliens who have a legal right to work in the U.S. are eligible for employment.  Can you, upon employment, submit documentation verifying your legal right to work and your identity?  
Have you ever been convicted of any crime?:  
If yes, give dates and explain. (A conviction will not necessarily disqualify you from employment):
Are you over the age of 18?    
Education
High School name & address:
Grade/Years Completed:    Diploma:
College/University name & address:
Grade/Years Completed:
Diploma/Degrees:
Describe course of study:
Describe specialized training, apprenticeship, skills, and extracurricular activities:
Honors received:
Have you had prior job educational experience which relates to the job for which you are  applying?  
If Yes explain:
Have you taken any illegal drugs in the last 30 days?
Have you applied here before? If yes, date: (mm/dd/yy)
Are you a veteran of the U.S. Military Service?
If yes what branch:
Beginning / End of active duty (dates): (mm/dd/yy)
Date of Discharge: (mm/dd/yy)

This section to be completed by applicants requesting driving or sales positions:

Drivers License #:
Have you had any tickets?  
If yes, explain:
Has your license ever been suspended or revoked?  
If yes, explain:
Do you have any DUI or DWI convictions?
If yes, explain:
Will you work overtime if asked?    
Are there any hours, shifts or days you will not work?
If yes, explain:
Do you have any friends, relatives who work here?
If yes, please give names and relationships:
Are you now employed? May we contact them?
Are you on a layoff? Are you subject to recall?

ALL FORMER JOBS (list most recent job first).  Account for all time periods including unemployment, self-employment and military service. 

Employer 1: Enter "none" if not applicable.
Address:
Dates from-to:
Work Performed: Enter "none" if not applicable.
Title:  Phone#:
Hourly Rate / Salary - Starting/Final:
Supervisor: May we contact?
Reason for leaving:
 
Employer 2:
Address:
Dates from-to:
Work Performed:
Title:  Phone#:
Hourly Rate / Salary - Starting/Final:
Supervisor: May we contact?
Reason for leaving:
 
Employer 3:
Address:
Dates from-to:
Work Performed:
Title: Phone#:
Hourly Rate / Salary - Starting/Final:
Supervisor: May we contact?
Reason for leaving:
 
Employer 4:
Address:
Dates from-to:
Work Performed:
Title: Phone#:
Hourly Rate / Salary - Starting/Final:
Supervisor: May we contact?
Reason for leaving:
Please explain any gaps in your employment history:
Have you ever been forced to resign?
If yes, explain:
Did you receive any discipline in the last 12 months of active employment?
If yes, explain:
Were you given a performance evaluation within the last 12 months of active employment?
If yes, what was the range of scores used and what was your score:
Have you ever signed any non‑compete agreement with any other employer that would restrict you from working with this company?
If yes, explain:
Job applying for:
Salary requested:
Date you can start:

 

Character references:  List 3 persons not related to you, whom you have known at least 1 year.
1) Name, address and phone#:
Occupation:
 
2) Name, address and phone#:
Occupation:
 
3) Name, address and phone#:
Occupation:
 

List below any information/remarks you wish to have considered as a part of your application:

I certify that the answers given by me to the above questions and statements are true and correct and hereby authorize you to contact references, past or present employers, persons, schools, law enforcement agencies and any other sources of information which may be relevant to my application for employment.  It is understood and agreed that any misrepresentation, false statement or omissions by me in the application be will sufficient reason for rejection of my application or for dismissal at any time during my employment, without liability to this company.

I have read, understand and agree to the above statement. In lieu of signature, please type initials here:
I further understand that no representative of the company has the authority to enter into any agreement for employment for any special period of time and that this company is not guarantying employment for anyone.  No employment contract is created by virtue of my being hired by the company.

I have read, understand and agree to the above statement. In lieu of signature, please type initials here:
If employed, I agree to abide by all the work and safety rules of the Company.  I understand that this company is committed to maintaining a drug free workplace.  I am aware that the company may require a drug test as part of the hiring process.  Also, if employed, I fully realize that the company conducts annual random drug testing of its employees.

I have read, understand and agree to the above statement . In lieu of signature, please type initials here:
I understand that this application will remain on file for 30 days consideration.  After 30 days, if I am still interested in a position with this company,  it will be necessary for me to complete a new application form. In lieu of signature, type full name and date below:

 

Click "submit" button below to accept send information, or "Clear Form to wipe all info clean and start over:

   

Copyright © 2003 Great Bay Dist, Inc.  All rights reserved.
Revised: 02/01/12. (Wednesday, 01. February 2012 12:32:27 PM)

Great Bay Distributors Home Page

Hit Counter